Association of Optical Coherence Tomography With Longitudinal Neurodegeneration in Veterans With Chronic Mild Traumatic Brain Injury
Author(s) -
Casey S. Gilmore,
Kelvin O. Lim,
Mona K. Garvin,
Jui-Kai Wang,
Johannes Ledolter,
Alicia Fenske,
Carolyn L. Gentz,
Julie Nellis,
Michael Armstrong,
Randy H. Kardon
Publication year - 2020
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.30824
Subject(s) - traumatic brain injury , medicine , nerve fiber layer , retinal , cohort , neurodegeneration , veterans affairs , cohort study , longitudinal study , ophthalmology , disease , psychiatry , pathology
Key Points Question Do veterans with a history of mild traumatic brain injury show greater neurodegeneration over time compared with control veterans with no history of head injury? Findings In this longitudinal cohort study of 139 veterans with and without a history of mild traumatic brain injury, mild traumatic brain injury was associated with significantly greater thinning of the retinal nerve fiber layer over time. Meaning These findings suggest that structural neural loss in the visual system, as evidenced by thinning of the retinal nerve fiber layer, may be a useful biomarker of neurodegeneration following chronic mild traumatic brain injury.
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