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Thank you for visiting nature. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser or turn off compatibility mode in Internet Explorer. In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript. Electrical stimulation ES may be effective for intractable retinal or optic nerve diseases.

A min ES was applied to either eye every other day for 12 weeks. The primary outcome was the difference in the logarithm of the minimum angle of resolution LogMAR at baseline and 1 week after completion of ES treatment. The secondary outcomes included changes in visual field; LogMAR; critical flicker frequency; and inner retinal thickness.

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Safety endpoints included the corneal endothelial cell density and complications during ES. Fourteen patients participated in the study; four dropped out. There were no improvements in any secondary efficacy endpoints and no complications. Leber hereditary optic neuropathy LHON , a maternally inherited intractable optic neuropathy, was the first human disease proven to be associated with mitochondrial mt DNA mutations 1.

The estimated prevalence is 1 in around 50, 2 , 3 , 4. The clinical manifestations include subacute progression of visual loss and visual field defects in one eye, and subsequent involvement of the contralateral eye after several weeks 5 , culminating in final visual acuity of 0. There is usually a central scotoma in the visual field, but the peripheral vision remains intact. The patient is able to adapt and compensate for the purposes of mobility and general activities of daily living; however, activities such as reading and performing precisions tasks are impaired 7.

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In some cases, visual function improves spontaneously 6. However, the degree of improvement rarely reaches the point at which daily life is not inconvenienced. Therefore, in most cases, therapeutic intervention to improve visual function is applied.

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