Evidence map›Paper›PMID 39559345›Full record

ArticleEye and brain2024

Peripapillary Retinal Nerve Fiber Layer (pRNFL) Thickness - A Novel Biomarker of Neurodegeneration in Late-Infantile CLN2 Disease.

Nikolaos Gkalapis, Simon Dulz, Carsten Grohmann, Miriam Nickel, Christoph Schwering, Eva Wibbeler, Martin Stephan Spitzer, Angela Schulz, Yevgeniya Atiskova

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Article in Eye and brain, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Nikolaos Gkalapis *Department of Ophthalmology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Simon Dulz *Department of Ophthalmology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Carsten GrohmannDepartment of Ophthalmology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Miriam NickelDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Christoph SchweringDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Eva WibbelerDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Martin Stephan SpitzerDepartment of Ophthalmology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Angela SchulzDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Yevgeniya AtiskovaDepartment of Ophthalmology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To investigate the presence of peripapillary retinal nerve fiber layer (pRNFL) degeneration in patients with late-infantile neuronal ceroid lipofuscinosis type 2 (CLN2) disease and to evaluate the role of optical coherence tomography (OCT) assessed pRNFL thickness as a biomarker for CLN2 disease progression. Patients and Methods: Forty eyes of 20 patients with genetically and enzymatically confirmed diagnosis of late-infantile CLN2 disease were included in this retrospective cohort study. All patients received 300 mg of intracerebroventricular enzyme replacement treatment (cerliponase alfa) once every two weeks. OCT imaging was performed under general anesthesia using spectral domain OCT (Heidelberg Engineering, Heidelberg, Germany). PRNFL thickness and central retinal thickness (CRT) values were manually confirmed with the Heidelberg Eye Explorer software. Corresponding pediatric data were extracted from the DEM-CHILD database. Spearman correlation coefficient values (rs) were calculated between pRNFL and CRT values, age at examination, the Weill Cornell Late Infantile Neuronal Ceroid Lipofuscinosis (Weill Cornell LINCL) Scale and the Hamburg Motor and Language (HML) Scale. Results: Fourteen of 20 patients underwent serial examinations resulting in a total of 84 OCT Scans and 42 Weill Cornell LINCL and HML Scale scores. Mean age was 6.90 years and mean follow-up time was 1.38 years. Mean global pRNFL (G-pRNFL) thickness was 77.02 μm presenting a significant decrease compared to normative values from healthy children (106.45 μm; p < 0.0001). G-pRNFL displayed significant correlations towards age at examination Conclusion: Patients with late-infantile CLN2 disease exhibit early onset progressive pRNFL loss regardless of outer retinal degeneration, highlighting the potential of pRNFL as an independent ocular biomarker for retinal pathology in late-infantile CLN2 disease.

Indexed as

eyeneurodegenerationneuronal ceroid lipofuscinosisoptical coherence tomographyoptic nerveretina

Identifiers

PMID39559345
PMCPMC11571076

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