Evidence map›Paper›PMID 38867071›Full record

ReviewEye (London, England)2024

How far should I manage acute optic neuritis as an ophthalmologist? A United Kingdom perspective.

Heidi Laviers, Axel Petzold, Tasanee Braithwaite

Registry-linked trialAbstract readReview
In one paragraph

Review in Eye (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07704294 (Early Prediction of Outcomes Following Optic Neuritis), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07704294 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Early Prediction of Outcomes Following Optic Neuritis: Development and Acceptability of a Prognostic Tool (MS Predictor)

TypeobservationalSponsorKing's College LondonRan2026 to 2027Enrolled180ConditionsOptic Neuritis, Multiple Sclerosis, Neuromyelitis Optica Spectrum Disorder, Myelin Oligodendrocyte Glycoprotein (MOG)-Antibody Related DisordersArmsNo Intervention: Observational Cohort
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Heidi LaviersThe Medical Eye Unit, Guy's and St Thomas' NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0001-8864-5484
Axel PetzoldNeuro-ophthalmology Service, Moorfields Eye Hospital, London, UK.ORCID http://orcid.org/0000-0002-0344-9749
Tasanee BraithwaiteThe Medical Eye Unit, Guy's and St Thomas' NHS Foundation Trust, London, UK. tasanee.braithwaite@kcl.ac.uk.ORCID http://orcid.org/0000-0002-3025-4066

Funding

Fight for Sight UK RCOZAK2202
6 · The paper itself

Abstract

Optic neuritis (ON) is an inflammation of or around the optic nerve, frequently caused by infectious or immune-mediated inflammatory disorders. In the UK, its strongest association is with Multiple Sclerosis (MS), though the combined prevalence of other associated infectious and immune-mediated inflammatory diseases (I-IMID) is similar to that of MS-ON. Prompt identification and understanding of ON's underlying cause informs tailored management and prognosis. Several IMIDs linked to ON, such as aquaporin-4 antibody-associated optic neuritis (AQP4-ON), myelin oligodendrocyte glycoprotein antibody-associated optic neuritis (MOG-ON), and neuro-sarcoidosis, show remarkable response to corticosteroid treatment. Therefore, urgent investigation and treatment are crucial in cases 'atypical' for MS-ON. Following the 1992 Optic Neuritis Treatment Trial, clinical practice has evolved, with short-course high-dose corticosteroids considered safe and effective for most people. Timely recognition of patients who could benefit is critical to avoid irreversible vision loss. This review provides a practical guide and a summary of evidence on the investigation and management of acute optic neuritis. It reflects the knowledge and limitations of current evidence, framed through the neuro-ophthalmic perspective of clinical practice at multiple UK academic centres.

Indexed as

Optic NeuritisAcute DiseaseDisease ManagementGlucocorticoidsHumansOphthalmologistsUnited KingdomGlucocorticoids

Identifiers

PMID38867071
PMCPMC11306244

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.