Structural changes of macula and optic disk of the fellow eye in patients with nonarteritic anterior ischemic optic neuropathy

Purpose The aim was to assess the ganglion cell complex (GCC) thickness, retinal nerve fiber layer (RNFL) thickness and optic disk features in the affected eyes (AE) and unaffected fellow eyes (FE) of subjects with unilateral nonarteritic anterior ischemic optic neuropathy (NAION) and to compare wit...

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Veröffentlicht in:International ophthalmology 2019-06, Vol.39 (6), p.1293-1298
Hauptverfasser: Duman, R., Yavas, G. F., Veliyev, I., Dogan, M.
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container_issue 6
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container_title International ophthalmology
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creator Duman, R.
Yavas, G. F.
Veliyev, I.
Dogan, M.
Duman, R.
description Purpose The aim was to assess the ganglion cell complex (GCC) thickness, retinal nerve fiber layer (RNFL) thickness and optic disk features in the affected eyes (AE) and unaffected fellow eyes (FE) of subjects with unilateral nonarteritic anterior ischemic optic neuropathy (NAION) and to compare with healthy control eyes (CE) using spectral domain-optical coherence tomography (SD-OCT). Methods This study included 28 patients and age, sex and refraction-matched 28 control subjects. Mean GCC thickness and peripapillary RNFL thickness in four quadrants measured by cirrus SD-OCT were evaluated in both AE and FE of patients and CE. In addition, optic disk measurements obtained with OCT were evaluated. Results Mean GCC thickness was significantly lower in AE compared with both FE and CE ( P 
doi_str_mv 10.1007/s10792-018-0942-y
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F. ; Veliyev, I. ; Dogan, M. ; Duman, R.</creator><creatorcontrib>Duman, R. ; Yavas, G. F. ; Veliyev, I. ; Dogan, M. ; Duman, R.</creatorcontrib><description>Purpose The aim was to assess the ganglion cell complex (GCC) thickness, retinal nerve fiber layer (RNFL) thickness and optic disk features in the affected eyes (AE) and unaffected fellow eyes (FE) of subjects with unilateral nonarteritic anterior ischemic optic neuropathy (NAION) and to compare with healthy control eyes (CE) using spectral domain-optical coherence tomography (SD-OCT). Methods This study included 28 patients and age, sex and refraction-matched 28 control subjects. Mean GCC thickness and peripapillary RNFL thickness in four quadrants measured by cirrus SD-OCT were evaluated in both AE and FE of patients and CE. In addition, optic disk measurements obtained with OCT were evaluated. Results Mean GCC thickness was significantly lower in AE compared with both FE and CE ( P  &lt; 0.001), and mean GCC thickness in FE was significantly lower than CE ( P  = 0.022). In addition, mean RNFL thickness in superior and nasal quadrants significantly decreased in FE compared with CE ( P  = 0.020 and 0.010, respectively). Furthermore, AE had significantly greater optic disk cupping compared with both FE and CE ( P  &lt; 0.001). Conclusions GCC and RNFL thickness decreased significantly at late stages of NAION, in both AE and FE compared with CE, suggesting that some subclinical structural changes may occur in FE despite lack of obvious visual symptoms. In addition, there was no significant difference in optic disk features between the CE and FE. And significantly greater optic disk cupping in the AE compared with both FE and CE supports the acquired enlargement of cupping after the onset of NAION.</description><identifier>ISSN: 0165-5701</identifier><identifier>EISSN: 1573-2630</identifier><identifier>DOI: 10.1007/s10792-018-0942-y</identifier><identifier>PMID: 29749568</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Enlargement ; Eye ; Eye (anatomy) ; Iron ; Ischemia ; Medicine ; Medicine &amp; Public Health ; Ophthalmology ; Optic neuropathy ; Optical Coherence Tomography ; Original Paper ; Patients ; Quadrants ; Retina ; Thickness</subject><ispartof>International ophthalmology, 2019-06, Vol.39 (6), p.1293-1298</ispartof><rights>Springer Science+Business Media B.V., part of Springer Nature 2018</rights><rights>International Ophthalmology is a copyright of Springer, (2018). 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F.</creatorcontrib><creatorcontrib>Veliyev, I.</creatorcontrib><creatorcontrib>Dogan, M.</creatorcontrib><creatorcontrib>Duman, R.