The Optimal Diameter for Circumpapillary Retinal Nerve Fiber Layer Thickness Measurement by SD-OCT in Glaucoma
PURPOSE:To evaluate the diagnostic power for glaucoma detection using circumpapillary retinal nerve fiber layer (cRNFL) thickness in 3 diameter sizes from the center of the optic nerve head (ONH) by spectral domain optical coherence tomography. PATIENTS AND METHODS:In this cross-sectional study, cas...
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| Published in: | Journal of glaucoma Vol. 27; no. 12; pp. 1086 - 1093 |
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| Main Authors: | , , , , , , , |
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01-12-2018
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| Abstract | PURPOSE:To evaluate the diagnostic power for glaucoma detection using circumpapillary retinal nerve fiber layer (cRNFL) thickness in 3 diameter sizes from the center of the optic nerve head (ONH) by spectral domain optical coherence tomography.
PATIENTS AND METHODS:In this cross-sectional study, case-control, 437 eyes diagnosed with glaucoma and 183 eyes of healthy controls underwent spectral domain optical coherence tomography of the ONH, visual field testing, and a clinical examination. cRNFL was measured by circular scans in 3.5 (C1), 4.1 (C2), and 4.7 mm (C3) distance from the center of the ONH. Receiver-operator characteristic analysis was used to assess diagnostic power to detect glaucoma; furthermore, patient-specific maximum localized damage was analyzed.
RESULTS:In C1, mean global cRNFL was 70.03±18.2 μm in glaucomatous eyes and 93.46±9.9 μm in controls. Respectively, cRNFL in C2 was 61.39±14.9 and 80.43±8.4 μm as well as 55.25±12.8 and 70.70±6.7 μm in C3. Using receiver-operator characteristic analysis, the area under the curve (AUC) for cRNFL was 0.855 in C1, 0.850 in C2, and 0.843 in C3. Mean AUCs in ONH sectors ranged from 0.699 to 0.846 and did not exceed AUC of the best scoring global parameter.
CONCLUSIONS:Comparing 3.5, 4.1, and 4.7 mm diameters for cRNFL measurement, the inner circle at 3.5 mm distance showed the highest AUC to differentiate glaucoma from healthy controls. However, levels of diagnostic power from wider circular scans were not significantly different and were comparable. Moreover, sectorial cRNFL measurements were nonsuperior. The use of the ONH sector with the highest localized damage seems not to increase diagnostic power. |
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| AbstractList | PURPOSE:To evaluate the diagnostic power for glaucoma detection using circumpapillary retinal nerve fiber layer (cRNFL) thickness in 3 diameter sizes from the center of the optic nerve head (ONH) by spectral domain optical coherence tomography.
PATIENTS AND METHODS:In this cross-sectional study, case-control, 437 eyes diagnosed with glaucoma and 183 eyes of healthy controls underwent spectral domain optical coherence tomography of the ONH, visual field testing, and a clinical examination. cRNFL was measured by circular scans in 3.5 (C1), 4.1 (C2), and 4.7 mm (C3) distance from the center of the ONH. Receiver-operator characteristic analysis was used to assess diagnostic power to detect glaucoma; furthermore, patient-specific maximum localized damage was analyzed.
RESULTS:In C1, mean global cRNFL was 70.03±18.2 μm in glaucomatous eyes and 93.46±9.9 μm in controls. Respectively, cRNFL in C2 was 61.39±14.9 and 80.43±8.4 μm as well as 55.25±12.8 and 70.70±6.7 μm in C3. Using receiver-operator characteristic analysis, the area under the curve (AUC) for cRNFL was 0.855 in C1, 0.850 in C2, and 0.843 in C3. Mean AUCs in ONH sectors ranged from 0.699 to 0.846 and did not exceed AUC of the best scoring global parameter.
