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Ophthalmology. 2008 Jun;115(6):1079-1082.e5. Epub 2007 Nov 5.

Visual function 15 years after optic neuritis: a final follow-up report from the Optic Neuritis Treatment Trial.

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1
Jaeb Center for Health Research, 15310 Amberly Drive, Suite 350, Tampa, FL 33647, USA.

Abstract

OBJECTIVE:

To assess visual function 15 years after acute unilateral optic neuritis.

DESIGN:

Longitudinal follow-up of a randomized clinical trial.

PARTICIPANTS:

Two hundred ninety-four patients who were randomized in the Optic Neuritis Treatment Trial between 1988 and 1991 and underwent examination in 2006.

TESTING:

A neuro-ophthalmic examination included measurements of visual acuity, contrast sensitivity, and visual field. Quality of life was assessed with the National Eye Institute Visual Function Questionnaire and Neuro-ophthalmic Supplement.

MAIN OUTCOME MEASURES:

Abnormal vision and health-related quality-of-life scores.

RESULTS:

Seventy-two percent of the eyes affected with optic neuritis at study entry had visual acuity of > or = 20/20 and 66% of patients had > or = 20/20 acuity in both eyes. On average, visual function was slightly worse among patients with multiple sclerosis (MS) than among with those without MS. As expected, quality-of-life scores were lower when acuity was reduced and when neurologic disability from MS was present.

CONCLUSIONS:

Long-term visual outcome is favorable for the majority of patients who experience optic neuritis even when MS is present.

PMID:
17976727
DOI:
10.1016/j.ophtha.2007.08.004
[Indexed for MEDLINE]

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