Does optical coherence tomography help differentiate neuromyelitis optica and MS optic neuropathies?
Optical coherence tomography (OCT) shows more severe retinal damage after optic neuritis (ON) episodes in neuromyelitis optica (NMO) than in relapsing-remitting multiple sclerosis. Identification of substantial retinal nerve fiber layer loss (>15 microm) after ON in a non-multiple sclerosis patient should prompt consideration of an NMO spectrum condition. OCT may be a useful tool for the evaluation of patients with NMO.
It is uncertain whether this eye is safe for LASIK or PRK correction of the residual refractive error. This finding of posterior surface forward displacement would be difficult to impossible to detect in an eye after Descemet stripping endothelial keratoplasty due to the addition of stromal tissue on the graft.