Retinal nerve fiber layer evaluation by optical coherence tomography in Leber's hereditary optic neuropathy

To study retinal nerve fiber layer (RNFL) thickness by optical coherence tomography (StratusOCT) in patients with Leber's hereditary optic neuropathy (LHON). Cross-sectional study. Thirty-eight patients with LHON were analyzed and compared with an age-matched control group of 75 patients. Patie...

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Veröffentlicht in:Ophthalmology (Rochester, Minn.) Minn.), 2005, Vol.112 (1), p.120-126
Hauptverfasser: Barboni, Piero, Savini, Giacomo, Valentino, Maria Lucia, Montagna, Pasquale, Cortelli, Pietro, De Negri, Anna Maria, Sadun, Federico, Bianchi, Stefania, Longanesi, Lora, Zanini, Maurizio, de Vivo, Antonello, Carelli, Valerio
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container_title Ophthalmology (Rochester, Minn.)
container_volume 112
creator Barboni, Piero
Savini, Giacomo
Valentino, Maria Lucia
Montagna, Pasquale
Cortelli, Pietro
De Negri, Anna Maria
Sadun, Federico
Bianchi, Stefania
Longanesi, Lora
Zanini, Maurizio
de Vivo, Antonello
Carelli, Valerio
description To study retinal nerve fiber layer (RNFL) thickness by optical coherence tomography (StratusOCT) in patients with Leber's hereditary optic neuropathy (LHON). Cross-sectional study. Thirty-eight patients with LHON were analyzed and compared with an age-matched control group of 75 patients. Patients with LHON were classified as having early LHON (E-LHON, n = 8) when the duration of the disease was shorter than 6 months and atrophic LHON (A-LHON, n = 30) when the duration was longer than 6 months. The fast RNFL thickness (3.4) scan acquisition protocol was used. Retinal nerve fiber layer thickness as measured by StratusOCT. Compared with the control group, eyes with E-LHON showed a thicker RNFL in the 360° average measurement ( P
doi_str_mv 10.1016/j.ophtha.2004.06.034
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Cross-sectional study. Thirty-eight patients with LHON were analyzed and compared with an age-matched control group of 75 patients. Patients with LHON were classified as having early LHON (E-LHON, n = 8) when the duration of the disease was shorter than 6 months and atrophic LHON (A-LHON, n = 30) when the duration was longer than 6 months. The fast RNFL thickness (3.4) scan acquisition protocol was used. Retinal nerve fiber layer thickness as measured by StratusOCT. Compared with the control group, eyes with E-LHON showed a thicker RNFL in the 360° average measurement ( P<0.01) and in the superior ( P<0.01), nasal ( P<0.05), and inferior quadrants ( P<0.05); no significant changes were detected in the temporal quadrant. Eyes with A-LHON revealed a thinner RNFL in all measurements ( P<0.001); the fibers of the nasal quadrant showed the lowest amount of reduction (38% vs. 42%–49.8% in the other quadrants). In cases with A-LHON and visual recovery, RNFL was significantly thicker in all measurements ( P<0.001), except the temporal quadrant, with respect to A-LHON without visual recovery. On the basis of OCT data, the RNFL is thickened in E-LHON and severely thinned in A-LHON. RNFL is likely to be partially preserved in A-LHON with visual recovery. 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Cross-sectional study. Thirty-eight patients with LHON were analyzed and compared with an age-matched control group of 75 patients. Patients with LHON were classified as having early LHON (E-LHON, n = 8) when the duration of the disease was shorter than 6 months and atrophic LHON (A-LHON, n = 30) when the duration was longer than 6 months. The fast RNFL thickness (3.4) scan acquisition protocol was used. Retinal nerve fiber layer thickness as measured by StratusOCT. Compared with the control group, eyes with E-LHON showed a thicker RNFL in the 360° average measurement ( P<0.01) and in the superior ( P<0.01), nasal ( P<0.05), and inferior quadrants ( P<0.05); no significant changes were detected in the temporal quadrant. Eyes with A-LHON revealed a thinner RNFL in all measurements ( P<0.001); the fibers of the nasal quadrant showed the lowest amount of reduction (38% vs. 42%–49.8% in the other quadrants). In cases with A-LHON and visual recovery, RNFL was significantly thicker in all measurements ( P<0.001), except the temporal quadrant, with respect to A-LHON without visual recovery. On the basis of OCT data, the RNFL is thickened in E-LHON and severely thinned in A-LHON. RNFL is likely to be partially preserved in A-LHON with visual recovery. 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Cross-sectional study. Thirty-eight patients with LHON were analyzed and compared with an age-matched control group of 75 patients. Patients with LHON were classified as having early LHON (E-LHON, n = 8) when the duration of the disease was shorter than 6 months and atrophic LHON (A-LHON, n = 30) when the duration was longer than 6 months. The fast RNFL thickness (3.4) scan acquisition protocol was used. Retinal nerve fiber layer thickness as measured by StratusOCT. Compared with the control group, eyes with E-LHON showed a thicker RNFL in the 360° average measurement ( P<0.01) and in the superior ( P<0.01), nasal ( P<0.05), and inferior quadrants ( P<0.05); no significant changes were detected in the temporal quadrant. Eyes with A-LHON revealed a thinner RNFL in all measurements ( P<0.001); the fibers of the nasal quadrant showed the lowest amount of reduction (38% vs. 42%–49.8% in the other quadrants). In cases with A-LHON and visual recovery, RNFL was significantly thicker in all measurements ( P<0.001), except the temporal quadrant, with respect to A-LHON without visual recovery. On the basis of OCT data, the RNFL is thickened in E-LHON and severely thinned in A-LHON. RNFL is likely to be partially preserved in A-LHON with visual recovery. The temporal fibers (papillomacular bundle) are the first and most severely affected; the nasal fibers seem to be partially spared in the late stage of the disease.]]></abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>15629831</pmid><doi>10.1016/j.ophtha.2004.06.034</doi><tpages>7</tpages></addata></record>
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subjects Acute Disease
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Child
Cross-Sectional Studies
Diagnostic Techniques, Ophthalmological
Female
Humans
Male
Medical sciences
Middle Aged
Nerve Fibers - pathology
Ophthalmology
Optic Atrophy, Hereditary, Leber - diagnosis
Optic Atrophy, Hereditary, Leber - genetics
Retinal Ganglion Cells - pathology
Retinopathies
Tomography, Optical Coherence
title Retinal nerve fiber layer evaluation by optical coherence tomography in Leber's hereditary optic neuropathy
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