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W. Bruce Wilson, MD; Don B. Smith, MD
850 E. Harvard Ave Suite 535 Denver, CO 80210

Arch Neurol. 1989;46(4):358.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—We are writing regarding the article by Parmley et al¹ that appeared in the October 1987 issue of the ARCHIVES.

While we do not question the possibility of neuroretinitis being a separate entity from multiple sclerosis (MS), we believe that the statement "Patients... with a macular star do not have the same chance of MS developing as do patients who have optic neuritis without a star" may overstate the case. The reasons follow.

First, the follow-up period for the 10 prospective patients is short, 1 to 2 years.² Even though the study by Cohen and Lessell³ notes that approximately 40% of patients who would develop definite MS over the 7.1 years of the study did so in the first year (and about 50% in the first 2 years), we now know from their later data⁴ that, after 15 years, about 80% to 90% . . . [Full Text PDF of this Article]

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