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Current research situation of the characteristics of recurrent optic neuritis and the pathogenesis of optic neuritis

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Author:
No author available
Journal Title:
Chinese Journal of Ocular Fundus Diseases
Issue:
3
DOI:
10.3760/cma.j.issn.1005-1015.2019.03.020
Key Word:
视神经炎/病因学;综述;复发性视神经炎;Optic neuritis/etiology;Review;Recurrent optic neuritis

Abstract´╝Ü Optic neuritis (ON) is one of the symptom of a central nervous system demyelinating,systemic or infectious disease.The pathogenetic mechanism of ON is still not completely clear,and its core is inflammation and immune that occurred in the optic nerve axons,and apoptosis of RGC was induced.Few patients experience recurrent episodes after treatment,presenting a remission-recurrence course of polyphasic disease,named recurrent ON (RON).Two forms of RON have been assigned:recurrent isolated optic neuritis,which is a chronic corticosteroid-dependent optic neuropathy with intermittent acute relapses,and recurrent isolated optic neuritis,which is a non-progressive relapsing ON without steroid dependence.Recurrence of ON causes cumulative damage to the optic nerve lesions and impaired visual signal transmission,thus causing irreversible damage to vision.Therefore,it is very important to have a deep understanding of the pathogenesis of ON and the clinical characteristics of RON,so as to better conduct clinical treatment.

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