Regularity changes of the retinal nerve fiber layer and macular ganglion cell complex in patients with the amnestic mild cognitive impairment

Int J Neurosci. 2018 Sep;128(9):849-853. doi: 10.1080/00207454.2018.1438428. Epub 2018 Feb 22.

Abstract

Purpose/aim: We investigated the regularity changes of the retinal nerve fiber layer (RNFL) and macular ganglion cell complex (mGCC) of the amnestic mild cognitive impairment (aMCI) patients in this prospective cohort study.

Materials and methods: Twenty-four aMCI patients and 30 health controls, who are more than 60 years old, were recruited into the study. The RNFL and the mGCC average thickness were measured with Fourier-domain optical coherence tomography (FD-OCT).

Results: Compared with that in the controls, the intraocular pressure (IOP) was significantly lower in the aMCI patients. A significant decrease in RNFL thickness in superior temporal, temporal upper (TU), and temporal upper and lower (TL) (TU+TL) quadrants was found in the aMCI patients than in the controls. The average thickness of the mGCC was also significantly thinner in the aMCI patients than in the controls.

Conclusions: Retinal degeneration in the aMCI patients detected by OCT together with lower IOP may indicate disease pathological progression.

Keywords: Mild cognitive impairment; macular ganglion cell complex; optical coherence tomography; retinal nerve fiber layer.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cognitive Dysfunction / pathology*
  • Cohort Studies
  • Disease Progression
  • Female
  • Humans
  • Intraocular Pressure / physiology
  • Male
  • Mental Status and Dementia Tests
  • Middle Aged
  • Nerve Fibers / pathology*
  • Retina / pathology*
  • Retinal Ganglion Cells / pathology*
  • Tomography, Optical Coherence