Disorganization of the retinal inner layers as a prognostic factor in eyes with central retinal artery occlusion |
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Authors: | Hayati Yilmaz and Ali H. Durukan |
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Affiliation: | Department of Ophthalmology, Mengucek Gazi Training and Research Hospital, Erzincan 24000, Turkey and Department of Ophthalmology, Gulhane Medical Faculty, Ankara 06010, Turkey |
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Abstract: | AIM: To evaluate baseline foveal disorganisation of retinal inner layers (DRIL) as a prognostic factor in eyes with central retinal artery occlusion (CRAO).METHODS: Twenty-eight CRAO patients who were followed-up between 2010 and 2016 were retrospectively investigated. Demographic characteristics and detailed ophthalmological examination findings of all patients were recorded. Macular thicknesses (MTs) from 5 separate spots and DRIL were measured with spectral-domain optic coherence tomography (SD-OCT). Correlations between DRIL score and logMAR converted visual acuity (VA), change in VA, patient reference time (RT), number of hyperbaric oxygen therapy (HBOT) sessions, MT and MT change were investigated.RESULTS: There was a positive correlation between the DRIL score and the final VA (r=0.787) and a negative correlation with the change in VA (r=-0.763). The RT and MT were closely related to the DRIL score. A negative correlation was found between the number of HBOT sessions and the DRIL score (r=-0.341).CONCLUSION: The DRIL score is a parameter assessed by SD-OCT, which can provide us reliable information regarding the prognosis of visual functions and response to the treatment for CRAO patients at acute phase. |
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Keywords: | central retinal artery occlusion disorganisation inner retina spectral-domain optic coherence tomography prognosis |
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