[Significance of the flicker test for follow-up and prognosis in optic nerve neuritis]. 1986

S Trauzettel-Klosinski

In 105 eyes with florid optic neuritis (ON) the sensation of brightness lessened when the frequency of flickering light was reduced to between 5 and 10 Hz, but remained stable or increased in 239 healthy eyes, 106 eyes after an ON had subsided, and 117 eyes with other diagnoses. This Aulhorn Flicker Test is highly accurate (98%) and specific. It gives pathologic results only for florid ON, and yields normal results again after the inflammation has subsided, even though other visual functions may remain reduced. The Flicker Test therefore makes it possible to distinguish between acute, recidivous, chronic and subsided ON, a distinction which is clinically often ambiguous and cannot be made on the basis of visually evoked potentials. The fact that the Flicker Test reveals pathologic conditions even in abortive cases or when an Uhthoff phenomenon is present is of great diagnostic value. Five representative cases from the group of patients with ON are described in some detail to show how the test can be used to judge the course of the disease, course, to predict its prognosis and to distinguish various patterns of development.

UI MeSH Term Description Entries
D009902 Optic Neuritis Inflammation of the optic nerve. Commonly associated conditions include autoimmune disorders such as MULTIPLE SCLEROSIS, infections, and granulomatous diseases. Clinical features include retro-orbital pain that is aggravated by eye movement, loss of color vision, and contrast sensitivity that may progress to severe visual loss, an afferent pupillary defect (Marcus-Gunn pupil), and in some instances optic disc hyperemia and swelling. Inflammation may occur in the portion of the nerve within the globe (neuropapillitis or anterior optic neuritis) or the portion behind the globe (retrobulbar neuritis or posterior optic neuritis). Neuropapillitis,Retrobulbar Neuritis,Anterior Optic Neuritis,Posterior Optic Neuritis,Anterior Optic Neuritides,Neuritides, Anterior Optic,Neuritides, Optic,Neuritides, Posterior Optic,Neuritides, Retrobulbar,Neuritis, Anterior Optic,Neuritis, Optic,Neuritis, Posterior Optic,Neuritis, Retrobulbar,Neuropapillitides,Optic Neuritides,Optic Neuritides, Anterior,Optic Neuritides, Posterior,Optic Neuritis, Anterior,Optic Neuritis, Posterior,Posterior Optic Neuritides,Retrobulbar Neuritides
D005074 Evoked Potentials, Visual The electric response evoked in the cerebral cortex by visual stimulation or stimulation of the visual pathways. Visual Evoked Response,Evoked Potential, Visual,Evoked Response, Visual,Evoked Responses, Visual,Potential, Visual Evoked,Potentials, Visual Evoked,Response, Visual Evoked,Responses, Visual Evoked,Visual Evoked Potential,Visual Evoked Potentials,Visual Evoked Responses
D005425 Flicker Fusion The point or frequency at which all flicker of an intermittent light stimulus disappears. Flicker Fusions,Fusion, Flicker,Fusions, Flicker
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012684 Sensory Thresholds The minimum amount of stimulus energy necessary to elicit a sensory response. Sensory Threshold,Threshold, Sensory,Thresholds, Sensory

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