Cognitive impairment and lamina cribrosa thickness in primary open-angle glaucoma

Seung Hyen Lee, Ji Won Han, Eun Ji Lee, Tae Woo Kim, Hyunjoong Kim, Ki Woong Kim

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15 Citations (Scopus)


Purpose: The purpose of this study was to investigate the relationship between the lamina cribrosa (LC) thickness (LCT) as assessed using enhanced depth-imaging (EDI) optical coherence tomography (OCT) and cognitive function in primary open-angle glaucoma (POAG). Methods: The study consisted of 105 POAG eyes and 23 nonglaucomatous control eyes that completed neuropsychological tests. The optic nerve heads of the patients were imaged using EDI-OCT. B-scan images were constructed in three dimensions using maximum intensity projection (MIP), and the LCT was measured using the thin-slab MIP images. A comprehensive battery consisting of 15 neuropsychological tests was used to evaluate cognitive function. Results: POAG eyes had smaller mean LCT as compared with control eyes (P < 0.001). Age and Mini Mental State Examination (MMSE) scores did not differ between the two groups. Linear regression analysis revealed that lower scores on the MMSE (P < 0.001), presence of glaucoma (P = 0.006), and a smaller global retinal nerve fiber layer thickness (P < 0.001) were independently associated with a smaller mean LCT. Davies'test revealed a statistically significant breakpoint for the mean LCT (221.14 urn), below which a smaller MMSE score was significantly associated with a smaller mean LCT. In POAG eyes with a mean LCT smaller than the breakpoint (< 221.14 pm), not only the global cognition but also the visuospatial function and visual memory were worse than in those with a larger mean LCT (all P ≤0.003). Conclusions: Impairment of cognitive function was observed in patients with POAG with a thinner LC. The role of LC imaging as a potential biomarker to monitor cognitive impairment needs further investigation. Translational Relevance: LC thinning may reflect a shared mechanism of neurodegen- erative diseases in the brain and optic nerve.

Original languageEnglish
Article number17
Pages (from-to)1-13
Number of pages13
JournalTranslational Vision Science and Technology
Issue number7
Publication statusPublished - 2020

Bibliographical note

Publisher Copyright:
© 2020 The Authors.

All Science Journal Classification (ASJC) codes

  • Biomedical Engineering
  • Ophthalmology


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