Diagnosis and treatment of anti-myelin oligodendrocyte glycoprotein antibody positive optic neuritis

Jpn J Ophthalmol. 2018 Mar;62(2):101-108. doi: 10.1007/s10384-018-0561-1. Epub 2018 Feb 14.

Abstract

Anti-myelin-oligodendrocyte glycoprotein (MOG) antibody positive optic neuritis has been established as a new subset of optic neuropathy. Anti-MOG antibodies are usually measured by cell-based assay. Patients with anti-MOG antibody positive optic neuritis respond well to steroid therapy, and, while visual acuity outcomes are favorable, significant visual field defects remain. Furthermore, patients who are anti-MOG antibody positive have higher rates of recurrence compared to antibody negative patients. Based on these findings, anti-MOG antibody positive patients with optic neuritis have the characteristics of good visual outcomes, residual visual field defects, and high risk of recurrence. Tests for anti-MOG antibody are useful for the diagnosis and treatment of optic neuritis.

Keywords: Anti-MOG antibody; Anti-myelin oligodendrocyte glycoprotein antibody; Chronic recurrent inflammatory optic neuropathy; Optic neuritis.

Publication types

  • Review

MeSH terms

  • Aquaporin 4 / immunology*
  • Autoantibodies / therapeutic use*
  • Humans
  • Immunotherapy / methods*
  • Myelin-Oligodendrocyte Glycoprotein / immunology*
  • Optic Neuritis / immunology
  • Optic Neuritis / therapy*
  • Visual Acuity

Substances

  • Aquaporin 4
  • Autoantibodies
  • Myelin-Oligodendrocyte Glycoprotein