Universität zu Köln

Albrecht, P., Ringelstein, M., Mueller, A. K., Keser, N., Dietlein, T., Lappas, A., Foerster, A., Hartung, H. P., Aktas, O. and Methner, A. (2012). Degeneration of retinal layers in multiple sclerosis subtypes quantified by optical coherence tomography. Mult. Scler. J., 18 (10). S. 1422 - 1430. LONDON: SAGE PUBLICATIONS LTD. ISSN 1477-0970

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Abstract

Background: Optical coherence tomography can be used to assess retinal degeneration in multiple sclerosis (MS). Thinning of the retinal nerve fibre layer and macular thickness have been well characterized, but newer devices allow quantification of all retinal layers. Objectives: The objective of this study was to evaluate the thickness of the paramacular retina, peripapillary retinal nerve fibre layer, and deeper paramacular layers in MS patient subgroups, using state-of-the-art optical coherence tomography. Methods: Using a Heidelberg Engineering Spectralis device, we performed paramacular volumetric retinal scans and circular peripapillary fibre-layer scans, manually segmenting different retinal layers into single horizontal foveal scans in 95 patients with definite MS (42 relapsing-remitting, 41 secondary progressive, 12 primary progressive), plus 91 age- and sex-matched controls. Results: Even without a history of optic neuritis, all MS subgroups had significant thinning of the peripapillary retinal nerve fibre layer, the paramacular retinal thickness and the retinal ganglion cell- and inner plexiform layer. Only in primary progressive MS was the inner nuclear layer significantly reduced. Conclusions: Our findings indicate a primary retinal pathology involving the inner nuclear layer in primary progressive MS. Results in eyes without history of optic neuritis suggest possible subclinical episodes of optic neuritis or retrograde trans-synaptic degeneration of retinal ganglion cells and their axons.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Albrecht, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ringelstein, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, A. K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Keser, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Dietlein, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lappas, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Foerster, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hartung, H. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Aktas, O. UNSPECIFIED UNSPECIFIED UNSPECIFIED Methner, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-481756
DOI:	10.1177/1352458512439237
Journal or Publication Title:	Mult. Scler. J.
Volume:	18
Number:	10
Page Range:	S. 1422 - 1430
Date:	2012
Publisher:	SAGE PUBLICATIONS LTD
Place of Publication:	LONDON
ISSN:	1477-0970
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language NERVE-FIBER LAYER; AXONAL LOSS; PATHOLOGY; NEURITIS; INFLAMMATION; THICKNESS Multiple languages Clinical Neurology; Neurosciences Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/48175