Visual field profile of optic neuritis: A final follow-up report from the optic neuritis treatment trial from baseline through 15 years

John L Keltner, Chris A. Johnson, Kimberly E. Cello, Mariya Dontchev, Robin L. Gal, Roy W. Beck

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Objective: To evaluate visual field abnormalities after an episode of optic neuritis among participants in the Optic Neuritis Treatment Trial. Methods: Three readers independently evaluated 10 443 visual fields from 454 patients and classified visual field abnormalities into 21 different monocular categories representing 3 general types of visual loss: diffuse, localized, and artifactual. Classification frequency was determined and reader agreement was evaluated. The association of visual field abnormality classifications with mean deviation, pattern standard deviation, visual acuity, and foveal threshold was assessed. Results: At baseline, diffuse loss accounted for 66.2% of the abnormalities in the affected eyes but only 6.2% of the abnormalities in the fellow eyes. During years 1 through 15, the affected and fellow eyes exhibited predominantly localized loss in the nerve fiber bundle region (partial arcuate, paracentral, and arcuate defects). At year 1, 35.7% of the abnormalities in the affected eyes and 34.4% in the fellow eyes consisted of localized defects. At year 15, 39.5% of abnormalities in the affected eyes and 26.3% in the fellow eyes consisted of localized defects. Foveal threshold was highly correlated with visual acuity and contrast sensitivity in the affected eye at baseline (-0.82 vs 0.79, respectively), 6 months (-0.84 vs 0.81), and 1 year (-0.84 vs 0.79). Conclusions: Diffuse and central loss were more predominant in the affected eye at baseline, and nerve fiber bundle defects (partial arcuate, paracentral, and arcuate) were the most predominant localized abnormalities in both the affected and fellow eyes during the study.

Original languageEnglish (US)
Pages (from-to)330-337
Number of pages8
JournalArchives of Ophthalmology
Volume128
Issue number3
DOIs
StatePublished - Mar 2010

Fingerprint

Optic Neuritis
Visual Fields
Therapeutics
Nerve Fibers
Visual Acuity
Contrast Sensitivity

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Visual field profile of optic neuritis : A final follow-up report from the optic neuritis treatment trial from baseline through 15 years. / Keltner, John L; Johnson, Chris A.; Cello, Kimberly E.; Dontchev, Mariya; Gal, Robin L.; Beck, Roy W.

In: Archives of Ophthalmology, Vol. 128, No. 3, 03.2010, p. 330-337.

Research output: Contribution to journalArticle

Keltner, John L ; Johnson, Chris A. ; Cello, Kimberly E. ; Dontchev, Mariya ; Gal, Robin L. ; Beck, Roy W. / Visual field profile of optic neuritis : A final follow-up report from the optic neuritis treatment trial from baseline through 15 years. In: Archives of Ophthalmology. 2010 ; Vol. 128, No. 3. pp. 330-337.
@article{68e353042bd34d64b7ac48914886e0bd,
title = "Visual field profile of optic neuritis: A final follow-up report from the optic neuritis treatment trial from baseline through 15 years",
abstract = "Objective: To evaluate visual field abnormalities after an episode of optic neuritis among participants in the Optic Neuritis Treatment Trial. Methods: Three readers independently evaluated 10 443 visual fields from 454 patients and classified visual field abnormalities into 21 different monocular categories representing 3 general types of visual loss: diffuse, localized, and artifactual. Classification frequency was determined and reader agreement was evaluated. The association of visual field abnormality classifications with mean deviation, pattern standard deviation, visual acuity, and foveal threshold was assessed. Results: At baseline, diffuse loss accounted for 66.2{\%} of the abnormalities in the affected eyes but only 6.2{\%} of the abnormalities in the fellow eyes. During years 1 through 15, the affected and fellow eyes exhibited predominantly localized loss in the nerve fiber bundle region (partial arcuate, paracentral, and arcuate defects). At year 1, 35.7{\%} of the abnormalities in the affected eyes and 34.4{\%} in the fellow eyes consisted of localized defects. At year 15, 39.5{\%} of abnormalities in the affected eyes and 26.3{\%} in the fellow eyes consisted of localized defects. Foveal threshold was highly correlated with visual acuity and contrast sensitivity in the affected eye at baseline (-0.82 vs 0.79, respectively), 6 months (-0.84 vs 0.81), and 1 year (-0.84 vs 0.79). Conclusions: Diffuse and central loss were more predominant in the affected eye at baseline, and nerve fiber bundle defects (partial arcuate, paracentral, and arcuate) were the most predominant localized abnormalities in both the affected and fellow eyes during the study.",
author = "Keltner, {John L} and Johnson, {Chris A.} and Cello, {Kimberly E.} and Mariya Dontchev and Gal, {Robin L.} and Beck, {Roy W.}",
year = "2010",
month = "3",
doi = "10.1001/archophthalmol.2010.16",
language = "English (US)",
volume = "128",
pages = "330--337",
journal = "JAMA Ophthalmology",
issn = "2168-6165",
publisher = "American Medical Association",
number = "3",

