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Optical coherence tomography angiography in multiple sclerosis: A cross-sectional study.
- Source :
-
PloS one [PLoS One] 2020 Jul 23; Vol. 15 (7), pp. e0236090. Date of Electronic Publication: 2020 Jul 23 (Print Publication: 2020). - Publication Year :
- 2020
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Abstract
- Objectives: To evaluate retinal axonal density and retinal capillary flow density (CFD) variations in patients affected by multiple sclerosis (MS) as documented by Optical Coherence Tomography Angiography (OCT-A).<br />Material and Methods: A cross-sectional study was performed in a tertiary university eye hospital on 94 eyes from 48 MS patients compared to 37 eyes from 23 matched controls. MS patients were divided in two groups: those with previous episodes of optic neuritis (MS ON+, 71.4%) and those without any previous visual complaint (no optic neuritis group, MS ON, 28.6%). Patients underwent macular and optic nerve head OCT-A with Optovue XR Avanti (Optovue, Freemont, California) after that preliminary evaluation of the ganglion cell complex (GCC) and of the retinal nerve fiber layer (RNFL) was achieved for each single eye by SD-OCT. CFD was evaluated in three different retinal layers of MS patients and controls: superficial capillary plexus (SCP), deep capillary plexus (DCP) and the choriocapillaris layer (CL). Each layer was analyzed in 18 preset subregions automatically detected by the system. CFD values were then correlated to the RNFL thickness and GCC thickness in the groups: p values were computed by t-tests between each group of MS patients and controls. A p-value of <0.05 was considered significant.<br />Results: A significant difference in the overall CFD values was found between ON+ and ON- patients when compared to controls in 18 subregions of SCP. Furthermore, a significant difference was found between MS patients and controls in 16 subregions analyzed corresponding to the CL layer without difference between the two MS subgroups (ON+ and ON-).<br />Conclusions: OCT-A when performed at the optic nerve head level and at the macular region is characterized by a reduction of retinal perfusion in a significant portion of MS patients independently if they had a previous history of optic nerve inflammation or not.<br />Competing Interests: The authors have declared that no competing interests exist.
- Subjects :
- Axons metabolism
Capillaries diagnostic imaging
Capillaries metabolism
Case-Control Studies
Cross-Sectional Studies
False Positive Reactions
Humans
Multiple Sclerosis pathology
Multiple Sclerosis physiopathology
Nerve Fibers metabolism
Retina diagnostic imaging
Retina physiopathology
Multiple Sclerosis diagnostic imaging
Tomography, Optical Coherence
Subjects
Details
- Language :
- English
- ISSN :
- 1932-6203
- Volume :
- 15
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- PloS one
- Publication Type :
- Academic Journal
- Accession number :
- 32702050
- Full Text :
- https://doi.org/10.1371/journal.pone.0236090