The role of optical coherence tomography in multiple sclerosis: Expert panel consensus

Robert C. Sergott, Elliot Frohman, Robert Glanzman, Ahmad AL-Sabbagh

Research output: Contribution to journalReview article

87 Scopus citations

Abstract

Optic neuritis (ON), a common manifestation of multiple sclerosis (MS), often occurs as the initial manifestation of central nervous system demyelination or develops during the course of this disease. Since the retinal nerve fiber layer (RNFL) is composed only of unmyelinated axons, measuring RNFL thickness represents a viable method of monitoring axonal loss in these patients. Optical coherence tomography (OCT) is a noninvasive, noncontact, accurate, and reproducible technique that quantitates the thickness of the peripapillary RNFL, fovea, and macula. Because of its potential role in defining axonal loss in ON and in assessing longitudinal changes in the RNFL before and after MS treatment, a multidisciplinary expert panel was charged with the following tasks: assess the current capabilities of OCT; review the current data about OCT, ON, and MS; and determine whether OCT could be a primary or secondary outcome measure in future MS clinical trials. The panel concluded that: [1] OCT is valid and reproducible; [2] OCT has yielded some important limited data concerning cross-sectional studies with ON and MS; [3] more studies are required to correlate OCT results with other measures of MS disease activity; [4] after correlation with these other measures and upon agreement of standardized technical and statistical methods, OCT may evolve into a important primary or secondary outcome metric for MS clinical trials and patient care.

Original languageEnglish (US)
Pages (from-to)3-14
Number of pages12
JournalJournal of the Neurological Sciences
Volume263
Issue number1-2
DOIs
StatePublished - Dec 15 2007

Keywords

  • Disease modifying drugs
  • Magnetic resonance imaging
  • Multiple sclerosis
  • Optic neuritis
  • Optical coherence tomography
  • Retinal nerve fiber layer

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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