The role of optical coherence tomography as a predictor of cognitive impairment in multiple sclerosis

Author(s):  
Cláudia Lima
2018 ◽  
Vol 8 (5) ◽  
pp. 323-335 ◽  
Author(s):  
Danko Coric ◽  
Jenny A Nij Bijvank ◽  
Laurentius J van Rijn ◽  
Axel Petzold ◽  
Lisanne J Balk

2019 ◽  
Vol 26 (6) ◽  
pp. 624-639 ◽  
Author(s):  
Jeffrey Lambe ◽  
Shiv Saidha ◽  
Robert A Bermel

Optical coherence tomography (OCT) has emerged as a fast, non-invasive, inexpensive, high-resolution imaging technique in multiple sclerosis (MS). Retinal layer quantification by OCT facilitates a ‘window’ into not only local retinal pathology but also global neurodegenerative processes, recognised to be the principal substrates of disability accumulation in MS. While OCT measures in MS have been demonstrated to reflect visual function, inflammatory activity outside of the visual pathways, disability measures including the prediction of disability progression, whole brain atrophy, and the differential neuroprotective effects of disease-modifying therapies, debate continues regarding the clinical utility of OCT in everyday practice. This review presents an overview of the evidence supporting OCT, with particular focus on its application in the MS clinic. We will also discuss the role of OCT in MS clinical trials to develop novel neuroprotective and potential remyelinating therapies.


2021 ◽  
Vol 15 ◽  
Author(s):  
Simone Guerrieri ◽  
Giancarlo Comi ◽  
Letizia Leocani

Understanding the mechanisms underlying progression and developing new treatments for progressive multiple sclerosis (PMS) are among the major challenges in the field of central nervous system (CNS) demyelinating diseases. Over the last 10 years, also because of some technological advances, the visual pathways have emerged as a useful platform to study the processes of demyelination/remyelination and their relationship with axonal degeneration/protection. The wider availability and technological advances in optical coherence tomography (OCT) have allowed to add information on structural neuroretinal changes, in addition to functional information provided by visual evoked potentials (VEPs). The present review will address the role of the visual pathway as a platform to assess functional and structural damage in MS, focusing in particular on the role of VEPs and OCT, alone or in combination, in the prognosis and monitoring of PMS.


2007 ◽  
Vol 263 (1-2) ◽  
pp. 3-14 ◽  
Author(s):  
Robert C. Sergott ◽  
Elliot Frohman ◽  
Robert Glanzman ◽  
Ahmad AL-Sabbagh

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