PMID- 22684619 OWN - NLM STAT- MEDLINE DCOM- 20121130 LR - 20220408 IS - 1613-2246 (Electronic) IS - 0021-5155 (Linking) VI - 56 IP - 5 DP - 2012 Sep TI - Reduced retinal ganglion cell complex thickness in patients with posterior cerebral artery infarction detected using spectral-domain optical coherence tomography. PG - 502-10 LID - 10.1007/s10384-012-0146-3 [doi] AB - PURPOSE: To report a reduction in macular ganglion cell complex (GCC) thickness detected with spectral-domain optical coherence tomography (SD-OCT) in patients with homonymous hemianopia following acquired cerebral damage. METHODS: We analyzed case reports of three patients with unilateral posterior cerebral artery (PCA) infarction. Three patients (aged 66, 68, and 71 years) with left homonymous hemianopia due to infarction of the right PCA territory were studied using SD-OCT. The duration of the lesions from the onset ranged from 12 to 36 months. RESULTS: In all of these patients, although optic atrophy and retinal nerve fiber layer defects were not detected on funduscopy, GCC thinning was demonstrated in the hemiretinae corresponding to the affected hemifields. Macular GCC measurements showed the localized defects of retinal ganglion cells (RGCs) more clearly than circumpapillary retinal nerve fiber layer measurements. Total and outer retinal thicknesses were not found to be significantly affected. CONCLUSION: Our findings suggest that degeneration of RGCs can occur within a few years after PCA infarction. FAU - Yamashita, Tsutomu AU - Yamashita T AD - Department of Sensory Science, Faculty of Health Science and Technology, Kawasaki University of Medical Welfare, 288 Matsushima, Kurashiki, Okayama 701-0193, Japan. FAU - Miki, Atsushi AU - Miki A FAU - Iguchi, Yasuyuki AU - Iguchi Y FAU - Kimura, Kazumi AU - Kimura K FAU - Maeda, Fumiatsu AU - Maeda F FAU - Kiryu, Junichi AU - Kiryu J LA - eng PT - Case Reports PT - Journal Article DEP - 20120609 PL - Japan TA - Jpn J Ophthalmol JT - Japanese journal of ophthalmology JID - 0044652 SB - IM MH - Aged MH - Female MH - Hemianopsia/diagnosis/*etiology MH - Humans MH - Infarction, Posterior Cerebral Artery/*complications MH - Magnetic Resonance Imaging MH - Male MH - Nerve Fibers/*pathology MH - Retinal Diseases/diagnosis/*etiology MH - Retinal Ganglion Cells/*pathology MH - *Tomography, Optical Coherence MH - Visual Fields EDAT- 2012/06/12 06:00 MHDA- 2012/12/10 06:00 CRDT- 2012/06/12 06:00 PHST- 2011/11/08 00:00 [received] PHST- 2012/03/26 00:00 [accepted] PHST- 2012/06/12 06:00 [entrez] PHST- 2012/06/12 06:00 [pubmed] PHST- 2012/12/10 06:00 [medline] AID - 10.1007/s10384-012-0146-3 [doi] PST - ppublish SO - Jpn J Ophthalmol. 2012 Sep;56(5):502-10. doi: 10.1007/s10384-012-0146-3. Epub 2012 Jun 9.