Objective: To ascertain the efficacy of idebenone and multivitamin treatment in Leber's hereditary optic neuropathy (LHON).
Method: Two patients diagnosed of unilateral LHON were treated with megadoses of idebenone, vitamin C and riboflavin for one year. They were examined clinically before, during and after treatment.
Results: No improvement of visual function was observed. Despite the idebenone treatment, in both cases the second eye became involved.
Conclusions: Despite previous reports of visual recovery with idebenone in patients with LHON, our experience shows that an effective treatment for Leber's disease remains to be found.
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http://dx.doi.org/10.4321/s0365-66912007000600012 | DOI Listing |
J Neuroophthalmol
September 2022
Departments of Neurology (MHA, GTL), Ophthalmology (DJC, GTL), and Radiology (JMS), The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; Divisions of Human Genetics and Metabolism (AG) and Ophthalmology (GTL), The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Department of Ophthalmology (MHA), Dell Medical School, The University of Texas at Austin, Austin, Texas; Department of Ophthalmology (NJV), Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
A 64-year-old man presented with painless sequential bilateral vision loss, consistent with optic neuropathy, over the span of months. The significant decline in his visual function was out of proportion to the appearance of the optic nerves (which were not pale) or changes in his retinal nerve fiber layer thickness on optical coherence tomography. Neuroimaging revealed only mild T2 signal abnormality and faint enhancement in the left optic nerve.
View Article and Find Full Text PDFMedicine (Baltimore)
August 2022
Department of Neurology, The First Affiliated Hospital of Shenzhen University, Shenzhen, China.
Background: Leigh syndrome (LS) is a rare, progressive, and fatal neurodegenerative disease that occurs mainly in infants and children. Neonatal LS has not yet been fully described.
Methods: The study design was approved by the ethics review board of Shenzhen Children's Hospital.
Arch Soc Esp Oftalmol
June 2007
Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
Objective: To ascertain the efficacy of idebenone and multivitamin treatment in Leber's hereditary optic neuropathy (LHON).
Method: Two patients diagnosed of unilateral LHON were treated with megadoses of idebenone, vitamin C and riboflavin for one year. They were examined clinically before, during and after treatment.
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