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Table 1 Clinical parameters in different phenotypes of PON

From: Management and outcomes of pediatric optic neuritis in a tertiary hospital in Riyadh, Saudi Arabia: a retrospective study

Characteristic

^Isolated ON

= 5 (45%) n(%)

^^MS ON = 1 (9%)

n(%)

**NMSOD = 1 (9%)

n(%)

***ADEM = 1 (9%)

n(%)

MOG

= 3(27.2%)

n(%)

Total = 11 n(%)

Age (years)

  

> 10

4 (80)

o

0

0

0

4 (36.3)

< 10

1 (20)

1(100)

1 (100)

1(100)

3 (100)

7 (63.6)

Gender

  

Male

4(80)

0

1(100)

0

2 (66.7)

7 (63.6)

Female

1 (20)

1(100)

0

1(100)

1 (33.3)

4 (36.3)

Eye involvement

  

Unilateral

1 (20)

1(100)

0

0

1 (33.3)

3 (27.2)

Bilateral

4 (80)

0

1(100)

1(100)

2 (66.7)

8 (72.7)

Presenting symptoms

  

Headache

2(40)

0

1(100)

0

2 (66.7)

5 (45.4)

Blurred /decreased vision

2(40)

1(100)

1(100)

0

2 (66.7)

6 (54.5)

Eye pain

1 (20)

1(100)

0

1(100)

1 (33.3)

4 (36.3)

Ocular signs

  

Visual field loss

4(80)

1(100)

1 (100)

1(100)

0

7 (63.6)

Color Vision loss

0

1(100)

1(100)

0

0

2 (18.1)

Visual acuity at presentation

  

> 20\20

1 (20)

0

0

0

0

1 (9)

< 20\20–20/40

1 (20)

0

1(100)

0

1 (33.3)

3 (27.2)

< 20\40 − 20\200

1 (20)

1(100)

0

0

2 (66.7)

4 (36.3)

< 20\200 − 20/400

2 (40)

0

0

1(100)

0

3 (27.7)

Fundoscopy

  

Disc swelling

3 (60)

1(100)

1 (100)

1(100)

1 (33.3)

7 (63.6)

Disc pallor

2 (40)

0

0

1(100)

2 (66.7)

5 (45.4)

Normal Disc

1 (20)

0

0

0

0

1 (9)

Treatment

  

*ONTT protocol

5 (100)

1

0

0

0

6 ( 54.5)

ONTT protocol + IVIG

0

0

0

1

0

1 (9)

ONTT protocol + Rituxamab

0

0

1 (100)

0

0

1 (9)

ONTT protocol + IVIG^^+ Rituxamab

0

0

0

0

3 (100)

3 (27.2)

Visual acuity at 6 months

>/=20\20

1(20)

0

1 (100)

1(100)

1 (33.3)

4 (36.6)

< 20\20–20/40

2 (40)

1(100)

0

0

2 (66.7)

5 (44.5)

< 20\40 − 20\200

2(40)

0

0

0

0

2 (18.1)

< 20\200 − 20/400

0

0

0

0

0

0

Recurrence

Yes

1 (20)

1 (100)

1 (100)

1 (100)

1 (33.3)

5 (45.4

  1. *Optic Neuritis Treatment Trial (ONTT) protocol – intravenous methylprednisolone (IVMP) 20– 30 mg/kg/day (maximum1 g daily) for 3–5 days followed by oral prednisolone with starting dose of 1 mg/kg/day, tapered over 1–4weeks
  2. ^Isolated ON-Isolated optic neuritis
  3. ^^MS ON- Multiple sclerosis related optic neuritis
  4. **NMSOD- Neuromyelitis optica spectrum disease
  5. ***ADEM-Acute disseminated encephalomyelitis