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Macular Ganglion Cell Layer and Peripapillary Retinal Nerve Fibre Layer Thickness in Patients with Unilateral Posterior Cerebral Artery Ischaemic Lesion: An Optical Coherence Tomography Study

dc.contributor.authorAnjos, R
dc.contributor.authorVieira, L
dc.contributor.authorCosta, L
dc.contributor.authorVicente, A
dc.contributor.authorSantos, A
dc.contributor.authorAlves, N
dc.contributor.authorAmado, D
dc.contributor.authorFerreira, J
dc.contributor.authorCunha, JP
dc.date.accessioned2016-12-12T15:29:16Z
dc.date.available2016-12-12T15:29:16Z
dc.date.issued2016-02
dc.description.abstractThe purpose of this study is to evaluate the macular ganglion cell layer (GCL) and peripapillary retinal nerve fibre layer (RNFL) thickness in patients with unilateral posterior cerebral artery (PCA) ischaemic lesions using spectral-domain optical coherence tomography (SD-OCT). A prospective, case-control study of patients with unilateral PCA lesion was conducted in the neuro-ophthalmology clinic of Centro Hospitalar Lisboa Central. Macular and peripapillary SD-OCT scans were performed in both eyes of each patient. Twelve patients with PCA lesions (stroke group) and 12 healthy normal controls were included in this study. Peripapillary RNFL comparison between both eyes of the same subject in the stroke group found a thinning in the superior-temporal (p = 0.008) and inferior-temporal (p = 0.023) sectors of the ipsilateral eye and nasal sector (p = 0.003) of the contralateral eye. Macular GCL thickness comparison showed a reduction temporally in the ipsilateral eye (p = 0.004) and nasally in the contralateral eye (p = 0.002). Peripapillary RNFL thickness was significantly reduced in both eyes of patients with PCA compared with controls, affecting all sectors in the contralateral eye and predominantly temporal sectors in the ipsilateral eye. A statistically significant decrease in macular GCL thickness was found in both hemiretinas of both eyes of stroke patients when compared with controls (p < 0.05). This study shows that TRD may play a role in the physiopathology of lesions of the posterior visual pathway.pt_PT
dc.identifier.citationNeuroophthalmology. 2016 Jan 19;40(1):8-15pt_PT
dc.identifier.doi10.3109/01658107.2015.1122814pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2591
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherTaylor & Francispt_PT
dc.subjectCHLC OFTpt_PT
dc.subjectMacular Ganglion Cell Layerpt_PT
dc.subjectPeripapillary Retinal Nerve Fibre Layerpt_PT
dc.subjectTransneural Retrograde Degenerationpt_PT
dc.titleMacular Ganglion Cell Layer and Peripapillary Retinal Nerve Fibre Layer Thickness in Patients with Unilateral Posterior Cerebral Artery Ischaemic Lesion: An Optical Coherence Tomography Studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage15pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage8pt_PT
oaire.citation.titleNeuro-Ophthalmologypt_PT
oaire.citation.volume40pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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