Longitudinal analysis of retinal nerve fiber layer and ganglion cell–inner plexiform layer thickness in ethambutol-induced optic neuropathy

Purpose The aim of the study was to evaluate longitudinal analysis of peripapillary retinal nerve fiber layer (RNFL) and perifoveal ganglion cell–inner plexiform layer (GCIPL) thickness in patients being treated with ethambutol (EMB). Methods This prospective longitudinal cohort study enrolled 37 pa...

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Veröffentlicht in:Graefe's archive for clinical and experimental ophthalmology 2015-12, Vol.253 (12), p.2293-2299
Hauptverfasser: Han, Jinu, Byun, Min Kwang, Lee, Junwon, Han, So Young, Lee, Jong Bok, Han, Sueng-Han
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container_issue 12
container_start_page 2293
container_title Graefe's archive for clinical and experimental ophthalmology
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creator Han, Jinu
Byun, Min Kwang
Lee, Junwon
Han, So Young
Lee, Jong Bok
Han, Sueng-Han
description Purpose The aim of the study was to evaluate longitudinal analysis of peripapillary retinal nerve fiber layer (RNFL) and perifoveal ganglion cell–inner plexiform layer (GCIPL) thickness in patients being treated with ethambutol (EMB). Methods This prospective longitudinal cohort study enrolled 37 patients who were treated with EMB for pulmonary tuberculosis. Best-corrected visual acuity, color vision test, automated perimetry, fundus photography, and RNFL and GCIPL thickness were measured at baseline and at 4 and 6 months after the start of EMB treatment, using Cirrus optical coherence tomography. Results Among 37 patients, EMB-induced optic neuropathy occurred in one patient (2.7 %). In this patient, thickening of the RFNL and thinning of the GCIPL were noted at the onset of symptoms. After discontinuation of EMB, RNFL and GCIPL thickness progressively normalized. Changes in RNFL and GCIPL thickness were not statistically significant in the 36 patients who did not exhibit EMB-induced optic neuropathy-related symptoms during follow-up (all P values > 0.05). Conclusions Thickening of the peripapillary RNFL and thinning of the perifoveal GCIPL is an effective quantitative and early marker for diagnosis of EMB-induced optic neuropathy.
doi_str_mv 10.1007/s00417-015-3150-8
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Methods This prospective longitudinal cohort study enrolled 37 patients who were treated with EMB for pulmonary tuberculosis. Best-corrected visual acuity, color vision test, automated perimetry, fundus photography, and RNFL and GCIPL thickness were measured at baseline and at 4 and 6 months after the start of EMB treatment, using Cirrus optical coherence tomography. Results Among 37 patients, EMB-induced optic neuropathy occurred in one patient (2.7 %). In this patient, thickening of the RFNL and thinning of the GCIPL were noted at the onset of symptoms. After discontinuation of EMB, RNFL and GCIPL thickness progressively normalized. Changes in RNFL and GCIPL thickness were not statistically significant in the 36 patients who did not exhibit EMB-induced optic neuropathy-related symptoms during follow-up (all P values &gt; 0.05). Conclusions Thickening of the peripapillary RNFL and thinning of the perifoveal GCIPL is an effective quantitative and early marker for diagnosis of EMB-induced optic neuropathy.</description><identifier>ISSN: 0721-832X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-015-3150-8</identifier><identifier>PMID: 26344730</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Antitubercular Agents - adverse effects ; Color Vision - physiology ; Ethambutol - adverse effects ; Female ; Follow-Up Studies ; Humans ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Mycobacterium ; Nerve Fibers - pathology ; Neurophthalmology ; Ophthalmology ; Optic Nerve Diseases - chemically induced ; Optic Nerve Diseases - diagnosis ; Prospective Studies ; Retinal Ganglion Cells - pathology ; Tomography, Optical Coherence ; Tuberculosis, Pulmonary - drug therapy ; Visual Acuity - physiology ; Visual Field Tests</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2015-12, Vol.253 (12), p.2293-2299</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-ff55b0105875e9fd353b9419d5315438dc2885140d85acc4e8e20878e3cbec233</citedby><cites>FETCH-LOGICAL-c475t-ff55b0105875e9fd353b9419d5315438dc2885140d85acc4e8e20878e3cbec233</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00417-015-3150-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00417-015-3150-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26344730$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Han, Jinu</creatorcontrib><creatorcontrib>Byun, Min Kwang</creatorcontrib><creatorcontrib>Lee, Junwon</creatorcontrib><creatorcontrib>Han, So