CONCLUSIONS:Comparing 3.5, 4.1, and 4.7 mm diameters for cRNFL measurement, the inner circle at 3.5 mm distance showed the highest AUC to differentiate glaucoma from healthy controls. However, levels of diagnostic power from wider circular scans were not significantly different and were comparable. Moreover, sectorial cRNFL measurements were nonsuperior. The use of the ONH sector with the highest localized damage seems not to increase diagnostic power. PURPOSETo evaluate the diagnostic power for glaucoma detection using circumpapillary retinal nerve fiber layer (cRNFL) thickness in 3 diameter sizes from the center of the optic nerve head (ONH) by spectral domain optical coherence tomography. PATIENTS AND METHODSIn this cross-sectional study, case-control, 437 eyes diagnosed with glaucoma and 183 eyes of healthy controls underwent spectral domain optical coherence tomography of the ONH, visual field testing, and a clinical examination. cRNFL was measured by circular scans in 3.5 (C1), 4.1 (C2), and 4.7 mm (C3) distance from the center of the ONH. Receiver-operator characteristic analysis was used to assess diagnostic power to detect glaucoma; furthermore, patient-specific maximum localized damage was analyzed. RESULTSIn C1, mean global cRNFL was 70.03±18.2 μm in glaucomatous eyes and 93.46±9.9 μm in controls. Respectively, cRNFL in C2 was 61.39±14.9 and 80.43±8.4 μm as well as 55.25±12.8 and 70.70±6.7 μm in C3. Using receiver-operator characteristic analysis, the area under the curve (AUC) for cRNFL was 0.855 in C1, 0.850 in C2, and 0.843 in C3. Mean AUCs in ONH sectors ranged from 0.699 to 0.846 and did not exceed AUC of the best scoring global parameter. CONCLUSIONSComparing 3.5, 4.1, and 4.7 mm diameters for cRNFL measurement, the inner circle at 3.5 mm distance showed the highest AUC to differentiate glaucoma from healthy controls. However, levels of diagnostic power from wider circular scans were not significantly different and were comparable. Moreover, sectorial cRNFL measurements were nonsuperior. The use of the ONH sector with the highest localized damage seems not to increase diagnostic power. To evaluate the diagnostic power for glaucoma detection using circumpapillary retinal nerve fiber layer (cRNFL) thickness in three diameter sizes from the center of the optic nerve head (ONH) by spectral domain optical coherence tomography (SD-OCT). In this cross-sectional study, case-control, 437 eyes diagnosed with glaucoma and 183 eyes of healthy controls underwent SD-OCT of the ONH, visual field testing, and a clinical examination. Circumpapillary RNFL thickness (cRNFL) was measured by circular scans in 3.5▒mm (C1), 4.2▒mm (C2) and 4.7▒mm (C3) distance from the center of the ONH. Receiver operating characteristics (ROC) analysis was used to assess diagnostic power to detect glaucoma; furthermore, patient-specific maximum localized damage was analysed. In C1, mean global cRNFL was 70.03±18.2▒μm in glaucomatous eyes and 93.46±9.9▒μm in controls. Respectively, cRNFL in C2 was 61.39±14.9▒μm and 80.43±8.4▒μm as well as 55.25±12.8▒μm and 70.70±6.7▒μm in C3. Using ROC analysis, the area under the curve (AUC) for cRNFL was 0.855 in C1, 0.850 in C2, and 0.843 in C3. Mean AUCs in ONH sectors ranged from 0.699 to 0.846 and did not exceed AUC of the best scoring global parameter. Comparing 3.5-mm, 4.2-mm and 4.7-mm diameters for cRNFL measurement, the inner circle at 3.5mm distance showed the highest AUC to differentiate glaucoma from healthy controls. However, levels of diagnostic power from wider circular scans were not significantly different and were comparable. Also, sectorial cRNFL measurements were non-superior. The use of the ONH sector with the highest localized damage seems not to increase diagnostic power. |
| Author | Dietlein, Thomas S Heindl, Ludwig M Schaub, Friederike Adler, Werner Hermann, Manuel M El-Malahi, Ouahiba Cursiefen, Claus Enders, Philip |
| AuthorAffiliation | Department of Medical Informatics, Biometry, and Epidemiology, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen Department of Ophthalmology, University Hospital of Cologne, Cologne |
