Abstract
Objective
The purpose of the present study was to evaluate the thickness of the peripapillary retinal nerve fiber layer (RNFL) and retinal ganglion cell–inner plexiform layer (GCIPL) in adult-onset familial Mediterranean fever (FMF).
Methods
Forty two adult-onset FMF patients and forty two healthy controls were included in the present study. Detailed ocular examination was performed, and then the thickness of the peripapillary RNFL and GCIPL was measured by Spectral domain optical coherence tomography. The patients were divided into two groups according to their disease severity score, M694V gene mutation, colchicine dosage used per day, colchicine usage time period and number of FMF attacks per year.
Results
There were no statistically significant differences in peripapillary RNFL and retinal GCIPL thickness in patients with adult-onset FMF and controls.
Conclusion
According to our study, it looks like that neither adult-onset FMF nor colchicine has any effect on the RNFL and GCIPL thicknesses. Further studies with a large sample size are needed.
Similar content being viewed by others
References
Ureten K, Gönülalan G, Akbal E, Güneş F, Akyürek Ö, Özbek M, Öztürk MA (2010) Demographic, clinical and mutational characteristics of Turkish familial Mediterranean fever patients: results of a single center in Central Anatolia. Rheumatol Int 30:911–915
El-Shanti H, Majeed HA, El-Khateeb M (2006) Familial Mediterranean fever in Arabs. Lancet 367:1016–1024
Sohar E, Gafni J, Pras M, Heller H (1967) Familial Mediterranean fever: a survey of 470 cases and review of the literature. Am J Med 43:227–253
Sayarlioglu M, Cefle A, Inanc M, Kamali S, Dalkilic E, Gul A, Ocal L, Aral O, Konice M (2005) Characteristics of patients with adult-onset familial Mediterranean fever in Turkey: analysis of 401 cases a survey of 470 cases and review of the literature. Int J Clin Pract 59:202–205
Takeno M, Ishigatsubo Y (2006) Behcet’s disease and familial Mediterranean fever. Intern Med 45:805–806
Ozkurede VU, Franchi L (2012) Immunology in clinic review series; focus on autoinflammatory diseases: role of inflammasomes in autoinflammatory syndromes. Clin Exp Immunol 167:382–390
Madigan MC, Sadun AA, Rao NS, Dugel PU, Tenhula WN, Gill PS (1996) Tumor necrosis factor-alpha (TNF-alpha)-induced optic neuropathy in rabbits. Neurol Res 18:176–184
Yoneda S, Tanihara H, Kido N, Honda Y, Goto W, Hara H, Miyawaki N (2001) Interleukin-1β mediates ischemic injury in the rat retina. Exp Eye Res 73:661–667
Beidner BZ, Rothkoff L, Friedman L, Geltman C (1977) Colchicine suppression of corneal healing after strabismus surgery. Br J Ophthalmol 61:496–497
French FMFC (1997) A candidate gene for familial Mediterranean fever. Nat Genet 17:25–31
Livneh A, Langevitz P, Zemer D, Zaks N, Kees S, Lidar T, Migdal A, Padeh S, Pras M (1997) Criteria for the diagnosis of familial Mediterranean fever. Arthritis Rheum 40:1879–1885
Pras E, Livneh A, Balow JE, Pras E, Kastner DL, Pras M, Langevitz P (1998) Clinical differences between North African and Iraqi Jews with familial Mediterranean fever. Am J Med Genet 75:216–219
Michaelson I, Eliakim M, Ehrenfeld EN, Rachmilewitz M (1959) Fundal changes resembling colloid bodies in recurrent polyserositis (periodic disease). AMA Arch Ophthalmol 62:1–4
Baghdassarian SA, Armenian HK, Khachadurian AK (1972) Absence of ophthalmoscopic changes in familial paroxysmal polyserositis. Arch Ophthalmol 88:607–608
Huang P, Qi Y, Xu YS, Liu J, Liao D, Zhang SS, Zhang C (2010) Serum cytokine alteration is associated with optic neuropathy in human primary open angle glaucoma. J Glaucoma 19:324–330
Nakazawa T, Nakazawa C, Matsubara A, Noda K, Hisatomi T, She H, Michaud N, Hafezi-Moghadam A, Miller JW, Benowitz LI (2006) Tumor necrosis factor-alpha mediates oligodendrocytes death and delayed retinal ganglion cell loss in a mouse model of glaucoma. J Neurosci 26:12633–12641
Doganay S, Evereklioglu C, Er H, Türköz Y, Sevinc A, Mehmet N, Şavli H (2002) Comparison of serum NO, TNF-α, IL-1β, sIL-2R, IL-6 and IL-8 levels with grades of retinopathy in patients with diabetes mellitus. Eye (Lond) 16:163–170
Gang N, Drenth JP, Langevitz P, Zemer, Zemer D, Brezniak N, Pras M, van der Meer JW, Livneh A (1999) Activation of the cytokine network in familial Mediterranean fever. J Rheumatol 26:890–897
Alim S, Özer S, Demir S, Ortak H, Sönmezgöz E, Er E, Demir O (2016) Peripapillary retinal nerve fiber layer and ganglion cell-inner plexiform layer thickness in children with familial Mediterranean fever. Ocul Immunol Inflamm 24:372–376
Akman A, Varan B, Akova YA, Aydin P (2001) Ocular involvement in siblings with familial mediterranean fever. J Pediatr Ophthalmol Strabismus 38:114–116
Ayhan Tuzcu E, Ustun N, Ilhan N, Yagiz E, Daglioglu MC, Coskun M, Ilhan O, Keskin U, Yengil E (2014) Peripapillary retinal nerve fiber layer and ganglion cell-inner plexiform layers thickness in ankylosing spondylitis. Ocul Immunol Inflamm 22:429–433
Erdurmus M, Bekdas M, Demircioğlu F, Soydan A, Göksügür SB, Kısmet E (2014) Retinal and choroidal thickness in children with familial mediterranean fever. Ocul Immunol Inflamm 22:444–448
Gundogan FC, Akay F, Uzun S, Ozge G, Toyran S, Genç H (2015) Choroidal thickness changes in the acute attack period in patients with familial Mediterranean fever. Ophthalmologica 235:72–77
Fortune B, Wang L, Cull G, Cioffi GA (2008) Intravitreal colchicine causes decreased RNFL birefringence without altering RNFL thickness. Investig Ophthalmol Vis Sci 49:255–261
Leibovitch I, Alster Y, Scherrmann JM, Azmon B, Barequet IS, Livneh A, O'Brien TP, Lazar M, Loewenstein A (2003) Colchicine in tear fluid of treated patients with familial Mediterranean fever. Cornea 22:191–193
Acknowledgements
Authors are grateful to Mr. Osman DEMİR, Instructor (Gaziosmanpaşa University, School of Medicine, Department of Biostatistics) for his support in statistics of the present study.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
This study has no financial support, and the authors report no declarations of interest.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standard.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
Alim, S., Esen, M., Demir, A.K. et al. Peripapillary retinal nerve fiber layer and ganglion cell–inner plexiform layer thickness in adult-onset familial Mediterranean fever. Int Ophthalmol 38, 183–190 (2018). https://doi.org/10.1007/s10792-017-0446-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10792-017-0446-1