Abstract
Purpose
To describe the incidence and timing of recurrence in patients with optic neuritis (ON).
Methods
Medical documents of adult patients with ON were retrospectively reviewed. The incidence and timing of recurrence of an ON episode were analyzed.
Results
One hundred eleven patients with ON were included in this study. Their mean follow-up duration was 4.1 ± 3.1 years. Seven relapses occurred after intravenous methylprednisolone treatment. The estimated cumulative incidence of recurrence in either eye was 26% at 1 year, 33% at 3 years, 37% at 5 years, and 50% at 10 years after the first episode of ON. If there was no recurrence until 6 months after the first episode of ON, the next 5-year recurrence-free survival probability was 67%. If there was no recurrence until 1 year, the next 5-year survival probability was 72%. If there was no recurrence until 2 years, the next 5-year survival probability was 81%. Relapse within 1 month and the presence of neuromyelitis optica-immunoglobulin G were factors that increased the recurrence rate over time.
Conclusions
We evaluated the incidence and timing of the recurrence in patients with ON after the first episode. Lower probability of recurrence was observed in patients with longer recurrence-free follow-up period. However, monitoring for recurrence is needed even in patients with a single episode of ON due to the increasing tendency of the estimated cumulative incidence of recurrence over many years.
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Involved in study concept and design: Kyung-Ah Park and Sei Yeul Oh, Sungkyunkwan University, Neuro-Ophthalmology
Involved in collecting data: Kyung-Ah Park and Sei Yeul Oh, Sungkyunkwan University, Neuro-Ophthalmology, and Ju-Hong Min and Byoung Joon Kim, Sungkyunkwan University, Neurology
Involved in analysis and interpretation of data: Kyung-Ah Park, Sungkyunkwan University, Neuro-Ophthalmology, and Ju-Hong Min and Byoung Joon Kim, Sungkyunkwan University, Neurology
Involved in critical revision of manuscript for intellectual content: Sei Yeul Oh, Sungkyunkwan University, Neuro-Ophthalmology, and Ju-Hong Min and Byoung Joon Kim, Sungkyunkwan University, Neurology
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This study was approved by the Institutional Review Board of Samsung Medical Center (Seoul, South Korea). This study was conducted in accordance with the tenets of the Declaration of Helsinki.
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Informed consent was not obtained in this study. Identifying information about participants was not presented in this study.
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Park, KA., Oh, S.Y., Min, JH. et al. Incidence and timing of recurrence of optic neuritis. Graefes Arch Clin Exp Ophthalmol 257, 651–655 (2019). https://doi.org/10.1007/s00417-018-04217-7
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DOI: https://doi.org/10.1007/s00417-018-04217-7