Young</creatorcontrib><creatorcontrib>Lee, Jong Bok</creatorcontrib><creatorcontrib>Han, Sueng-Han</creatorcontrib><title>Longitudinal analysis of retinal nerve fiber layer and ganglion cell–inner plexiform layer thickness in ethambutol-induced optic neuropathy</title><title>Graefe's archive for clinical and experimental ophthalmology</title><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><description>Purpose The aim of the study was to evaluate longitudinal analysis of peripapillary retinal nerve fiber layer (RNFL) and perifoveal ganglion cell–inner plexiform layer (GCIPL) thickness in patients being treated with ethambutol (EMB). Methods This prospective longitudinal cohort study enrolled 37 patients who were treated with EMB for pulmonary tuberculosis. Best-corrected visual acuity, color vision test, automated perimetry, fundus photography, and RNFL and GCIPL thickness were measured at baseline and at 4 and 6 months after the start of EMB treatment, using Cirrus optical coherence tomography. Results Among 37 patients, EMB-induced optic neuropathy occurred in one patient (2.7 %). In this patient, thickening of the RFNL and thinning of the GCIPL were noted at the onset of symptoms. After discontinuation of EMB, RNFL and GCIPL thickness progressively normalized. Changes in RNFL and GCIPL thickness were not statistically significant in the 36 patients who did not exhibit EMB-induced optic neuropathy-related symptoms during follow-up (all P values &gt; 0.05). 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Byun, Min Kwang ; Lee, Junwon ; Han, So Young ; Lee, Jong Bok ; Han, Sueng-Han</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-ff55b0105875e9fd353b9419d5315438dc2885140d85acc4e8e20878e3cbec233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Antitubercular Agents - adverse effects</topic><topic>Color Vision - physiology</topic><topic>Ethambutol - adverse effects</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Mycobacterium</topic><topic>Nerve Fibers - pathology</topic><topic>Neurophthalmology</topic><topic>Ophthalmology</topic><topic>Optic Nerve Diseases - chemically induced</topic><topic>Optic Nerve Diseases - diagnosis</topic><topic>Prospective Studies</topic><topic>Retinal Ganglion Cells - pathology</topic><topic>Tomography, Optical Coherence</topic><topic>Tuberculosis, Pulmonary - drug therapy</topic><topic>Visual Acuity - physiology</topic><topic>Visual Field Tests</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Han, Jinu</creatorcontrib><creatorcontrib>Byun, Min Kwang</creatorcontrib><creatorcontrib>Lee, Junwon</creatorcontrib><creatorcontrib>Han, So Young</creatorcontrib><creatorcontrib>Lee, Jong Bok</creatorcontrib><creatorcontrib>Han, Sueng-Han</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health &amp; 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Methods This prospective longitudinal cohort study enrolled 37 patients who were treated with EMB for pulmonary tuberculosis. Best-corrected visual acuity, color vision test, automated perimetry, fundus photography, and RNFL and GCIPL thickness were measured at baseline and at 4 and 6 months after the start of EMB treatment, using Cirrus optical coherence tomography. Results Among 37 patients, EMB-induced optic neuropathy occurred in one patient (2.7 %). In this patient, thickening of the RFNL and thinning of the GCIPL were noted at the onset of symptoms. After discontinuation of EMB, RNFL and GCIPL thickness progressively normalized. Changes in RNFL and GCIPL thickness were not statistically significant in the 36 patients who did not exhibit EMB-induced optic neuropathy-related symptoms during follow-up (all P values &gt; 0.05). Conclusions Thickening of the peripapillary RNFL and thinning of the perifoveal GCIPL is an effective quantitative and early marker for diagnosis of EMB-induced optic neuropathy.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26344730</pmid><doi>10.1007/s00417-015-3150-8</doi><tpages>7</tpages></addata></record>
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subjects Adult
Aged
Antitubercular Agents - adverse effects
Color Vision - physiology
Ethambutol - adverse effects
Female
Follow-Up Studies
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Mycobacterium
Nerve Fibers - pathology
Neurophthalmology
Ophthalmology
Optic Nerve Diseases - chemically induced
Optic Nerve Diseases - diagnosis
Prospective Studies
Retinal Ganglion Cells - pathology
Tomography, Optical Coherence
Tuberculosis, Pulmonary - drug therapy
Visual Acuity - physiology
Visual Field Tests
title Longitudinal analysis of retinal nerve fiber layer and ganglion cell–inner plexiform layer thickness in ethambutol-induced optic neuropathy
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