Multifocal Visual Evoked Potentials and Contrast Sensitivity Correlate with Ganglion Cell-Inner Plexiform Layer Thickness in Multiple Sclerosis

Publication date: Available online 13 November 2018

Source: Clinical Neurophysiology

Author(s): Divya Narayanan, Han Cheng, Rosa A.Tang, Laura J. Frishman

Abstract

Objective

To examine the relationship between optical coherence tomography (OCT) macular ganglion cell-inner plexiform layer thickness (GCIPLT), peripapillary retinal nerve fiber layer thickness (RNFLT) and visual function in relapsing remitting multiple sclerosis (RRMS).

Methods

Cirrus OCT, VERIS 60-sector multifocal visual evoked potential (mfVEP) and Pelli-Robson contrast sensitivity (CS) were obtained for 53 eyes with last optic neuritis (ON)>6 months and 105 non-ON eyes in 90 patients. One eye (43 ON, 73 non-ON) was used for correlations when both had the same history. Global (G, 60 sectors) and central 5.6° (C, 24 sectors) mfVEP amplitude and latency were calculated as mean logSNR and median latency.

Results

Eyes showing abnormal mfVEP (amplitude or latency) vs OCT (GCIPLT or RNFLT) was 77% vs 69% (p=0.33) in ON, 45% vs 22% (p<0.0005) in non-ON. In ON and non-ON, mfVEP measures and CS correlated with GCIPLT and RNFLT (r=-0.24 to 0.78, p=0.03 to 0.0001). In ON, mfVEP amplitude (C,G) correlated better with GCIPLT (r=0.78, 0.76) than RNFLT (r=0.43, 0.58; p< 0.001, 0.01).

Conclusions

MfVEP measures and CS correlated well with GCIPLT and RNFLT in ON and non-ON. MfVEP amplitudes were more highly correlated with GCIPLT than RNFLT in ON. MfVEP detected significantly more defects than OCT in non-ON.

Significance

GCIPLT, mfVEP and CS provide useful measures of optic nerve integrity in RRMS.

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