Retinal Nerve Fiber Layer Thickness Alterations after Electroconvulsive Therapy in Patients with Mental Illness


Ucar D., Yildiz N., Hepokur M., Baltu F., Guliyev E., Emul M., ...Daha Fazla

SEMINARS IN OPHTHALMOLOGY, cilt.33, ss.852-857, 2018 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 33
  • Basım Tarihi: 2018
  • Doi Numarası: 10.1080/08820538.2018.1538419
  • Dergi Adı: SEMINARS IN OPHTHALMOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.852-857
  • İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet

Özet

Background: We hypothesized that the ongoing neurotrophic effects of electroconvulsive therapy (ECT) might be detected in the retinal nerve fiber layer (RNFL) using optical coherence tomography (OCT). Methods: This study was conducted using a prospective design. The RNFL thickness alterations of 18 psychiatric patients undergoing ECT were assessed using OCT. The results were compared with the RNFL thicknesses of 18 age and gender-matched healthy controls. Results: In the left eye, the average RNFL (p = 0.025), superior quadrant (p = 0.029), and nasal quadrant (p = 0.021) thicknesses were significantly increased after the last ECT treatment. In contrast to the right eye, the basal left-eye superior RNFL thickness (p = 0.038) and inferior quadrant (p = 0.007) thicknesses were significantly lower in the patients than in the healthy controls. Conclusion: Here, we have revealed a significant lateralized influence of ECT on the left-eye RNFL. However, larger case series should be conducted before interpreting our current findings.