In:
Graefe's Archive for Clinical and Experimental Ophthalmology, Springer Science and Business Media LLC
Abstract:
To investigate the changes in macular cystic schisis (MCS) and sensitivity during the day in X-linked retinoschisis (XLRS) patients. Methods Treatment-naïve patients with genetically verified XLRS underwent best-correlated visual acuity (BCVA) testing with ETDRS charts, spectral domain optical coherence tomography, and microperimetry (MP) twice a day, at 9 a.m. and 4 p.m., to measure changes in central retinal thickness (CRT), macular volume (MV), average threshold (AT), and fixation stability parameters (P1 and P2). Results At baseline, the BCVA of the 14 eyes of 8 patients amounted 0.73 (± 0.23) LogMAR. Between timepoints, the BCVA increased in 3.21 letters ( p = .021), the AV improved in 1.84 dB ( p = .03, 9.73%), the CRT decreased in 24.43 µm ( p = .007, − 4.05%), and the MV dropped in 0.27 µm 3 ( p = .016, − 2.68%). P1 and P2 did not variate. The collapse of the MCS led to the reduction of macula thickness. CRT at baseline correlated with the decrease of CRT (Spearman’s ρ : − 0.83 [ p = .001]). Age and change of BCVA, CRT, and AV did not correlate among one another. Eyes with disrupted ellipsoid zone showed a more prominent change in CRT ( p = .050). Photoreceptor outer segment length and integrity of the external limiting membrane and cone outer segment tips were not associated with BCVA, AT, or CRT variation. Conclusion Eyes of treatment-naïve XLRS patients show diurnal macular thickness and function changes. Eyes with pronounced macular thickness show a greater reduction of the MCS. These results should be taken into consideration in upcoming clinical trials in XLRS. Trial registration number Institutional Review Board of the Hamburg Medical Chamber ( Ethik-Kommission der Ärztekammer Hamburg ): 2020–10,328.
Type of Medium:
Online Resource
ISSN:
0721-832X
,
1435-702X
DOI:
10.1007/s00417-023-06106-0
Language:
English
Publisher:
Springer Science and Business Media LLC
Publication Date:
2023
detail.hit.zdb_id:
1459159-5
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