From diagnosis to treatment: exploring the mechanisms underlying optic neuritis in multiple sclerosis

Abstract Multiple sclerosis (MS) is a chronic autoimmune disease affecting the central nervous system, commonly causing sensory disturbances, motor weakness, impaired gait, incoordination and optic neuritis (ON). According to the statistics, up to 50% of MS patients experience vision problems during...

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Main Authors: Bin Tong, Xin Zhang, Haijian Hu, Huayi Yang, Xifeng Wang, Maolin Zhong, Fan Yang, Fuzhou Hua
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Translational Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12967-025-06105-1
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author Bin Tong
Xin Zhang
Haijian Hu
Huayi Yang
Xifeng Wang
Maolin Zhong
Fan Yang
Fuzhou Hua
author_facet Bin Tong
Xin Zhang
Haijian Hu
Huayi Yang
Xifeng Wang
Maolin Zhong
Fan Yang
Fuzhou Hua
author_sort Bin Tong
collection DOAJ
description Abstract Multiple sclerosis (MS) is a chronic autoimmune disease affecting the central nervous system, commonly causing sensory disturbances, motor weakness, impaired gait, incoordination and optic neuritis (ON). According to the statistics, up to 50% of MS patients experience vision problems during the disease course, suffering from blurred vision, pain, color vision deficits, and even blindness. Treatments have progressed from corticosteroids to therapies targeted against B/T cells. This review comprehensively and systematically reappraises the diagnostic methods for visual impairment in MS patients. It also summarizes the most recent treatment approaches and effective medications for ON in MS. Finally, we examine the immunoinflammatory mechanisms that underlie lesions in the central nervous system in multiple sclerosis, in order to direct future investigations to confirm these mechanisms in the visual pathway.
format Article
id doaj-art-38ffcc9c495240f588446efc91b71854
institution Kabale University
issn 1479-5876
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series Journal of Translational Medicine
spelling doaj-art-38ffcc9c495240f588446efc91b718542025-01-26T12:50:21ZengBMCJournal of Translational Medicine1479-58762025-01-0123112010.1186/s12967-025-06105-1From diagnosis to treatment: exploring the mechanisms underlying optic neuritis in multiple sclerosisBin Tong0Xin Zhang1Haijian Hu2Huayi Yang3Xifeng Wang4Maolin Zhong5Fan Yang6Fuzhou Hua7Department of Anesthesiology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityDepartment of Anesthesiology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityDepartment of Ophthalmology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityNanchang Medical CollegeDepartment of Anesthesiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityDepartment of Anesthesiology, The First Affiliated Hospital of Gannan Medical UniversityDepartment of Cardiothoracic Surgery, People’s Hospital of Ruijin CityDepartment of Anesthesiology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityAbstract Multiple sclerosis (MS) is a chronic autoimmune disease affecting the central nervous system, commonly causing sensory disturbances, motor weakness, impaired gait, incoordination and optic neuritis (ON). According to the statistics, up to 50% of MS patients experience vision problems during the disease course, suffering from blurred vision, pain, color vision deficits, and even blindness. Treatments have progressed from corticosteroids to therapies targeted against B/T cells. This review comprehensively and systematically reappraises the diagnostic methods for visual impairment in MS patients. It also summarizes the most recent treatment approaches and effective medications for ON in MS. Finally, we examine the immunoinflammatory mechanisms that underlie lesions in the central nervous system in multiple sclerosis, in order to direct future investigations to confirm these mechanisms in the visual pathway.https://doi.org/10.1186/s12967-025-06105-1Multiple sclerosisOptic neuritisVisual impairmentDiagnosisTherapyMechanism
spellingShingle Bin Tong
Xin Zhang
Haijian Hu
Huayi Yang
Xifeng Wang
Maolin Zhong
Fan Yang
Fuzhou Hua
From diagnosis to treatment: exploring the mechanisms underlying optic neuritis in multiple sclerosis
Journal of Translational Medicine
Multiple sclerosis
Optic neuritis
Visual impairment
Diagnosis
Therapy
Mechanism
title From diagnosis to treatment: exploring the mechanisms underlying optic neuritis in multiple sclerosis
title_full From diagnosis to treatment: exploring the mechanisms underlying optic neuritis in multiple sclerosis
title_fullStr From diagnosis to treatment: exploring the mechanisms underlying optic neuritis in multiple sclerosis
title_full_unstemmed From diagnosis to treatment: exploring the mechanisms underlying optic neuritis in multiple sclerosis
title_short From diagnosis to treatment: exploring the mechanisms underlying optic neuritis in multiple sclerosis
title_sort from diagnosis to treatment exploring the mechanisms underlying optic neuritis in multiple sclerosis
topic Multiple sclerosis
Optic neuritis
Visual impairment
Diagnosis
Therapy
Mechanism
url https://doi.org/10.1186/s12967-025-06105-1
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