}

TY - JOUR

T1 - Visual field profile of optic neuritis

T2 - A final follow-up report from the optic neuritis treatment trial from baseline through 15 years

AU - Keltner, John L

AU - Johnson, Chris A.

AU - Cello, Kimberly E.

AU - Dontchev, Mariya

AU - Gal, Robin L.

AU - Beck, Roy W.

PY - 2010/3

Y1 - 2010/3

N2 - Objective: To evaluate visual field abnormalities after an episode of optic neuritis among participants in the Optic Neuritis Treatment Trial. Methods: Three readers independently evaluated 10 443 visual fields from 454 patients and classified visual field abnormalities into 21 different monocular categories representing 3 general types of visual loss: diffuse, localized, and artifactual. Classification frequency was determined and reader agreement was evaluated. The association of visual field abnormality classifications with mean deviation, pattern standard deviation, visual acuity, and foveal threshold was assessed. Results: At baseline, diffuse loss accounted for 66.2% of the abnormalities in the affected eyes but only 6.2% of the abnormalities in the fellow eyes. During years 1 through 15, the affected and fellow eyes exhibited predominantly localized loss in the nerve fiber bundle region (partial arcuate, paracentral, and arcuate defects). At year 1, 35.7% of the abnormalities in the affected eyes and 34.4% in the fellow eyes consisted of localized defects. At year 15, 39.5% of abnormalities in the affected eyes and 26.3% in the fellow eyes consisted of localized defects. Foveal threshold was highly correlated with visual acuity and contrast sensitivity in the affected eye at baseline (-0.82 vs 0.79, respectively), 6 months (-0.84 vs 0.81), and 1 year (-0.84 vs 0.79). Conclusions: Diffuse and central loss were more predominant in the affected eye at baseline, and nerve fiber bundle defects (partial arcuate, paracentral, and arcuate) were the most predominant localized abnormalities in both the affected and fellow eyes during the study.

AB - Objective: To evaluate visual field abnormalities after an episode of optic neuritis among participants in the Optic Neuritis Treatment Trial. Methods: Three readers independently evaluated 10 443 visual fields from 454 patients and classified visual field abnormalities into 21 different monocular categories representing 3 general types of visual loss: diffuse, localized, and artifactual. Classification frequency was determined and reader agreement was evaluated. The association of visual field abnormality classifications with mean deviation, pattern standard deviation, visual acuity, and foveal threshold was assessed. Results: At baseline, diffuse loss accounted for 66.2% of the abnormalities in the affected eyes but only 6.2% of the abnormalities in the fellow eyes. During years 1 through 15, the affected and fellow eyes exhibited predominantly localized loss in the nerve fiber bundle region (partial arcuate, paracentral, and arcuate defects). At year 1, 35.7% of the abnormalities in the affected eyes and 34.4% in the fellow eyes consisted of localized defects. At year 15, 39.5% of abnormalities in the affected eyes and 26.3% in the fellow eyes consisted of localized defects. Foveal threshold was highly correlated with visual acuity and contrast sensitivity in the affected eye at baseline (-0.82 vs 0.79, respectively), 6 months (-0.84 vs 0.81), and 1 year (-0.84 vs 0.79). Conclusions: Diffuse and central loss were more predominant in the affected eye at baseline, and nerve fiber bundle defects (partial arcuate, paracentral, and arcuate) were the most predominant localized abnormalities in both the affected and fellow eyes during the study.

UR - http://www.scopus.com/inward/record.url?scp=77749319646&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77749319646&partnerID=8YFLogxK

U2 - 10.1001/archophthalmol.2010.16

DO - 10.1001/archophthalmol.2010.16

M3 - Article

C2 - 20212204

AN - SCOPUS:77749319646

VL - 128

SP - 330

EP - 337

JO - JAMA Ophthalmology

JF - JAMA Ophthalmology

SN - 2168-6165

IS - 3

ER -