{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:04:01Z","timestamp":1787166241225,"version":"build-2736575974"},"reference-count":16,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2013,4,11]],"date-time":"2013-04-11T00:00:00Z","timestamp":1365638400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Exper Ophthalmology"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      While\n                      <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>\n                      eber hereditary optic neuropathy typically causes bilateral visual loss in the second through fourth decades, we highlight visual loss from\n                      <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>\n                      eber hereditary optic neuropathy in older patients to characterize the clinical features of this cohort.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>\n                      Patients seen between\n                      <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>\n                      anuary 2003 and\n                      <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>\n                      uly 2012 at\n                      <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>\n                      aylor\n                      <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>\n                      ollege of\n                      <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>\n                      edicine and between\n                      <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                      pril 2010 and\n                      <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>\n                      uly 2012 at The\n                      <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>\n                      ethodist\n                      <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>\n                      ospital in\n                      <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>\n                      ouston,\n                      <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>\n                      exas.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patients with visual loss from genetically confirmed\n                      <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>\n                      eber hereditary optic neuropathy were identified via retrospective chart review.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Clinical courses of patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Five patients with visual loss from genetically confirmed\n                      <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>\n                      eber hereditary optic neuropathy were greater than 60\u2009years of age at the time of visual loss (range 62\u201370\u2009years, mean 66.4\u2009\u00b1\u20093.0).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      This series reinforces the importance of including\n                      <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>\n                      eber hereditary optic neuropathy in the differential diagnosis of patients of any age with optic neuropathy.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ceo.12091","type":"journal-article","created":{"date-parts":[[2013,2,21]],"date-time":"2013-02-21T23:18:07Z","timestamp":1361488687000},"page":"690-693","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Late\u2010onset\n                    <scp>L<\/scp>\n                    eber hereditary optic neuropathy"],"prefix":"10.1111","volume":"41","author":[{"given":"Margaret L","family":"Pfeiffer","sequence":"first","affiliation":[{"name":"The University of Texas Medical School at Houston  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nafiseh","family":"Hashemi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology The Methodist Hospital  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rod","family":"Foroozan","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew G","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology The Methodist Hospital  Houston Texas USA"},{"name":"Department of Ophthalmology Baylor College of Medicine  Houston Texas USA"},{"name":"Department of Ophthalmology The University of Texas Medical Branch  Galveston Texas USA"},{"name":"Departments of Ophthalmology, Neurology, and Neurosurgery Weill Cornell Medical College  New York New York USA"},{"name":"Department of Ophthalmology The University of Iowa Hospitals and Clinic  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,4,11]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"481","article-title":"Primary pathogenic mtDNA mutations in multigeneration pedigrees with Leber hereditary optic neuropathy","volume":"59","author":"Mackey 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