Evidence map›Paper›PMID 40377800›Full record

ArticleJapanese journal of ophthalmology2025

Intravenous immunoglobulin for the acute treatment of refractory optic neuritis in Japan.

Yohei Takahashi, Takeshi Kezuka, Keigo Shikishima, Akiko Yamagami, Hideki Chuman, Makoto Nakamura, Satoshi Ueki, Akiko Kimura, Masato Hashimoto, Sonoko Tatsui and 3 more

Abstract readMulticenter Study
In one paragraph

Article in Japanese journal of ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

13 authors.

Yohei TakahashiDepartment of Ophthalmology, Kitasato University School of Medicine, 1-15-1 Kitazato, Minami-ku, Sagamihara-shi, Kanagawa, 252-0373, Japan. ytakahashi19870715@gmail.com.ORCID http://orcid.org/0009-0008-6751-1186
Takeshi KezukaDepartment of Ophthalmology, Tokyo Medical University, Tokyo, Japan.
Keigo ShikishimaDepartment of Ophthalmology, The Jikei University School of Medicine, Tokyo, Japan.
Akiko YamagamiInouye Eye Hospital, Tokyo, Japan.
Hideki ChumanDepartment of Ophthalmology, University of Miyazaki, Miyazaki, Japan.
Makoto NakamuraDivision of Ophthalmology, Department of Surgery, Kobe University Graduate School of Medicine, Hyogo, Japan.
Satoshi UekiDepartment of Ophthalmology, Niigata University, Niigata, Japan.
Akiko KimuraDepartment of Ophthalmology, Hyogo Medical University, Hyogo, Japan.
Masato HashimotoDepartment of Ophthalmology, Nakamura Memorial Hospital, Hokkaido, Japan.
Sonoko TatsuiDepartment of Ophthalmology, Kitasato University School of Medicine, 1-15-1 Kitazato, Minami-ku, Sagamihara-shi, Kanagawa, 252-0373, Japan.
Nobuyuki ShojiDepartment of Ophthalmology, Kitasato University School of Medicine, 1-15-1 Kitazato, Minami-ku, Sagamihara-shi, Kanagawa, 252-0373, Japan.
Hitoshi IshikawaDepartment of Orthoptics and Visual Science, Kitasato University School of Allied Health Sciences, Kanagawa, Japan.
Collaborative Research Group: Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the usage status and evaluate the efficacy of intravenous immunoglobulin (IVIG) for the acute treatment of optic neuritis (ON) in Japan. STUDY

designMulticenter retrospective case series.

methodsThe study subjects were patients with steroid-resistant acute ON in whom IVIG had been initiated between January 2020 and August 2022 at 30 facilities in Japan. The clinical characteristics, visual acuity, and adverse events following IVIG were compared among anti-aquaporin 4 antibody positive ON (AQP4-ON), anti-myelin oligodendrocyte glycoprotein antibody positive ON (MOG-ON), and idiopathic ON (ION).

resultsThe study included sixty-five patients (76 eyes); the main clinical department administering IVIG was ophthalmology (50 cases, 77.0 %). 43 cases had their first ON attack and 22 cases had recurrent ON. Plasmapheresis (PP) was combined in 21 cases. The efficacy endpoint, changes in logarithm of the minimum angle of resolution (logMAR) after IVIG compared with preIVIG, showed statistically significant improvement in the AQP4-ON group at one week, 4 weeks, and 12 weeks after IVIG (p=0.015, p<0.001, p<0.001, respectively). In the MOG-ON group, excluding cases with combined PP, logMAR post IVIG did not improve significantly compared with preIVIG. Among the ION group, compared with preIVIG, logMAR at 4weeks and 12 weeks post IVIG were statistically significant improved (p=0.019, p=0.023, respectively). Adverse events occurred in 7 patients with IVIG. 4 of the 7 patients continued the IVIG treatment, and 3 patients discontinued it within 5 days.

conclusionThis study demonstrates that IVIG may be an effective new option for acute treatment of steroid-resistant ON as an add-on to conventional therapy.

Indexed as

Immunoglobulins, IntravenousOptic NeuritisVisual AcuityAcute DiseaseAdultAgedAquaporin 4FemaleFollow-Up StudiesHumansImmunologic FactorsJapanMaleMiddle AgedRetrospective StudiesTreatment OutcomeAquaporin 4Immunoglobulins, IntravenousImmunologic FactorsIntravenous immunoglobulinOptic neuritisPlasmapheresisSteroid-resistant

Identifiers

PMID40377800
PMCPMC12391192

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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.