PMID- 28632031 OWN - NLM STAT- MEDLINE DCOM- 20180117 LR - 20180430 IS - 1460-2202 (Electronic) IS - 0271-3683 (Linking) VI - 42 IP - 7 DP - 2017 Jul TI - MR Imaging of the Anterior Visual Pathway in Primary Open-Angle Glaucoma: Correlation with Octopus 101 Perimetry and Spectralis Optical Coherence Tomography Findings. PG - 995-1001 LID - 10.1080/02713683.2017.1279633 [doi] AB - PURPOSE: To investigate structural changes in the visual pathway measured by magnetic resonance imaging (MRI) and its relationship with the clinical severity of glaucoma in primary open-angle glaucoma (POAG) patients. MATERIALS AND METHODS: The study included 28 patients with POAG and 26 age- and sex-matched healthy volunteers. All the subjects underwent spectral domain optical coherence tomography (OCT) of the peripapillary retina nerve fiber layer (RNFL). The optic nerve diameter (OND), chiasma height (Ch), and lateral geniculate nucleus height (LGNh) were measured bilaterally using a 1.5-Tesla MRI system. RESULTS: The mean values of the OND and LGNh were significantly lower in the POAG group (OND: right p = 0.043 and left p = 0.048; LGNh: right p = 0.008 and left p = 0.025). The OND was not correlated with the clinical stage of glaucoma, but it was correlated with the ipsilateral RNFL thickness. The Ch was correlated with the ipsilateral clinical stage (right r = -0.536, p = 0.004; left r = -0.537, p = 0.004) and average RNFL thickness (RNFLav) (right r = 0.655, p < 0.001; left r = 0.626, p < 0.001). The sum of bilateral clinical stages and left clinical stages showed significant correlations with the right and left LGNh and the sum of both the right and left LGNh. The left RNFLav and the sum of the right-left RNFLav were significantly correlated with all LGNh measurements. CONCLUSIONS: 1.5-Tesla MRI can detect structural changes in the visual pathway early in the course of glaucoma. Thin optic nerve can be a risk factor for glaucoma. The Ch and LGNh seem to be correlated with the clinical stage of glaucoma and RNFL thickness. In particular, LGN can be a target of glaucomatous damage. FAU - Ersoz, Mehmet Giray AU - Ersoz MG AD - a Department of Ophthalmology , Kiziltepe Government Hospital , Mardin , Turkey. FAU - Pekcevik, Yeliz AU - Pekcevik Y AD - b Department of Radiology , Tepecik Education and Research Hospital , Izmir , Turkey. FAU - Ayintap, Emre AU - Ayintap E AD - c Department of Ophthalmology , Tepecik Education and Research Hospital , Izmir , Turkey. FAU - Gunes, Irfan Botan AU - Gunes IB AD - d Department of Ophthalmology , Borcka Government Hospital , Artvin , Turkey. FAU - Mart, Duygu Kunak AU - Mart DK AD - c Department of Ophthalmology , Tepecik Education and Research Hospital , Izmir , Turkey. FAU - Yucel, Ersin AU - Yucel E AD - c Department of Ophthalmology , Tepecik Education and Research Hospital , Izmir , Turkey. FAU - Ture, Gamze AU - Ture G AD - c Department of Ophthalmology , Tepecik Education and Research Hospital , Izmir , Turkey. LA - eng PT - Journal Article DEP - 20170228 PL - England TA - Curr Eye Res JT - Current eye research JID - 8104312 SB - IM MH - Adult MH - Aged MH - Equipment Design MH - Female MH - Follow-Up Studies MH - Geniculate Bodies/pathology MH - Glaucoma, Open-Angle/*diagnosis/physiopathology MH - Healthy Volunteers MH - Humans MH - Intraocular Pressure/*physiology MH - Magnetic Resonance Imaging/*methods MH - Male MH - Middle Aged MH - Nerve Fibers/pathology MH - Optic Chiasm/pathology MH - Optic Nerve/pathology MH - Prospective Studies MH - Reproducibility of Results MH - Retinal Ganglion Cells/*pathology MH - Severity of Illness Index MH - Tomography, Optical Coherence/*methods MH - Visual Field Tests/*instrumentation MH - Visual Pathways/*pathology OTO - NOTNLM OT - Glaucomatous optic nerve damage OT - lateral geniculate nucleus OT - magnetic resonance imaging OT - octopus perimetry OT - optic chiasm OT - retinal nerve fiber layer thickness EDAT- 2017/06/21 06:00 MHDA- 2018/01/18 06:00 CRDT- 2017/06/21 06:00 PHST- 2017/06/21 06:00 [pubmed] PHST- 2018/01/18 06:00 [medline] PHST- 2017/06/21 06:00 [entrez] AID - 10.1080/02713683.2017.1279633 [doi] PST - ppublish SO - Curr Eye Res. 2017 Jul;42(7):995-1001. doi: 10.1080/02713683.2017.1279633. Epub 2017 Feb 28.