Abstract
Purpose
To investigate brain morphological alterations of high-tension glaucoma patients and explore the association between brain morphological changes and elevated intraocular pressure.
Methods
Thirty-six patients with high-tension glaucoma and 20 healthy controls were collected and underwent structural MRI scan. Surface-based morphometry and voxel-based morphometry were applied to assess cortical thickness and subcortical gray matter volume of the enrolled subjects. The association between brain morphometry and intraocular pressure was assessed by partial correlation.
Results
Compared with healthy controls, high-tension glaucoma patients showed decreased cortical thickness in the bilateral superior temporal gyrus, bilateral superior parietal gyrus, bilateral lateral occipital gyrus, left fusiform gyrus, left medial orbitofrontal gyrus, right precentral gyrus, and right superior frontal gyrus (p < 0.05). High-tension glaucoma patients also showed reduced gray matter volume in the right hippocampus, bilateral putamen, and bilateral thalamus (p < 0.05). In addition, brain morphological correlates of mean intraocular pressure were found in the left rostral middle frontal gyrus, right precentral gyrus, and left postcentral gyrus in high-tension glaucoma group (p < 0.05).
Conclusion
High-tension glaucoma patients experienced morphological reduction in the visual and nonvisual areas throughout the entire brain. Elevated intraocular pressure may contribute to the reduction of cortical thickness in certain areas in the progression of the disease.
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Funding
This study was funded by the Key Research and Development Program of Shandong Province (Grant No. 2017GGX201010), the Natural Science Foundation of Shandong Province (Grant No. ZR2016HM73) and the Academic Promotion Programme of Shandong First Medical University (Grant No. 2019QL009). JQ was supported by the Taishan Scholars Program of Shandong Province (Grant No. TS201712065).
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Wang, Y., Wang, X., Zhou, J. et al. Brain morphological alterations of cerebral cortex and subcortical nuclei in high-tension glaucoma brain and its associations with intraocular pressure. Neuroradiology 62, 495–502 (2020). https://doi.org/10.1007/s00234-019-02347-1
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DOI: https://doi.org/10.1007/s00234-019-02347-1