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Optometric Evaluation and Management of Neuromyelitis Optica (NMO).

Background: Neuromyelitis optica, a debilitating condition now regarded as a distinct disease entity, can be distinguished from other demyelinating conditions through optometric testing, including visual evoked potential, optical coherence tomography, and Goldmann visual field. Case Report: A 19-yea...

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Published in:Optometry & Visual Performance Vol. 8; no. 2; pp. 76 - 87
Main Author: Schwartz, Sari R.
Format: case study diagnostic images pictorial tables/charts Journal Article
Published: Optometric Extension Program 2020
Online Access:View this record in EBSCOhost
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      dt: 2020
      vid: 8
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      pub: Optometric Extension Program
      place: Lutherville Timonium, Maryland
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        atl: Optometric Evaluation and Management of Neuromyelitis Optica (NMO).
      aug:
        au: Schwartz, Sari R.
        affil: New England College of Optometry • Boston, Masschusetts
      sug:
        subj:
          Neuromyelitis Optica Prevention and Control
          Optometry
          Evoked Potentials, Visual
          Tomography, Optical Coherence
          Young Adult
          Female
          Visual Acuity
          Optic Nerve Pathology
          Eye Movements
          Female
      ab: Background: Neuromyelitis optica, a debilitating condition now regarded as a distinct disease entity, can be distinguished from other demyelinating conditions through optometric testing, including visual evoked potential, optical coherence tomography, and Goldmann visual field. Case Report: A 19-year-old African American female was referred by a local emergency department after presenting with asymmetric bilateral vision loss associated with numbness and tingling. After an episode of optic neuritis and myelitis, a brain MRI not meeting the diagnostic criteria for multiple sclerosis at disease onset, and detectable AQP4 antibodies, the patient was diagnosed with neuromyelitis optica. This report follows the patient's visual findings and miraculous recovery over seven visits. Several findings are tracked, including visual acuity, color vision, visual fields, macular and optic nerve thickness, and visual evoked potential. Conclusion: This case report demonstrates the corresponding and confirmatory roles of specialty optometric testing and may help identify future research treatment options.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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