{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:58:16Z","timestamp":1785437896550,"version":"3.56.0"},"reference-count":45,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To understand the practice patterns in the management of pediatric optic neuritis in India and detect the gaps in evaluation and management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>An online survey-based study questionnaire was shared among ophthalmologists in the last quarter of 2024. The questionnaire included questions pertaining to the clinical experience, evaluation, and management of optic neuritis in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Seventy ophthalmologists across India participated in the survey. Of these, 45% had a formal neuro-ophthalmology training and 42% had more than 5 years of experience in managing pediatric optic neuritis. Most respondents managed under less than five cases every month. Participants with under 5 years\u2019 clinical experience reported higher rates of myelin oligodendrocyte glycoprotein-associated disease and post-infectious ON followed by neuromyelitis optica spectrum disorder, multiple sclerosis, and chronic relapsing inflammatory optic neuritis. Visual fields (50%) and optical coherence tomography (45%) were frequently requested ocular investigations. Magnetic resonance imaging brain and spine with contrast and fat-suppressed sequence was recommended by 23% of respondents, serological workup in 91%, and cerebrospinal fluid analysis in 17%. For treatment, intravenous methylprednisolone (IVMP) was used by 94% for 3 days (45%) or 5 days (53%). 34% ophthalmologists advised IVMP dosing at 30 mg\/kg. In recurrent cases, those with less than 5 years\u2019 experience more often repeated neuroimaging (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.050) and initiated IVMP irrespective of vision (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.046).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This survey highlights the variability in diagnostic testing and management practices of pediatric optic neuritis among ophthalmologists in India underscoring the need for developing, guiding, and following standardized practice guidelines.<\/jats:p>\n                  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