001     155448
005     20240302115203.0
024 7 _ |a pmc:PMC8961243
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024 7 _ |a 10.1177/13524585211028831
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024 7 _ |a 1352-4585
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024 7 _ |a 1477-0970
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037 _ _ |a DZNE-2021-00654
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Aly, Lilian
|b 0
245 _ _ |a Optical coherence tomography angiography indicates subclinical retinal disease in neuromyelitis optica spectrum disorders.
260 _ _ |a London
|c 2022
|b Sage
336 7 _ |a article
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520 _ _ |a Neuromyelitis optica spectrum disorders (NMOSD) are neuroinflammatory diseases of the central nervous system. Patients suffer from recurring relapses and it is unclear whether relapse-independent disease activity occurs and whether this is of clinical relevance.To detect disease-specific alterations of the retinal vasculature that reflect disease activity during NMOSD.Cross-sectional analysis of 16 patients with NMOSD, 21 patients with relapsing-remitting multiple sclerosis, and 21 healthy controls using retinal optical coherence tomography (OCT), optical coherence tomography angiography (OCT-A), measurement of glial fibrillary acidic protein (GFAP) serum levels, and assessment of visual acuity.Patients with NMOSD but not multiple sclerosis revealed lower foveal thickness (FT) (p = 0.02) measures and an increase of the foveal avascular zone (FAZ) (p = 0.02) compared to healthy controls independent to optic neuritis. Reduced FT (p = 0.01), enlarged FAZ areas (p = 0.0001), and vessel loss of the superficial vascular complex (p = 0.01) were linked to higher serum GFAP levels and superficial vessel loss was associated with worse visual performance in patients with NMOSD irrespective of optic neuritis.Subclinical parafoveal retinal vessel loss might occur during NMOSD and might be linked to astrocyte damage and poor visual performance. OCT-A may be a tool to study subclinical disease activity during NMOSD.
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650 _ 7 |a Neuromyelitis optica spectrum disorders
|2 Other
650 _ 7 |a astrocytes
|2 Other
650 _ 7 |a biomarker
|2 Other
650 _ 7 |a disease activity
|2 Other
650 _ 7 |a optical coherence tomography angiography
|2 Other
650 _ 2 |a Angiography
|2 MeSH
650 _ 2 |a Cross-Sectional Studies
|2 MeSH
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Neuromyelitis Optica: diagnosis
|2 MeSH
650 _ 2 |a Retinal Diseases
|2 MeSH
650 _ 2 |a Tomography, Optical Coherence: methods
|2 MeSH
700 1 _ |a Strauß, Eva-Maria
|b 1
700 1 _ |a Feucht, Nikolaus
|b 2
700 1 _ |a Weiß, Isabella
|b 3
700 1 _ |a Berthele, Achim
|b 4
700 1 _ |a Mitsdoerffer, Meike
|b 5
700 1 _ |a Haass, Christian
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700 1 _ |a Hemmer, Bernhard
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700 1 _ |a Maier, Mathias
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700 1 _ |a Korn, Thomas
|b 9
700 1 _ |a Knier, Benjamin
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773 _ _ |a 10.1177/13524585211028831
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