PMID- 24392910 OWN - NLM STAT- MEDLINE DCOM- 20140717 LR - 20151022 IS - 2325-8179 (Electronic) IS - 2325-8160 (Linking) VI - 45 IP - 1 DP - 2014 Jan-Feb TI - The use of spectral-domain optical coherence tomography for differentiating long-standing central retinal artery occlusion and nonarteritic anterior ischemic optic neuropathy. PG - 38-44 LID - 10.3928/23258160-20131220-05 [doi] AB - BACKGROUND AND OBJECTIVE: To report on the efficacy of macular and optic nerve spectral-domain optical coherence tomography (SD-OCT) in differentiating between long-standing central retinal artery occlusion (CRAO) and nonarteritic anterior ischemic optic neuropathy (NAION). PATIENTS AND METHODS: SD-OCT scans of the macula and optic nerve in 24 patients with unilateral optic atrophy secondary to CRAO (12 patients) and NAION (12 patients) were compared both qualitatively and quantitatively for differentiating features. RESULTS: In patients with long-standing CRAO, there was a significantly greater (P < .001) thinning of the macula relative to the fellow uninvolved eye (-59.7 +/- 31.8 mum) compared to patients with longstanding NAION (-19.9 +/- 8.4 mum) even though both conditions caused a similar (P = .726) degree of peripapillary retinal nerve fiber layer loss (-42.4 +/- 18.5 mum and -44.1 +/- 12.4 mum, respectively). CONCLUSION: SD-OCT macular scans can be used as an adjunctive tool for differentiating between longstanding CRAO and NAION. CI - Copyright 2014, SLACK Incorporated. FAU - Dotan, Gad AU - Dotan G FAU - Goldenberg, Dafna AU - Goldenberg D FAU - Kesler, Anat AU - Kesler A FAU - Naftaliev, Elvira AU - Naftaliev E FAU - Loewenstein, Anat AU - Loewenstein A FAU - Goldstein, Michaella AU - Goldstein M LA - eng PT - Journal Article PL - United States TA - Ophthalmic Surg Lasers Imaging Retina JT - Ophthalmic surgery, lasers & imaging retina JID - 101599215 SB - IM MH - Aged MH - Aged, 80 and over MH - Arteritis/diagnosis MH - Diagnosis, Differential MH - Female MH - Humans MH - Male MH - Middle Aged MH - Nerve Fibers/pathology MH - Optic Nerve/pathology MH - Optic Neuropathy, Ischemic/*diagnosis MH - Retinal Artery Occlusion/*diagnosis MH - Retinal Ganglion Cells/pathology MH - Retinal Vessels/pathology MH - Tomography, Optical Coherence/*methods MH - Visual Acuity MH - Visual Fields EDAT- 2014/01/08 06:00 MHDA- 2014/07/18 06:00 CRDT- 2014/01/08 06:00 PHST- 2013/09/13 00:00 [received] PHST- 2013/11/04 00:00 [accepted] PHST- 2014/01/08 06:00 [entrez] PHST- 2014/01/08 06:00 [pubmed] PHST- 2014/07/18 06:00 [medline] AID - 10.3928/23258160-20131220-05 [doi] PST - ppublish SO - Ophthalmic Surg Lasers Imaging Retina. 2014 Jan-Feb;45(1):38-44. doi: 10.3928/23258160-20131220-05.