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Top optic neuritis Articles in Ophthalmology

Timing of Corticosteroid Therapy is Critical to Prevent Retinal Ganglion Cell Loss in Experimental Optic Neuritis
Investigative Ophthalmology and Visual Science, 11/20/2009
Shindler K et al. – Corticosteroids can suppress optic neuritis and prevent RGC loss if treatment is initiated prior to optic nerve inflammation onset. Treatment is less effective after inflammation ... recurrent optic neuritis and RGC damage. [more...]

Optic neuritis - More than a loss of vision
Australian Family Physician, 10/05/2009
Chu ER et al. – This article provides information on the signs and symptoms of optic neuritis and discusses appropriate referral, investigations and management.
  • Demyelinating optic neuritis may be related to MS.
  • Diagnosis is ... visual acuity, decreased colour vision, presence of RAPD, decreased subjective brightness and visual field abnormality. Appearance of the optic nerve head can either be swollen (papillitis) or normal.
  • The characteristic white matter lesion on MRI brain is the most important predictor in ... acute episode of ON with IV methylprednisone followed by oral prednisolone hastens the rate of vision recovery.
[more...]

Infliximab and anterior optic neuropathy
Graefe's Archive for Clinical and Experimental Ophthalmology, 11/23/2009
Chan JW et al. – It is important to consider the possibility of anterior optic neuropathy, in addition to retrobulbar optic neuritis, in patients who experience sudden–onset visual loss while being treated with infliximab. [more...]

The effect of interferon beta-1a on optic neuritis relapse in patients with multiple sclerosis
Graefe's Archive for Clinical and Experimental Ophthalmology, 10/12/2009
Chen YM et al. – The use of interferon beta–1a 44 micro g via subcutaneous injection three times weekly did not increase the ON attacks in MS patients receiving this treatment. In addition ... the use of interferon beta–1a on these patients. [more...]

Multiple sclerosis. Part I: Neuro-ophthalmic manifestations
Current Opinion in Ophthalmology, 10/29/2009
Pula JH et al. – Multiple sclerosis results in various ophthalmic abnormalities. Optic neuritis is the most widely studied visual disturbance in MS, but other unusual visual manifestations such as Charles Bonnet syndrome or the Pulfrich ... loss, OCT is being used to evaluate neuroprotective treatments. The efferent visual system, in particular the medial longitudinal fasciculus pathway, may be a way to measure body temperature–induced changes in MS. [more...]

Importance of background rates of disease in assessment of vaccine safety during mass immunisation with pandemic H1N1 influenza vaccines
The Lancet - Early Online Publication, 11/02/2009
Black S et al. – In female vaccinees in the USA, 86·3 cases of optic neuritis per 10 million population would be expected within 6 weeks of vaccination. 397 per 1 million vaccinated pregnant women would be predicted to [more...]

Magnetic Resonance Imaging in Acute Optic Neuritis in Singapore
Annals, Academy of Medicine, Singapore, 10/13/2009
Lim SA et al. – The study revealed a lower percentage of grade II–IV brain MRI abnormalities as well as less lesion load in idiopathic ON compared to the ONTT. This may be related to the lower prevalence of MS in the ... lower than for retrobulbar disease. MRI in ON has an essential role in characterising the disease, evaluating for associated brain lesions, and assessing prognosis in retrobulbar disease but may be less useful in anterior disease. [more...]

Optic disc image in advanced age-related macular degeneration
Aging Health, 11/23/2009
Law SK – Evaluation of the optic disc and retinal nerve fiber layer is an essential part of the ophthalmic examination for diagnosis and for monitoring the progress of various types of optic neuropathy. Qualitative evaluation with ... stereoscopic optic disc photography is the traditional clinical method for the documentation of the optic disc appearance for serial comparisons. Recently, many imaging techniques have become available for optic disc and retinal nerve fiber layer evaluation. Confocal scanning laser ophthalmoscopy ... polarimetry and optical coherence tomography are currently the most widely used techniques by the ophthalmic community. These techniques have been reported to be reproducible in making quantitative structural measurements of the optic disc and retinal nerve fiber layer. This article reviews the ... techniques in eyes with advanced age–related macular degeneration and discusses the advantages and limitations of the application. [more...]

Optical diagnosis of small colorectal polyps at routine colonoscopy (Detect InSpect ChAracterise Resect and Discard; DISCARD trial): A prospective cohort study
The Lancet Oncology - Online First, 11/12/2009
Ignjatovic A et al. – For polyps less than 10 mm in size, in-vivo optical diagnosis seems to be an acceptable strategy to assess polyp ... experience predicted polyp histology using optical diagnosis with high-definition white light, followed by narrow-band imaging without magnification and chromoendoscopy, as required
  • Primary outcome accuracy of polyp characterisation using optical diagnosis compared with histopathology ... optical diagnosis to predict the next surveillance interval also assessed and compared with surveillance intervals predicted by current guidelines using histopathology
  • Results
    • 363 polyps smaller than 10 mm detected in 130 patients, of which 278 polyps had both optical and ... li>
    • Optical diagnosis accurately diagnosed 186 of 198 adenomas (sensitivity 0·94; 95% CI 0·90—0·97) and 55 of 62 hyperplastic polyps (specificity 0·89; 0·78—0·95), overall accuracy of 241 of 260 (0·93, 0·89—0·96) for polyp characterisation
    • Using optical diagnosis alone, 82 of 130 [more...]

    Influence of optic quality on contrast sensitivity and visual acuity in eyes with a rigid or flexible phakic intraocular lens
    Journal of Cataract & Refractive Surgery, 11/12/2009
    Peris–Martínez C et al. – Optic quality, measured by modulation transfer function and evaluated by average modulation, was approximately 13% better with the ... the flexible pIOL. However, the difference was not enough to affect visual quality. At 1 year, the 2 groups had similar CDVA and contrast sensitivity function values, indicating that other optical or neural factors compensate for differences in optic quality. [more...]

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