International Review of Ophthalmology ›› 2025, Vol. 49 ›› Issue (4): 315-320.doi: 10. 3760/cma.j.cn115500-20250316-25413

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Understanding of myelin oligodendrocyte glycoprotein antibody associated optic neuritis

Wang Xi1, Li Xiaoming2   

  1. 1 Department of Ophthalmology, Taizhou Hospital of Chinese Medicine, Taizhou Jiangsu 225300, China; 2 Department of Ophthalmology, The Affiliated Hospital of Changchun University of Chinese Medicine, Changchun 130021, China
  • Received:2025-03-16 Online:2025-08-22 Published:2025-08-12
  • Contact: Li Xiaoming, Email: doctorlxm@163.com E-mail:doctorlxm@163.com

Abstract: In recent years, myelin oligodendrocyte glycoprotein antibody (MOG-IgG)-associated optic neuritis (MOG-ON) has gradually become a research focus in neuro-ophthalmology. The bilateral incidence of MOG-ON is relatively high, accompanied by obvious optic disc edema, and the enhancement of the optic nerve sheath and adjacent tissues can be seen on MRI. The likelihood of recurrence is high, but the prognosis of MOG-ON is usually better than that of aquaporin-4 antibody (AQP4-IgG) associated optic neuritis. At present, the optimal treatment plan for MOG-ON is still in the exploratory stage. Hormone shock is effective in the acute phase, and long-term immunotherapy was usually required for the relapsing patients. Targeted therapy such as rituximab and tocilizumab has gradually become a research hotspot to reduce the recurrence rate.

Key words: Myelin oligodendrocyte glycoprotein, Demyelination, Optic neuritis