Research Article

Changes in Retinal Thickness and Brain Volume during 6.8-Year Escalating Therapy for Multiple Sclerosis

Table 2

Results of clinical data and OCT parameters over time.

Baseline (untreated)1st-line DMTHigh-efficacy DMT

Patients12 (66.7)18 (100)18 (100)
Follow-up duration, years0.25 (0.02–0.52)2.42 (1.17–8.44)2.92 (1.77–5.35)
EDSS0.75 (0.00–1.00)0.86 (0.32-1.13)0.44 (0.00–1.50)
MSSS1.34 (0.52-3.06)0.75 (0.36-2.23)0.70 (0.17-1.38)
MR findings
Total brain lesions14 (4-20)119 (7-22)119 (10-23)1
Gd lesions7 (53.8)4 (22.2)0(0.0)2
Periventricular lesions12 (100)18 (100)18 (100)
Juxtacortical lesions10 (83.3)16 (88.9)15 (83.3)
Infratentorial lesions4 (33.3)7 (38.9)8 (44.4)
Spinal cord lesions10 (83.3)15 (83.3)15 (83.3)
BPF3
OCT measures
GCIPL, μm44
pRNFL, μm

Abbreviations: NA: not applicable; DMT: disease-modifying treatment; EDSS: expanded disability status scale; MSSS: multiple sclerosis severity score; gd: gadolinium; BPF: brain parenchymal fraction; OCT: optical coherence tomography; GCIPL: ganglion cell inner-plexiform layer; pRNFL: peripapillary retinal nerve fiber layer. Values are (%), , or median (interquartile range). 1Total brain lesions: Friedman’s test (). 2Gd lesions: Cochran’s test: pairwise comparison by McNemar’s test: baseline vs. high-efficacy DMT (). 3BPF: paired samples -test (). 4GCIPL: repeated measures ANOVA: post hoc pairwise comparison (Bonferroni corrected): baseline vs. 1st-line DMT (), baseline vs. high-efficacy DMT ().