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BRIEF RESEARCH REPORT article
Front. Ophthalmol.
Sec. Neuro-Ophthalmology Disorders
Volume 4 - 2024 |
doi: 10.3389/fopht.2024.1476911
Macular Retinal Nerve Fiber Layer Thickness in Retinitis Pigmentosa Patients with and without Optic Disc Drusen
Provisionally accepted- 1 Department of Ophthalmology, Copenhagen University Hospital - Rigshospitalet, Glostrup, Denmark
- 2 Department of Ophthalmology, Rigshospitalet, University of Copenhagen, Glostrup, Denmark
- 3 Department of Clinical Genetics, Rigshospitalet, Copenhagen, Denmark
Introduction: Retinitis pigmentosa (RP) is a group of inherited retinal dystrophies characterized by progressive photoreceptor degeneration. In a recent study, we reported co-existing optic disc drusen (ODD) in 30%, a prevalence 15 times higher than in the general population. The aims of this study were to a) assess if macular retinal nerve fiber layer thickness (RNFLt) was increased in our cohort of RP patients, and b) compare RNFLt between RP patients with and without ODD.Methods: In this post-hoc analysis, optical coherence tomography (OCT) scans from patients with RP and healthy controls were manually delineated, and macular RNFLt measurements were obtained. The analyses were conducted both a) for RP patients without ODD compared to controls, and b) for RP patients with and without ODD.Results: OCT scans from 32 patients with RP and 13 healthy controls were included. Macular RNFLt was significantly increased in RP patients compared to healthy controls and in RP patients with ODD compared to RP patients without ODD.Discussion: Further studies will explore whether increased RNFLt leads to ODD development through dystrophic calcification or conversely, if ODD in combination with RP-associated retinal ganglion cell damage cause the increased RNFLt through retrograde axoplasmic stasis.
Keywords: Optic disc drusen (ODD), Retinitis Pigmentosa, Optic nerve head drusen, Retinal nerve fiber layer (RNFL), retinal nerve fiber layer thickness (RNFLT)
Received: 06 Aug 2024; Accepted: 18 Nov 2024.
Copyright: © 2024 Hemmingsen Steensberg, Malmqvist, Bertelsen Vardrup, Kessel, Grønskov and Hamann. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Alvilda Hemmingsen Steensberg, Department of Ophthalmology, Copenhagen University Hospital - Rigshospitalet, Glostrup, Denmark
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