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May 24, 2026PLoS ONEOpen Access

Retinal macrophage-like cell activation and ganglion cell layer thinning are associated with disability and MRI lesion burden in multiple sclerosis

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Authors

FPFrancesco PichiCleveland ClinicYJYanny Perez JimenezEmirates FoundationMBMatteo BellettiAzienda USL di Bologna

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Implication

Cross-sectional observational study finds links between retinal changes and disability in multiple sclerosis, suggesting imaging could help track disease progression.

Key Points

  • This research aims to explore the relationship between retinal macrophage-like cell characteristics, ganglion cell thickness, clinical disability, and MRI lesions in multiple sclerosis.
  • Cross-sectional observational study with patients having multiple sclerosis and age-matched controls.
  • Retinal imaging was performed using spectral-domain and swept-source optical coherence tomography.
  • Clinical disability assessed via the Expanded Disability Status Scale, 9-Hole Peg Test, and 25-Foot Walk; MRI lesion counts obtained from T1 and T2 sequences.
  • Increased retinal macrophage-like cell count was linked to Expanded Disability Status Scale scores of five or higher.
  • Moderate positive association found between macrophage size and T2 lesion burden; weak with T1 lesions.
  • Ganglion cell layer thickness was significantly reduced in patients compared to controls.

Cite This Study

Pichi et al. (2026) studied this question.

synapsesocial.com/papers/6a12962948a0ea1665672bf8https://doi.org/10.1371/journal.pone.0349679
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