| AuthorAffiliation_xml | – name: Department of Ophthalmology, University Hospital of Cologne, Cologne – name: Department of Medical Informatics, Biometry, and Epidemiology, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen |
| Author_xml | – sequence: 1 givenname: Ludwig surname: Heindl middlename: M fullname: Heindl, Ludwig M organization: Department of Ophthalmology, University Hospital of Cologne, Cologne – sequence: 2 givenname: Werner surname: Adler fullname: Adler, Werner organization: Department of Medical Informatics, Biometry, and Epidemiology, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen – sequence: 3 givenname: Ouahiba surname: El-Malahi fullname: El-Malahi, Ouahiba organization: Department of Ophthalmology, University Hospital of Cologne, Cologne – sequence: 4 givenname: Friederike surname: Schaub fullname: Schaub, Friederike organization: Department of Ophthalmology, University Hospital of Cologne, Cologne – sequence: 5 givenname: Manuel surname: Hermann middlename: M fullname: Hermann, Manuel M organization: Department of Ophthalmology, University Hospital of Cologne, Cologne – sequence: 6 givenname: Thomas surname: Dietlein middlename: S fullname: Dietlein, Thomas S organization: Department of Ophthalmology, University Hospital of Cologne, Cologne – sequence: 7 givenname: Claus surname: Cursiefen fullname: Cursiefen, Claus organization: Department of Ophthalmology, University Hospital of Cologne, Cologne – sequence: 8 givenname: Philip surname: Enders fullname: Enders, Philip organization: Department of Ophthalmology, University Hospital of Cologne, Cologne |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30036293$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1364_BOE_420507 crossref_primary_10_1007_s00417_024_06498_7 crossref_primary_10_1371_journal_pone_0250233 |
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| References | Heussen (R32-20230912) 2012; 96 Leite (R29-20230912) 2012; 21 Enders (R14-20230912) 2016; 57 Reis (R17-20230912) 2012; 53 Mansberger (R11-20230912) 2017; 174 Ghassibi (R25-20230912) 2017; 26 Chen (R4-20230912) 2009; 107 Ajtony (R1-20230912) 2007; 48 Chauhan (R3-20230912) 2013; 120 Abramoff (R20-20230912) 2009; 50 Enders (R36-20230912) 2017; 7 Chauhan (R23-20230912) 2015; 122 Schuman (R26-20230912) 1996; 103 Kim (R8-20230912) 2015; 93 Mwanza (R21-20230912) 2011; 118 Zangwill (R39-20230912) 2006; 17 Smith (R7-20230912) 2014; 91 Nieves-Moreno (R9-20230912) 2018; 7 Enders (R37-20230912) 2017; 101 Reis (R18-20230912) 2012; 119 Prager (R10-20230912) 2017; 135 Seong (R33-20230912) 2010; 51 Pazos (R13-20230912) 2017; 124 Rougier (R6-20230912) 2015; 93 Gardiner (R16-20230912) 2014; 157 Leung (R27-20230912) 2007; 48 Soltani-Moghadam (R31-20230912) 2015; 8 Enders (R34-20230912) 2017; 101 Leite (R28-20230912) 2011; 118 Rao (R30-20230912) 2011; 129 He (R5-20230912) 2014; 55 Bowd (R24-20230912) 2006; 47 Povazay (R19-20230912) 2007; 12 Chauhan (R22-20230912) 2013; 156 Enders (R35-20230912) 2018; 32 Aptel (R2-20230912) 2010; 150 Huang (R15-20230912) 2012; 53 Rufer (R12-20230912) 2016; 254 |
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| Snippet | PURPOSE:To evaluate the diagnostic power for glaucoma detection using circumpapillary retinal nerve fiber layer (cRNFL) thickness in 3 diameter sizes from the... To evaluate the diagnostic power for glaucoma detection using circumpapillary retinal nerve fiber layer (cRNFL) thickness in three diameter sizes from the... PURPOSETo evaluate the diagnostic power for glaucoma detection using circumpapillary retinal nerve fiber layer (cRNFL) thickness in 3 diameter sizes from the... |
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| Title | The Optimal Diameter for Circumpapillary Retinal Nerve Fiber Layer Thickness Measurement by SD-OCT in Glaucoma |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/30036293 https://search.proquest.com/docview/2075544720 |
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