Assessment of the relationship between structural and functional tests in patients with idiopathic intracranial hypertension

© 2024. The Author(s), under exclusive licence to Springer Nature B.V..

PURPOSE: To assess the relationship between structural and functional tests in mild and moderate idiopathic intracranial hypertension (IIH).

METHODS: Patients with mild and moderate IIH and a control group were enrolled. Best-corrected visual acuity (BCVA), macular ganglion cell layer (MGCL) thickness, peripapillary retinal nerve fiber layer (pp RNFL) thickness, perimetric mean deviation (MD), and photopic negative responses (PhNR) of the electroretinogram were recorded. The associations between structural (pp RNFL and MGCL thickness) and functional (PhNR amplitude, MD and BCVA) parameters were assessed.

RESULTS: 154 eyes from 78 subjects (74 eyes from IIH patients and 80 eyes from healthy subjects) were included in this comparative observational study. The MGCL thickness, VA, pp RNFL, and PhNR base-to-trough (BT) amplitude were significantly worse in moderate IIH. The BCVA and MD were associated with MGCL thickness only in moderate IIH. The relationship between MD and MGCL thickness started when MD fell below -5.7 dB.

CONCLUSIONS: The association between functional and structural parameters varies between mild and moderate IIH. The MD and MGCL thickness outperformed in assessing disease severity in mild and moderate IIH, respectively. The association between MD and MGCL thickness could be considered in IIH severity categorization.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:44

Enthalten in:

International ophthalmology - 44(2024), 1 vom: 01. März, Seite 121

Sprache:

Englisch

Beteiligte Personen:

Abri Aghdam, Kaveh [VerfasserIn]
Soltan Sanjari, Mostafa [VerfasserIn]
Chaibakhsh, Samira [VerfasserIn]
Fathi, Zahra [VerfasserIn]
Kazemi, Pegah [VerfasserIn]
Aghajani, Ali [VerfasserIn]

Links:

Volltext

Themen:

Comparative Study
Idiopathic intracranial hypertension
Journal Article
Observational Study
Optic nerve
Photopic negative response

Anmerkungen:

Date Completed 04.03.2024

Date Revised 04.03.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1007/s10792-024-03054-4

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369169786