Acute Optic Neuropathy in Older Adults: Differentiating Between MOGAD Optic Neuritis and Nonarteritic Anterior Ischemic Optic Neuropathy.
Nanthaya TisavipatHadas Stiebel-KalishDahlia PalevskiOmer Y BialerHeather E MossPareena ChaitanuwongTanyatuth PadungkiatsagulAmanda D HendersonElias S SotirchosShonar SinghAbdul-Rahman SalmanDeena A TajfirouzKevin D ChodnickiSean J PittockEoin Patrick FlanaganJohn J ChenPublished in: Neurology(R) neuroimmunology & neuroinflammation (2024)
Acute unilateral optic neuropathy with optic disc edema in older adults can be caused by either MOGAD-ON or NAION. Detailed history, the degree of pRNFL swelling on OCT, and visual outcomes can help differentiate the entities and prevent indiscriminate serum MOG-IgG testing in all patients with acute optic neuropathy.