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KMID : 0360220210620040538
Journal of the Korean Ophthalmological Society
2021 Volume.62 No. 4 p.538 ~ p.544
Comparison of Optic Neuritis with Seropositive Myelin Oligodendrocyte Glycoprotein Antibody and Seropositive Neuromyelitis Optica Antibody
Kang Min-Chae

Park Kyung-Ah
Abstract
Purpose: To compare clinical outcomes of Korean patients with seropositive myelin oligodendrocyte glycoprotein antibody(MOG-IgG)-related optic neuritis (ON) and those with neuromyelitis optica antibody (NMO-IgG)-related ON.

Methods: Medical records were analyzed retrospectively among patients diagnosed with ON from January 2018 to June 2020,who were positive for MOG-IgG or NMO-IgG on serological tests. Clinical manifestations and outcomes were collected and comparedbetween the two groups.

Results: The study included 14 eyes of 10 MOG-IgG positive patients, and 38 eyes of 25 NMO-IgG positive patients. Final visualacuity differed significantly between the two groups (p = 0.002), and the proportion of patients with no light perception was higherin the NMO-ON group (11%) compared with the MOG-ON group (0%). The mean deviation value on visual field tests alsoshowed a significant difference between NMO-ON and MOG-ON groups (-18.98 ¡¾ 12.36 dB versus -10.17 ¡¾ 10.03 dB, respectively;p = 0.018). The recurrence rate was 42% in the NMO-ON group and 79% in the MOG-ON group (p = 0.020).

Conclusions: The clinical outcomes of NMO-ON and MOG-ON patients differed significantly. MOG-ON patients were more likelyto experience a relapse. Patients with NMO-ON were given a poor visual prognosis despite having a lower recurrence rate thanthose with MOG-ON.
KEYWORD
AQP-4 antibody, Myelin oligodendrocyte glycoprotein antibody, Neuromyelitis optica antibody, Optic neuritis
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