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Inner Retinal Thinning Comparison between Branch Retinal Artery Occlusion and Primary Open-Angle Glaucoma

Title: Inner Retinal Thinning Comparison between Branch Retinal Artery Occlusion and Primary Open-Angle Glaucoma
Authors: Gabriella De Salvo; Mohamed Oshallah; Anastasios E. Sepetis; Ramez Borbara; Giovanni William Oliverio; Alessandro Meduri; Rino Frisina; Aby Jacob
Source: Diagnostics, Vol 13, Iss 22, p 3428 (2023)
Publisher Information: MDPI AG, 2023.
Publication Year: 2023
Collection: LCC:Medicine (General)
Subject Terms: glaucoma module premium edition; hemispheric asymmetry; inner nuclear layer; inner plexiform layer; retinal artery occlusion; Medicine (General); R5-920
Description: Purpose: to assess the tomographic retinal layers’ thickness in eyes affected by branch retinal artery occlusion (BRAO) and to compare it to those of patients affected by primary open angle glaucoma (POAG). Methods: retrospective review of 27 patients; 16 with BRAO (16 eyes) and 11 with POAG (20 eyes) were identified among those who received SD-OCT scans, including analysis of macular retinal nerve fiber layer (mRNFL), ganglion cell layer (GCL), inner plexiform layer (IPL), inner nuclear layer (INL), neuroretinal rim (NRR), circumpapillary RNFL at 3.5 mm and hemisphere asymmetry (HA). Results: the total IPL and INL thinning difference between the two groups was statistically significant (p = 0.0067 and p < 0.0001, respectively). The HA difference for the total macular thinning, mRNFL, GCL, IPL and INL (p < 0.0001) was also statistically significant. The analysis of the average total retinal thinning, total mRNFL and GCL thinning showed no statistically significant difference between the two groups. Conclusions: unilateral inner retinal thinning may represent a sign of temporal BRAO, particularly for INL thinning and HA difference over 17µm in total retinal layer thinning. This information is particularly useful in the diagnosis of previous, undiagnosed BRAO and may help prevent further retinal arterial occlusion and possible cerebrovascular incidents.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2075-4418
Relation: https://www.mdpi.com/2075-4418/13/22/3428; https://doaj.org/toc/2075-4418
DOI: 10.3390/diagnostics13223428
Access URL: https://doaj.org/article/d5b3a0e5e87c4d4ea8cd4734df2d6b3c
Accession Number: edsdoj.5b3a0e5e87c4d4ea8cd4734df2d6b3c
Database: Directory of Open Access Journals