Retinal ganglion cell-inner plexiform layer, white matter hyperintensities, and their interaction with cognition in older adults

Autor: Ruilin Wang, Xinmao Wu, Zengyi Zhang, Le Cao, William Robert Kwapong, Hang Wang, Wendan Tao, Chen Ye, Junfeng Liu, Bo Wu
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Frontiers in Aging Neuroscience, Vol 15 (2023)
Druh dokumentu: article
ISSN: 1663-4365
DOI: 10.3389/fnagi.2023.1240815
Popis: PurposeWe explored the interaction of optical coherence tomography (OCT) parameters and white matter hyperintensities with cognitive measures in our older adult cohort.MethodsThis observational study enrolled participants who underwent a comprehensive neuropsychological battery, structural 3-T brain magnetic resonance imaging (MRI), visual acuity examination, and OCT imaging. Cerebral small vessel disease (CSVD) markers were read on MR images; lacune, cerebral microbleeds (CMB), white matter hyperintensities (WMH), and enlarged perivascular spaces (EPVS), were defined according to the STRIVE standards. Retinal nerve fiber layer (RNFL) and ganglion cell-inner plexiform layer (GCIPL) thicknesses (μm) were measured on the OCT tool.ResultsOlder adults with cognitive impairment (CI) showed lower RNFL (p = 0.001), GCIPL (p = 0.009) thicknesses, and lower hippocampal volume (p = 0.004) when compared to non-cognitively impaired (NCI). RNFL (p = 0.006) and GCIPL thicknesses (p = 0.032) correlated with MoCA scores. GCIPL thickness (p = 0.037), total WMH (p = 0.003), PWMH (p = 0.041), and DWMH (p = 0.001) correlated with hippocampal volume in our older adults after adjusting for covariates. With hippocampal volume as the outcome, a significant interaction (p
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