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Retrobulbar optic neuritis (NORB) is the damage to the optic nerve caused by inflammation. It causes a rapidly progressive and painful visual loss, often among young subjects. Diagnosis confirmation is important to start proper treatment, because a NORB is often the first symptom of multiple sclerosis. This diagnosis, based on a set of arguments, is difficult to define by a non-expert ophthalmologist.
The pupillary light reflex is a way to test the visual afferent pathways. If it is subject to a large inter-individual variability, the dynamics of the pupillary light reflex and its latency are more reproducible. An easy way to study the dynamics of the pupillary light reflex is to study the pupillary cycle time (PCT). In the case of NORB, elongation of the conduction in the visual afferent pathways related to demyelination plate increases the latency of the pupillary light reflex and decreases the frequency of the PCT.
Our hypothesis is that PCT dynamics measures would be a reliable indicator and easy to evaluate some pathologies affecting the integrity of the nerve. The validation of a decrease in the frequency of the PCT in NORB, compared to the frequency observed in subjects ophthalmological or neurological disease, could help developing methods to study the conduction of the visual pathways with portable devices used during the standard ophthalmologic consultation and quickly orientate patients to specialized centers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Measure of pupillary light reflex | patients without optic neuritis |
| |
| patients with optic neuritis | clinical database of 22 patients (measurement of pupillary light reflex already performed for the same purpose, in a former study) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| pupillary light reflex | Device | measure with infra-red cameras |
|
| Measure | Description | Time Frame |
|---|---|---|
| pupillary cycle time | Pupillary cycle time, measured in Hertz | baseline |
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Inclusion Criteria:
Exclusion Criteria:
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patients with no optic neuritis are recruited, to be compared with a database of 22 patients already recruited in a former study (measurement of pupillary light reflex already performed in that study, for the same purpose)
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| Name | Affiliation | Role |
|---|---|---|
| Cedric Lamirel, MD | Fondation OPH A de Rothschild | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fondation Ophtalmologique A. de Rothschild | Paris | 75019 | France |
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| ID | Term |
|---|---|
| D009902 | Optic Neuritis |
| D009103 | Multiple Sclerosis |
| ID | Term |
|---|---|
| D009901 | Optic Nerve Diseases |
| D003389 | Cranial Nerve Diseases |
| D009422 | Nervous System Diseases |
| D005128 | Eye Diseases |
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| D020278 |
| Demyelinating Autoimmune Diseases, CNS |
| D020274 | Autoimmune Diseases of the Nervous System |
| D003711 | Demyelinating Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |