Detailed Evaluation of Macular Ganglion Cell Complex in Patients with Multiple Sclerosis

Retinal nerve fiber layer thickness has been used for monitoring of disease activity in patients with multiple sclerosis (MS). Macular ganglion cell complex (GCC) layer of retina also can be measured by OCT and has been suggested as a potential biomarker in MS. In this study we investigated the macu...

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Veröffentlicht in:Archives of Neuropsychiatry 2021-09, Vol.58 (3), p.176-183
Hauptverfasser: Özbilen, Kemal Turgay, Gündüz, Tuncay, Kartal, Selva Nur Çukurova, Ceylan, Nihan Aksu, Eraksoy, Mefküre, Kürtüncü, Murat
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container_start_page 176
container_title Archives of Neuropsychiatry
container_volume 58
creator Özbilen, Kemal Turgay
Gündüz, Tuncay
Kartal, Selva Nur Çukurova
Ceylan, Nihan Aksu
Eraksoy, Mefküre
Kürtüncü, Murat
description Retinal nerve fiber layer thickness has been used for monitoring of disease activity in patients with multiple sclerosis (MS). Macular ganglion cell complex (GCC) layer of retina also can be measured by OCT and has been suggested as a potential biomarker in MS. In this study we investigated the macular GCC and its role as a potential biomarker in patients with Multiple Sclerosis (MS). A prospective cohort-study, subjects consisted of Relapsing-Remitting MS patients (n=62) and healthy controls (n=60). Eyes of MS patients were divided into two subgroups according to the history of the optic neuritis (ON). Standard peripapillary-RNFL and macular scan protocol, and retinal auto-segmentation of spectral-domain OCT were performed. Macular RNFL (mRNFL), ganglion cell layer (GCL), and inner plexiform layer (IPL), and GCC (the sum of these former three layers) were recorded. The macula was divided into nine sectors using the ETDRS grid (4×9=36 variables). In total, 50 eyes of 36 patients had previous ON attacks. 35/36 GCC parameters were thinner in MS patients and subgroups compared to the control group (p
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Macular ganglion cell complex (GCC) layer of retina also can be measured by OCT and has been suggested as a potential biomarker in MS. In this study we investigated the macular GCC and its role as a potential biomarker in patients with Multiple Sclerosis (MS). A prospective cohort-study, subjects consisted of Relapsing-Remitting MS patients (n=62) and healthy controls (n=60). Eyes of MS patients were divided into two subgroups according to the history of the optic neuritis (ON). Standard peripapillary-RNFL and macular scan protocol, and retinal auto-segmentation of spectral-domain OCT were performed. Macular RNFL (mRNFL), ganglion cell layer (GCL), and inner plexiform layer (IPL), and GCC (the sum of these former three layers) were recorded. The macula was divided into nine sectors using the ETDRS grid (4×9=36 variables). In total, 50 eyes of 36 patients had previous ON attacks. 35/36 GCC parameters were thinner in MS patients and subgroups compared to the control group (p&lt;0.05). When the eyes with and without a history of optic neuritis were compared, 25 of 36 parameters were thinner in those with ON. There were strong correlations between visual acuity-GCC parameters and EDSS scores in patients with a history of optic neuritis. However, no such relationship was found in those without an ON story. Ganglion cell complex gets thinner in patients with MS with a decreasing order of GCL, IPL, and mRNFL. 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subjects Biomarkers
Care and treatment
Diabetic retinopathy
Ganglion
Multiple sclerosis
Optics
Patients
Retina
Software
title Detailed Evaluation of Macular Ganglion Cell Complex in Patients with Multiple Sclerosis
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