LHON

LHON (Leber Hereditary Optic Neuropathy) is a rare, inherited mitochondrial disorder that primarily affects the optic nerve, leading to sudden, painless vision loss.

Quick overview:

  • Inherited through the maternal line (mitochondrial DNA)
  • Most commonly affects young men (ages 15–35)
  • Onset: rapid vision loss in one eye, with the second eye often affected weeks later
  • Cause: mutations in mitochondrial genes → impaired energy supply to optic nerve cells
  • Result: degeneration of retinal ganglion cells → permanent visual impairment
  • No cure, but early treatment (e.g., idebenone) may influence the course

Typical signs: central visual field defects, washed-out color perception, while peripheral vision often remains preserved.

LHON belongs to the group of mitochondrial optic neuropathies.

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