Optical Coherence Tomography in Multiple Sclerosis Patients

Study Overview
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Brief Summary
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To evaluate the ability of different spectral domain optical coherence tomography (OCT) devices, as well as different acquisition and analysis packages, to detect disease progression in patients with multiple sclerosis with and without a history of optic neuritis

Detailed Description
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Optical coherence tomography imaging of the retina has been shown to be an effective non invasive method to study retinal changes associated with multiple sclerosis induced optic neuritis. The retina is a unique structure in that it is an unmyelinated part of the central nervous system (CNS). However, it is uncertain which layer of the retina provides the best correlation with MS disease. The investigators propose a prospective, case-control study to compare OCT measurements from different parts of the retina of MS patients with optic neuritis, those without optic neuritis, and healthy controls. The investigators will then correlate the OCT measurements to clinical measures of disease. This will allow future studies to use OCT technology as a primary outcome in studying MS axonal and cell body injury of the CNS, as well as evaluating strategies in treating MS.

Official Title
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Optical Coherence Tomography in Multiple Sclerosis Patients

Conditions
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Multiple Sclerosis, Optic Neuritis

Participation Criteria
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Eligibility Criteria
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Inclusion criteria (MS with acute optic neuritis group): History of unilateral optic neuritis as a manifestation of multiple sclerosis. Age between 18 and 65, inclusive. Ability to perform adequate OCT exam. Able to provide informed consent to participate in study. Exclusion criteria (MS with acute optic neuritis group): - Refractive error greater than ±6 diopters. Inclusion criteria (MS without acute optic neuritis group): History of multiple sclerosis without optic neuritis Age between 18 and 65, inclusive. Ability to perform adequate OCT exam. Able to provide informed consent to participate in study. Exclusion criteria (MS without acute optic neuritis group): - Refractive error greater than ±6 diopters. Inclusion criteria (healthy controls): Age between 18 and 65, inclusive. Ability to perform adequate OCT exam. Able to provide informed consent to participate in the study. Exclusion criteria (healthy controls): Prior history of neurological disease. First degree relative with MS. Refractive error greater than ±6 diopters.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Healthy<br>Healthy controls | |
| MS-ON<br>Multiple sclerosis with optic neuritis | |
| MS-NON<br>Multiple sclerosis without optic neuritis | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Thickness of retinal layer | The primary outcome is to determine the thickness of the retinal layers (measured in microns) of optic neuritis-affected eye in MS patients, as compared to controls. | 1 day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Iris area | Determine the area of the iris (measured in square microns) of optic neuritis-affected eye in MS patients, as compared to controls. | 1 day |