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Published in: Neurological Sciences 2/2021

01-02-2021 | Multiple Sclerosis | Brief Communication

Two-year macular volume assessment in multiple sclerosis patients treated with fingolimod

Authors: Alessandro d’Ambrosio, Rocco Capuano, Settimio Rossi, Alvino Bisecco, Michele Lanza, Carlo Gesualdo, Letizia Leocani, Mariaemma Rodegher, Massimo Filippi, Clara Marino, Davide Maimone, Gioacchino Tedeschi, Francesca Simonelli, Antonio Gallo

Published in: Neurological Sciences | Issue 2/2021

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Abstract/summary

Background

Fingolimod (FNG) is associated with the development of symptomatic macular edema (ME) in a small subset of multiple sclerosis (MS) patients. By using spectral domain optical coherence tomography (SD-OCT), an increase in the total macular volume (TMV) was rarely detected during the first months of treatment.

Objectives

The objective of this study is to assess whether FNG treatment leads to long-term macular changes in a real-life setting.

Methods

Sixty RRMS patients starting FNG, according to therapeutic indication, were enrolled at three Italian MS centers and followed for 2 years.

Results

The mean TMV did not change between baseline and the follow-up. No patients experienced visual acuity drop during the follow-up.

Conclusions

Initiation of FNG in MS is associated with a modest, not significant, increase in macular volume followed by no further significant changes over 2 years, highlighting the good safety profile of such treatment in MS.
Literature
1.
go back to reference Cohen JA, Barkhof F, Comi G, Hartung HP, Khatri BO, Montalban X, Pelletier J, Capra R, Gallo P, Izquierdo G, Tiel-Wilck K, de Vera A, Jin J, Stites T, Wu S, Aradhye S, Kappos L, TRANSFORMS Study Group (2010) Oral fingolimod or intramuscular interferon for relapsing multiple sclerosis. N Engl J Med 362:402–415. https://doi.org/10.1056/NEJMoa0907839CrossRefPubMed Cohen JA, Barkhof F, Comi G, Hartung HP, Khatri BO, Montalban X, Pelletier J, Capra R, Gallo P, Izquierdo G, Tiel-Wilck K, de Vera A, Jin J, Stites T, Wu S, Aradhye S, Kappos L, TRANSFORMS Study Group (2010) Oral fingolimod or intramuscular interferon for relapsing multiple sclerosis. N Engl J Med 362:402–415. https://​doi.​org/​10.​1056/​NEJMoa0907839CrossRefPubMed
2.
go back to reference Jain N, Bhatti MT (2012) Fingolimod-associated macular edema: incidence, detection, and management. Neurology 78:672–680CrossRef Jain N, Bhatti MT (2012) Fingolimod-associated macular edema: incidence, detection, and management. Neurology 78:672–680CrossRef
3.
go back to reference Abramoff MD, Garvin MK, Sonka M (2010) Retinal imaging and image analysis. IEEE Rev Biomed Eng 3:169–208CrossRef Abramoff MD, Garvin MK, Sonka M (2010) Retinal imaging and image analysis. IEEE Rev Biomed Eng 3:169–208CrossRef
Metadata
Title
Two-year macular volume assessment in multiple sclerosis patients treated with fingolimod
Authors
Alessandro d’Ambrosio
Rocco Capuano
Settimio Rossi
Alvino Bisecco
Michele Lanza
Carlo Gesualdo
Letizia Leocani
Mariaemma Rodegher
Massimo Filippi
Clara Marino
Davide Maimone
Gioacchino Tedeschi
Francesca Simonelli
Antonio Gallo
Publication date
01-02-2021
Publisher
Springer International Publishing
Published in
Neurological Sciences / Issue 2/2021
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-020-04802-x

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