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Updated: Jul 5, 2025

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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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[Typical and atypical optic neuritis]
N L Sheremet1, D D Eliseeva2, A K Kalashnikova3
1Kasnov Research Institute of Eye Diseases, Moscow, Russia.
Vestnik Oftalmologii
|January 18, 2024
Summary
Optic neuritis (ON) is a common cause of vision loss. Differentiating typical MS-associated ON from atypical ON in NMOSD and MOGAD is crucial for effective disease management and treatment.
Area of Science:
- Neuro-ophthalmology
- Immunology
- Neurology
Background:
- Optic neuritis (ON) is a leading cause of vision loss globally, often stemming from demyelinating conditions.
- Demyelinating ON can be idiopathic or a manifestation of central nervous system (CNS) autoimmune diseases like multiple sclerosis (MS), neuromyelitis optica spectrum disorders (NMOSD), and myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD).
Approach:
- This review synthesizes clinical, laboratory, and instrumental data to differentiate ON presentations.
- It focuses on distinguishing typical MS-associated ON from atypical ON observed in NMOSD and MOGAD.
Key Points:
- Demographic, clinical, and radiological features vary among ON associated with different CNS demyelinating diseases.
- Identifying these differences is vital for accurate diagnosis and tailored treatment strategies.
- Distinguishing typical MS-ON from atypical ON in NMOSD and MOGAD is essential for appropriate patient management.
Conclusions:
- Accurate differential diagnosis of optic neuritis is critical for guiding appropriate treatment strategies.
- Understanding the distinct clinical features of ON in MS, NMOSD, and MOGAD improves patient outcomes.
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