Association between Optical Coherence Tomography Measurements and Clinical Parameters in Idiopathic Intracranial Hypertension

Purpose. To correlate optical coherence tomography (OCT) measurements with clinical parameters in idiopathic intracranial hypertension (IIH). Methods. A cross-sectional study was conducted with 22 patients with IIH and 11 controls. All participants underwent comprehensive ophthalmological examinatio...

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Main Authors: Priscilla Fernandes Nogueira, Gustavo Coelho Caiado, Carolina P. B. Gracitelli, Fernando Meister Martins, Felipe Chaves Duarte Barros, Sandro Luis De Andrade Matas, Sérgio Henrique Teixeira, Luciana da Cruz Noia, Danilo Andriatti Paulo
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2021/1401609
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author Priscilla Fernandes Nogueira
Gustavo Coelho Caiado
Carolina P. B. Gracitelli
Fernando Meister Martins
Felipe Chaves Duarte Barros
Sandro Luis De Andrade Matas
Sérgio Henrique Teixeira
Luciana da Cruz Noia
Danilo Andriatti Paulo
author_facet Priscilla Fernandes Nogueira
Gustavo Coelho Caiado
Carolina P. B. Gracitelli
Fernando Meister Martins
Felipe Chaves Duarte Barros
Sandro Luis De Andrade Matas
Sérgio Henrique Teixeira
Luciana da Cruz Noia
Danilo Andriatti Paulo
author_sort Priscilla Fernandes Nogueira
collection DOAJ
description Purpose. To correlate optical coherence tomography (OCT) measurements with clinical parameters in idiopathic intracranial hypertension (IIH). Methods. A cross-sectional study was conducted with 22 patients with IIH and 11 controls. All participants underwent comprehensive ophthalmological examination followed by spectral-domain OCT (SD-OCT) and standard automated perimetry using the 30–2 program of the Humphrey visual field analyzer. Correlations between ganglion cell complex (GCC) thickness and retinal nerve fiber layer (RNFL) thickness, as measured by SD-OCT, and clinical parameters were assessed using generalized estimating equations. Result. The mean age of the participants was 35.0 ± 10.83 years. The groups were similar regarding age, but were significantly different regarding sex and visual acuity (p=0.001 and p=0.038, respectively). The GCC was significantly thinner in the IIH group, with a mean of 90.535 ± 9.766 μm compared to 98.119 ± 6.988 μm for the controls (p=0.023). There was a significant association between GCC thickness and optic disc pallor (p=0.016) and between edema and visual acuity (p=0.037). No significant difference was found in RNFL thickness between patients and controls. Conclusion. The GCC was thinner in the patients with IIH compared to the controls, and there was an association between GCC and optic disc pallor. This might suggest a role for OCT parameters when the structural changes that occur in IIH are investigated, possibly guiding clinical decision making.
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spelling doaj-art-c2c1c03600084fa48eb96a47eaa867b42025-02-03T06:47:02ZengWileyJournal of Ophthalmology2090-004X2090-00582021-01-01202110.1155/2021/14016091401609Association between Optical Coherence Tomography Measurements and Clinical Parameters in Idiopathic Intracranial HypertensionPriscilla Fernandes Nogueira0Gustavo Coelho Caiado1Carolina P. B. Gracitelli2Fernando Meister Martins3Felipe Chaves Duarte Barros4Sandro Luis De Andrade Matas5Sérgio Henrique Teixeira6Luciana da Cruz Noia7Danilo Andriatti Paulo8Department of Ophthalmology and Visual Science, Federal University of São Paulo, Sena Madureira, São Paulo, BrazilDepartment of Ophthalmology and Visual Science, Federal University of São Paulo, Sena Madureira, São Paulo, BrazilDepartment of Ophthalmology and Visual Science, Federal University of São Paulo, Sena Madureira, São Paulo, BrazilDepartment of Ophthalmology and Visual Science, Federal University of São Paulo, Sena Madureira, São Paulo, BrazilDepartment of Neurology and Neurosurgery, Federal University of São Paulo, Sena Madureira, São Paulo, BrazilDepartment of Neurology and Neurosurgery, Federal University of São Paulo, Sena Madureira, São Paulo, BrazilDepartment of Ophthalmology and Visual Science, Federal University of São Paulo, Sena Madureira, São Paulo, BrazilDepartment of Ophthalmology and Visual Science, Federal University of São Paulo, Sena Madureira, São Paulo, BrazilDepartment of Ophthalmology and Visual Science, Federal University of São Paulo, Sena Madureira, São Paulo, BrazilPurpose. To correlate optical coherence tomography (OCT) measurements with clinical parameters in idiopathic intracranial hypertension (IIH). Methods. A cross-sectional study was conducted with 22 patients with IIH and 11 controls. All participants underwent comprehensive ophthalmological examination followed by spectral-domain OCT (SD-OCT) and standard automated perimetry using the 30–2 program of the Humphrey visual field analyzer. Correlations between ganglion cell complex (GCC) thickness and retinal nerve fiber layer (RNFL) thickness, as measured by SD-OCT, and clinical parameters were assessed using generalized estimating equations. Result. The mean age of the participants was 35.0 ± 10.83 years. The groups were similar regarding age, but were significantly different regarding sex and visual acuity (p=0.001 and p=0.038, respectively). The GCC was significantly thinner in the IIH group, with a mean of 90.535 ± 9.766 μm compared to 98.119 ± 6.988 μm for the controls (p=0.023). There was a significant association between GCC thickness and optic disc pallor (p=0.016) and between edema and visual acuity (p=0.037). No significant difference was found in RNFL thickness between patients and controls. Conclusion. The GCC was thinner in the patients with IIH compared to the controls, and there was an association between GCC and optic disc pallor. This might suggest a role for OCT parameters when the structural changes that occur in IIH are investigated, possibly guiding clinical decision making.http://dx.doi.org/10.1155/2021/1401609
spellingShingle Priscilla Fernandes Nogueira
Gustavo Coelho Caiado
Carolina P. B. Gracitelli
Fernando Meister Martins
Felipe Chaves Duarte Barros
Sandro Luis De Andrade Matas
Sérgio Henrique Teixeira
Luciana da Cruz Noia
Danilo Andriatti Paulo
Association between Optical Coherence Tomography Measurements and Clinical Parameters in Idiopathic Intracranial Hypertension
Journal of Ophthalmology
title Association between Optical Coherence Tomography Measurements and Clinical Parameters in Idiopathic Intracranial Hypertension
title_full Association between Optical Coherence Tomography Measurements and Clinical Parameters in Idiopathic Intracranial Hypertension
title_fullStr Association between Optical Coherence Tomography Measurements and Clinical Parameters in Idiopathic Intracranial Hypertension
title_full_unstemmed Association between Optical Coherence Tomography Measurements and Clinical Parameters in Idiopathic Intracranial Hypertension
title_short Association between Optical Coherence Tomography Measurements and Clinical Parameters in Idiopathic Intracranial Hypertension
title_sort association between optical coherence tomography measurements and clinical parameters in idiopathic intracranial hypertension
url http://dx.doi.org/10.1155/2021/1401609
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