Table 1. Initial patient characteristics anti-MOG cohort.
Patient | Onset age (gender) | Symptoms; duration (d) | Clinical findings | VA (RE, LE; logMAR) | RAPD (RE, LE) | Colour VA (Ishihara test; RE, LE) | Red desaturation (present, absent) | Average GCL; RE, LE (µm) | Average RNFL; RE, LE (µm) | Pain (retrobulbar or on movement) | MRI brain and orbits demyelination protocol | Initial treatment |
1 | 41 (F) | Decrease in right VA; pain (7) | Normal ONH bilaterally | 1.0, 0.6 | +3, 0 | 0/14, 14/14 | Present RE | 65, 78 | 80, 104 | On movement | High signal in retrobulbar optic nerves bilaterally that does not extend to chiasm | Admitted for 3/7 IVMP with oral taper |
2 | 33 (F) | Blurring of vision BE; pain on eye movements (2) | Bilateral swollen ONH | 1.0, 1.0 | 0, 0 | 0/14, 0/14 | Present BE | 84, 91 | 175, 205 | On movement BE | High signal in optic nerves bilaterally. | Admitted for 3/7 IVMP with oral taper |
3 | 36 (F) | Left orbital pain (11) | Normal RE ONH; LE ONH swollen inferiorly | 0, 0.1 | 0, 0 | 14/14, 14/14 | Absent BE | 87, 85 | 104, 114 | Retrobulbar | Irregular enhancement of left optic nerve. MRI spine NAD | Admitted for 3/7 IVMP with oral taper |
4 | 37 (M) | Decrease in right VA; pain on eye movements (14) | Right swollen ONH | 1.0, 0 | +3, 0 | 0/14, 14/14 | Present RE | 83, 83 | 139, 91 | On movement of RE only | Low grade thickening and enhancement of right optic nerve | Admitted for 3/7 IVMP with oral taper |
5 | 23 (M) | Decrease in left VA; pain (7) | Pale left ONH | 0, 2.1 | 0, +1 | 14/14, 1/14 | Present LE | 61, 61 | 59, 55 | Retrobulbar RE | High signal in both retrobulbar optic nerves, more marked on left with enhancement | Admitted for 3/7 IVMP with oral taper |
6 | 24 (M) | Decrease in left VA; pain (7) | Normal ONH bilaterally | 0, 0.3 | 0, +2 | 14/14, 14/14 | Present LE | 87, 76 | 98, 94 | Pain on eye movements LE | Abnormal T2 hyperintensity of left optic nerve which appears markedly atrophied | Admitted for 3/7 IVMP with oral taper |
7 | 10 (M) | Decrease in left VA, followed by right VA and pain (10) | Swollen ONH bilaterally | 1.8, 2.1 | 1, +3 | 1/14, 1/14 | Present BE | 32, 34 | 254, 379 | Retrobulbar pain BE | Numerous bilateral asymmetric areas of abnormal signal intensity within the white matter sparing the corpus callosum | Admitted for 3/7 IVMP with oral taper |
8 | 14 (M) | Decrease in left VA with pain (14) | Swollen left ONH | 0.1, 1 | 0, +3 | 14/14. 3/14 | Present LE | 68, 73 | 92, 235 | Pain on eye movement LE | Signal abnormality in the retrobulbar left optic nerve extending into the canalicular component. The nerve is expanded and demonstrates enhancement | Admitted for 3/7 IVMP with oral taper |
9 | 21 (F) | Decrease left VA and eye pain (14) | Swollen left ONH | 0, 0.2 | 0, +2 | 14/14, 7/14 | Present LE | 79, 80 | 93, 203 | Pain on eye movement LE | T2 hyperintensity within the anterior aspect of the intraorbital segment of the left optic nerve | Admitted for 3/7 IVMP with oral taper |
10 | 61 (F) | Decrease in right VA (3) | Swollen right ONH | 0.5, 0.1 | +2, 0 | 6/14, 12/14 | Present RE | 54, 49 | 58, 54 | No pain | Increased signal from the retrobulbar and canalicular optic nerve | Presumed NAION, normal ESR, follow up OPD |
11 | 19 (F) | Decrease in right VA and eye pain (7) | Swollen right ONH | 0.4, 0 | +3, 0 | 4/14, 14/14 | Present RE | 79, 83 | 143, 95 | Pain on eye movements RE | Abnormal signal within the orbital segment of the right optic nerve which appears expanded | Admitted for 3/7 IVMP with oral taper |
12 | 31 (F) | Pain on movement in RE (3) | Swollen right ONH | 0, 0 | +2, 0 | 13/14, 14/14 | Present RE | 33, 34 | 254, 379 | Pain on eye movements RE | High signal within the intraorbital segment of the right optic nerve measuring 8 mm | Admitted for 3/7 IVMP with oral taper |
F: Female; M: Male; VA: Visual acuity; ONH: Optic nerve heads; RAPD: Relative afferent pupillary defect; RE: Right eye; LE: Left eye; BE: Both eyes; GCL: Ganglion cell layer; RNFL: Retinal nerve fibre layer; MRI: Magnetic resonance imaging; NAD: No abnormality detected; IVMP: Intravenous methylprednisolone; NAION: Nonarteritic anterior ischemic optic neuropathy; ESR: Erythrocyte sedimentation rate; OPD: Outpatient department.