"Leber hereditary optic neuropathy (LHON-Plus)" is a phenotype of LHON that is characterized by extraocular neurologic manifestations, which may be the first manifestations of the disease.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10791055PMC
http://dx.doi.org/10.1212/WNL.0000000000207979DOI Listing

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