E N Ali1, T Maddess2, A C James2, C Voicu2, C J Lueck3. 1. Eccles Institute of Neuroscience, John Curtin School of Medical Research, Australian National University, Australia eman_c5@yahoo.com. 2. Eccles Institute of Neuroscience, John Curtin School of Medical Research, Australian National University, Australia. 3. Department of Neurology, The Canberra Hospital, Australian National University Medical School, Australia.
Abstract
OBJECTIVES: The objective of this paper is to investigate the pattern of abnormalities and establish the diagnostic power of multifocal objective pupil perimetry (mfPOP) in multiple sclerosis (MS). METHODS: A prospective study enrolling 35 normal (47.9 ± 16.8 years, 22 females) and 85 MS subjects (49.8 ± 11.3 years, 62 females; 72 relapsing-remitting (RR), and 13 primary or secondary progressives (PorS)). EDSS scores for the RR and PorS groups were 3.53 ± 1.04 (mean ± SD), and 5.9 ± 1.43, respectively. mfPOP responses were obtained from 44 regions/visual field. Each region was analysed according to response time-to-peak and standardised amplitude (AmpStd). Predictive power was measured by percentage area under the receiver operator curve (%AUC). RESULTS: mfPOP responses showed a significant reduction of 0.69 ± 0.04 dB (mean ± SE) in AmpStd and significantly delayed time-to-peak of 25.95 ± 0.89 ms (mean ± SE) in MS subjects compared to control subjects (p<0.001). %AUC was greater for time-to-peak than AmpStd both for RR and PorS patients. Diagnostic power followed the EDSS scores but not a history of optic neuritis. CONCLUSIONS: mfPOP is well tolerated and potentially has a role in the diagnosis and assessment of patients with MS.
OBJECTIVES: The objective of this paper is to investigate the pattern of abnormalities and establish the diagnostic power of multifocal objective pupil perimetry (mfPOP) in multiple sclerosis (MS). METHODS: A prospective study enrolling 35 normal (47.9 ± 16.8 years, 22 females) and 85 MS subjects (49.8 ± 11.3 years, 62 females; 72 relapsing-remitting (RR), and 13 primary or secondary progressives (PorS)). EDSS scores for the RR and PorS groups were 3.53 ± 1.04 (mean ± SD), and 5.9 ± 1.43, respectively. mfPOP responses were obtained from 44 regions/visual field. Each region was analysed according to response time-to-peak and standardised amplitude (AmpStd). Predictive power was measured by percentage area under the receiver operator curve (%AUC). RESULTS: mfPOP responses showed a significant reduction of 0.69 ± 0.04 dB (mean ± SE) in AmpStd and significantly delayed time-to-peak of 25.95 ± 0.89 ms (mean ± SE) in MS subjects compared to control subjects (p<0.001). %AUC was greater for time-to-peak than AmpStd both for RR and PorS patients. Diagnostic power followed the EDSS scores but not a history of optic neuritis. CONCLUSIONS: mfPOP is well tolerated and potentially has a role in the diagnosis and assessment of patients with MS.
Authors: Ted Maddess; Corinne F Carle; Emilie M F Rohan; Jonathan Baird-Gunning; Josh P van Kleef; Christian J Lueck Journal: eNeurologicalSci Date: 2022-10-08
Authors: Corinne F Carle; Andrew C James; Faran Sabeti; Maria Kolic; Rohan W Essex; Chris Shean; Rhiannon Jeans; Aiasha Saikal; Alice Licinio; Ted Maddess Journal: Transl Vis Sci Technol Date: 2022-02-01 Impact factor: 3.283