AUTHOR=Zeid Janice Lasky TITLE=Current update on the visual outcome of optic pathway glioma associated with neurofibromatosis type-1 JOURNAL=Frontiers in Surgery VOLUME=Volume 9 - 2022 YEAR=2022 URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2022.908573 DOI=10.3389/fsurg.2022.908573 ISSN=2296-875X ABSTRACT=Purpose: The clinical and diagnostic evaluation in the follow-up of optic glioma patients with NF-1 can be difficult. Determining if and when to treat is a significant challenge in best managing these patients. Update on current information and future directions in management. Current Practice: NF-associated optic pathway gliomas present a significant management challenge with high stakes for visual outcomes. Monitoring vision and diagnostic tests are challenging in patients of a younger age. Regardless of if practices see few or many optic gliomas, a detailed discussion of the disease, screening, diagnostic tests, and treatment approach would be helpful in treating these patients. Summary: This review of optic gliomas -NF1 associated gliomas includes the current approach and knowledge of OPG-NF1 and future directions in OPG-NF1 management. This includes the ongoing Multicenter Natural History Study and other clinical trials and outcomes in NF-1 patients with Optic Pathway Gliomas.