</creatorcontrib><title>Structural changes of macula and optic disk of the fellow eye in patients with nonarteritic anterior ischemic optic neuropathy</title><title>International ophthalmology</title><addtitle>Int Ophthalmol</addtitle><addtitle>Int Ophthalmol</addtitle><description>Purpose The aim was to assess the ganglion cell complex (GCC) thickness, retinal nerve fiber layer (RNFL) thickness and optic disk features in the affected eyes (AE) and unaffected fellow eyes (FE) of subjects with unilateral nonarteritic anterior ischemic optic neuropathy (NAION) and to compare with healthy control eyes (CE) using spectral domain-optical coherence tomography (SD-OCT). Methods This study included 28 patients and age, sex and refraction-matched 28 control subjects. Mean GCC thickness and peripapillary RNFL thickness in four quadrants measured by cirrus SD-OCT were evaluated in both AE and FE of patients and CE. In addition, optic disk measurements obtained with OCT were evaluated. Results Mean GCC thickness was significantly lower in AE compared with both FE and CE ( P  &lt; 0.001), and mean GCC thickness in FE was significantly lower than CE ( P  = 0.022). In addition, mean RNFL thickness in superior and nasal quadrants significantly decreased in FE compared with CE ( P  = 0.020 and 0.010, respectively). Furthermore, AE had significantly greater optic disk cupping compared with both FE and CE ( P  &lt; 0.001). Conclusions GCC and RNFL thickness decreased significantly at late stages of NAION, in both AE and FE compared with CE, suggesting that some subclinical structural changes may occur in FE despite lack of obvious visual symptoms. In addition, there was no significant difference in optic disk features between the CE and FE. 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F.</au><au>Veliyev, I.</au><au>Dogan, M.</au><au>Duman, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Structural changes of macula and optic disk of the fellow eye in patients with nonarteritic anterior ischemic optic neuropathy</atitle><jtitle>International ophthalmology</jtitle><stitle>Int Ophthalmol</stitle><addtitle>Int Ophthalmol</addtitle><date>2019-06-01</date><risdate>2019</risdate><volume>39</volume><issue>6</issue><spage>1293</spage><epage>1298</epage><pages>1293-1298</pages><issn>0165-5701</issn><eissn>1573-2630</eissn><abstract>Purpose The aim was to assess the ganglion cell complex (GCC) thickness, retinal nerve fiber layer (RNFL) thickness and optic disk features in the affected eyes (AE) and unaffected fellow eyes (FE) of subjects with unilateral nonarteritic anterior ischemic optic neuropathy (NAION) and to compare with healthy control eyes (CE) using spectral domain-optical coherence tomography (SD-OCT). Methods This study included 28 patients and age, sex and refraction-matched 28 control subjects. Mean GCC thickness and peripapillary RNFL thickness in four quadrants measured by cirrus SD-OCT were evaluated in both AE and FE of patients and CE. In addition, optic disk measurements obtained with OCT were evaluated. Results Mean GCC thickness was significantly lower in AE compared with both FE and CE ( P  &lt; 0.001), and mean GCC thickness in FE was significantly lower than CE ( P  = 0.022). In addition, mean RNFL thickness in superior and nasal quadrants significantly decreased in FE compared with CE ( P  = 0.020 and 0.010, respectively). Furthermore, AE had significantly greater optic disk cupping compared with both FE and CE ( P  &lt; 0.001). Conclusions GCC and RNFL thickness decreased significantly at late stages of NAION, in both AE and FE compared with CE, suggesting that some subclinical structural changes may occur in FE despite lack of obvious visual symptoms. In addition, there was no significant difference in optic disk features between the CE and FE. And significantly greater optic disk cupping in the AE compared with both FE and CE supports the acquired enlargement of cupping after the onset of NAION.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>29749568</pmid><doi>10.1007/s10792-018-0942-y</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-8079-6250</orcidid></addata></record>
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subjects Enlargement
Eye
Eye (anatomy)
Iron
Ischemia
Medicine
Medicine & Public Health
Ophthalmology
Optic neuropathy
Optical Coherence Tomography
Original Paper
Patients
Quadrants
Retina
Thickness
title Structural changes of macula and optic disk of the fellow eye in patients with nonarteritic anterior ischemic optic neuropathy
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