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Dynamic Visual Tests to Identify and Quantify Visual Damage and Repair Following Demyelination in Optic Neuritis Patients
Published on: April 14, 2014
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Evidence-based management of optic neuritis.
Emilie Bergeron1,2, Marc A Bouffard1
1Division of Neuro-Ophthalmology, Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA.
Current Opinion in Ophthalmology
|October 17, 2023
Summary
Prompt treatment for optic neuritis, including intravenous methylprednisolone (IVMP) and plasmapheresis for neuromyelitis optica spectrum disorder (NMOSD), improves visual recovery. Long-term immunosuppression is recommended for NMOSD and MOGAD.
Area of Science:
- Neuro-immunology
- Ophthalmology
- Neurology
Background:
- Optic neuritis presents with diverse etiologies, including multiple sclerosis (MS), neuromyelitis optica spectrum disorder (NMOSD), and myelin oligodendrocyte glycoprotein antibody disease (MOGAD).
- Differentiating these causes is crucial for effective therapeutic strategies.
Conclusions:
- IVMP is a standard treatment for acute optic neuritis.
- Plasmapheresis is a critical adjunct for NMOSD-associated optic neuritis.
- Long-term immunosuppressive therapy is indicated for NMOSD and MOGAD patients experiencing poor visual outcomes or recurrent attacks.
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