PMID- 35842539 OWN - NLM STAT- MEDLINE DCOM- 20230511 LR - 20230524 IS - 1476-5454 (Electronic) IS - 0950-222X (Print) IS - 0950-222X (Linking) VI - 37 IP - 7 DP - 2023 May TI - Short-term progression of optic disc and macular changes in optic nerve head drusen. PG - 1496-1502 LID - 10.1038/s41433-022-02155-7 [doi] AB - PURPOSE: To quantify in patients with optic nerve head drusen (ONHD)changes after 1-year observation in: (i) optic disc and (ii) macular optical coherence tomography (OCT) parameters and (iii) the effect of age at enrolment in the study. DESIGN: Prospective, cross-sectional observational study using Spectral Domain-OCT (Copernicus; OPTOPOL Technology S.A., Zawiercie, Poland) imaging was carried out in 35 patients with ONHD (age-42.8 +/- 19.9 years; males = 15; females = 20) at baseline and after 12 months follow-up. RESULTS: Patients with ONHD had significant thinning of the surface nerve fibre layer in the central (p = 0.03), superior (p = 0.05) and inferior (p = 0.04) areas; mean ppRNFL thinning (p = 0.0 4) and ppRNFL thinning in the nasal segment (p = 0.028). Retinal thinning in the central (p = 0.001), inner (p = 0.01) and outer (p = 0.002) temporal, outer superior (p = 0.03) and inferior (p = 0.02) areas; borderline ganglion cell layer thinning (p = 0.051) and outer nuclear layer (p = 0.03) thinning in the central retina and outer segment layer thinning nasally (p = 0.01) between the first and the second visit in macula. Correlation of the difference in optic disc and macular parameters with the age at enrolment did not reveal any significance. CONCLUSIONS: Statistically detectable thinning of the optic nerve and macula structures occurred already after 12 months. The proximity of optic nerve changes to the vascular arcades can possibly be explained by involvement of retinal vessels in the pathophysiology of ONHD. CI - (c) 2022. The Author(s). FAU - Pilat, Anastasia V AU - Pilat AV AD - Ophthalmology Group, University of Leicester, Leicester, UK. ap410@leicester.ac.uk. AD - East Sussex NHS Healthcare Trust, Sussex, UK. ap410@leicester.ac.uk. FAU - Proudlock, Frank A AU - Proudlock FA AD - Ophthalmology Group, University of Leicester, Leicester, UK. FAU - Kumar, Periyasamy AU - Kumar P AD - Leicester Royal Infirmary, Leicester, UK. FAU - Gottlob, Irene AU - Gottlob I AD - Ophthalmology Group, University of Leicester, Leicester, UK. AD - Cooper Medical School of Rowan University and Cooper University Healthcare, Camden, NJ, USA. LA - eng GR - MC_PC_17171/MRC_/Medical Research Council/United Kingdom GR - MR/J004189/1/MRC_/Medical Research Council/United Kingdom GR - MR/N004566/1/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Observational Study DEP - 20220716 PL - England TA - Eye (Lond) JT - Eye (London, England) JID - 8703986 SB - IM MH - Male MH - Female MH - Humans MH - *Optic Disk MH - Retinal Ganglion Cells MH - Cross-Sectional Studies MH - Prospective Studies MH - Nerve Fibers MH - *Optic Disk Drusen MH - Tomography, Optical Coherence/methods PMC - PMC10169844 COIS- The authors declare no competing interests. EDAT- 2022/07/17 06:00 MHDA- 2023/05/11 06:42 PMCR- 2022/07/16 CRDT- 2022/07/16 23:21 PHST- 2021/11/18 00:00 [received] PHST- 2022/06/16 00:00 [accepted] PHST- 2022/06/09 00:00 [revised] PHST- 2023/05/11 06:42 [medline] PHST- 2022/07/17 06:00 [pubmed] PHST- 2022/07/16 23:21 [entrez] PHST- 2022/07/16 00:00 [pmc-release] AID - 10.1038/s41433-022-02155-7 [pii] AID - 2155 [pii] AID - 10.1038/s41433-022-02155-7 [doi] PST - ppublish SO - Eye (Lond). 2023 May;37(7):1496-1502. doi: 10.1038/s41433-022-02155-7. Epub 2022 Jul 16.