Ten-year-and-beyond longitudinal change of ß-zone parapapillary atrophy in glaucoma: association with retinal nerve fibre layer defect

2021 ◽  
pp. bjophthalmol-2020-318464
Author(s):  
Eunoo Bak ◽  
Yong Woo Kim ◽  
Young Kook Kim ◽  
Jin Wook Jeoung ◽  
Ki Ho Park
Keyword(s):  
Nerve Fibre ◽  
Open Angle Glaucoma ◽  
Retinal Nerve Fibre Layer ◽  
Longitudinal Change ◽  
Fibre Layer ◽  
Radial Extent ◽  
Significant Difference ◽  
Angular Extent ◽  
Parapapillary Atrophy ◽  
Nerve Fibre Layer

BackgroundTo investigate the longitudinal change of localised retinal nerve fibre layer (RNFL) defects associated with change of ß-zone parapapillary atrophy (PPA) in primary open-angle glaucoma (POAG) eyes.MethodsPOAG patients with a localised RNFL defect and ß-zone PPA who had undergone disc/RNFL photography at 1-year intervals for 10 years or longer were enrolled. The topographic parameters of ß-zone PPA (area, maximal radial extent and angular extent around disc) were measured. Progression of RNFL defect was defined as widening of defect and/or appearance of new defect. The factors associated with progression of RNFL defect were assessed by OR using multivariable logistic regression.ResultsA total of 209 patients (209 eyes) with POAG were included (mean: 54 years old). Over the course of 11.5±2.3-year follow-up period, progression of RNFL defect was detected in 114 eyes (54.5%). Enlargement of PPA parameters (area and angular extent) was significantly more common in patients with RNFL defect progression than in eyes without progression (all p<0.001, respectively). Widening of radial extent did not show a significant difference in both groups (p=0.61). Increment of angular extent was in the direction of RNFL defect progression in 82.1% of eyes. Progression of RNFL defect was significantly associated with disc haemorrhage (OR: 6.653, p<0.001), enlargement of PPA area (OR: 4.114, p=0.004) and angular extent (OR: 6.572, p<0.001).ConclusionsProgression of RNFL defect is associated with increment of angular extent of PPA in POAG eyes.

scholarly journals Factors Associated with Changes in Peripapillary Retinal Nerve Fibre Layer Thickness in Healthy Myopic Eyes

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Jianli Du ◽  
Yang Du ◽  
Yanyan Xue ◽  
He Wang ◽  
Yaping Li
Keyword(s):  
Nerve Fibre ◽  
Open Angle Glaucoma ◽  
False Positive Rate ◽  
Clinical Signs ◽  
Retinal Nerve Fibre Layer ◽  
Retinal Blood Flow ◽  
Glaucoma Diagnosis ◽  
Rnfl Thickness ◽  
Fibre Layer ◽  
Nerve Fibre Layer

Myopic people face an elevated risk of primary open angle glaucoma. Changes in the fundus in people with high myopia often lead to misdiagnosis of glaucoma, as this condition has many clinical signs in common with myopia, making the diagnosis of glaucoma more challenging. Compared to reduction of the visual field, a decrease in retinal nerve fibre layer (RNFL) thickness occurs earlier in glaucoma, which is widely considered useful for distinguishing between these conditions. With the development of optical coherence tomography (OCT), RNFL thickness can be measured with good reproducibility. According to previous studies, this variable is not only affected by axial length but also related to the patient’s age, gender, ethnicity, optic disc area, and retinal blood flow in myopia. Herein, we intend to summarize the factors relevant to the RNFL in myopia to reduce the false-positive rate of glaucoma diagnosis and facilitate early prevention of myopia.

Comparison of retinal ganglion cell-related layer asymmetry between early glaucoma eyes with superior and inferior hemiretina damage

2019 ◽  
Vol 104 (5) ◽  
pp. 655-659 ◽  
Author(s):  
Hitomi Saito ◽  
Aiko Iwase ◽  
Makoto Araie
Keyword(s):  
Ganglion Cell ◽  
Layer Thickness ◽  
Nerve Fibre ◽  
Retinal Ganglion Cell ◽  
Retinal Nerve Fibre Layer ◽  
Retinal Ganglion ◽  
Fibre Layer ◽  
Significant Difference ◽  
Nerve Fibre Layer ◽  
Normal Controls

AimTo compare retinal ganglion cell (RGC)-related layer thickness asymmetry between early open-angle glaucoma (EG) eyes with superior and inferior hemiretina damage.MethodsThis was a retrospective study including 95 EG eyes (mean deviation >−2 dB, including 43 preperimetric glaucoma eyes) with photographically determined glaucomatous retinal nerve fibre layer defect and disc change confined to one hemiretina, and 93 age, sex and refraction matched normal subjects as controls. Ganglion cell complex, ganglion cell layer+inner plexiform layer and circumpapillary retinal nerve fibre layer thickness measured by spectral domain optical coherence imaging were compared between the affected and unaffected hemiretinae within each glaucoma eye as well as to those of the corresponding hemiretina of normal control eyes.ResultsIntraeye comparison revealed that there was no significant difference in all parameters between the affected and unaffected hemiretinae in eyes with superior hemiretina damage (p=0.110~0.343) while all parameters were thinner in the affected inferior hemiretina compared with the unaffected superior hemiretina in eyes with inferior hemiretina damage (p<0.001). The affected hemiretina of both groups were thinner compared with normal controls (p<0.001). All parameters of the unaffected hemiretina of eyes with superior hemiretina damage were thinner than normal controls (p<0.001), while eyes with inferior hemiretina damage showed no significant difference compared with those of their corresponding hemiretina of normal eyes (p=0.086~0.924).ConclusionThe pattern of RGC damage in early stage glaucoma may differ depending on which horizontal hemiretina is affected first.

Progressive retinal nerve fibre layer thinning and choroidal microvasculature dropout at the location of disc haemorrhage in glaucoma

2020 ◽  
pp. bjophthalmol-2020-316169
Author(s):  
Chung Young Kim ◽  
Eun Ji Lee ◽  
Ji-Ah Kim ◽  
Hyunjoong Kim ◽  
Tae-Woo Kim
Keyword(s):  
Nerve Fibre ◽  
Open Angle Glaucoma ◽  
Retinal Nerve Fibre Layer ◽  
Microvascular Network ◽  
Swept Source ◽  
Rnfl Thickness ◽  
Fibre Layer ◽  
Disc Haemorrhage ◽  
Nerve Fibre Layer ◽  
Cumulative Prevalence

Background/AimsTo investigate whether parapapillary choroidal microvasculature dropout (MvD) is associated with progressive retinal nerve fibre layer (RNFL) thinning in eyes with primary open-angle glaucoma (POAG) and disc haemorrhage (DH).MethodsParapapillary microvasculature was evaluated by swept-source optical coherence tomography (OCT) angiography (OCTA) in 50 eyes with POAG and DH, 1 year before, at the time of and 1 year after the detection of DH. MvD was defined as an area in the parapapillary deep layer of focal sectoral dropout with no visible microvascular network. Progressive changes in OCT RNFL thickness were compared in groups of eyes with and without MvD.ResultsCumulative prevalence of MvD was 76.0% (38 eyes) at 1 year after detection of DH. All MvDs were detected in the same sectoral locations as DH. In eyes with MvD, global RNFL thickness and sectoral RNFL thickness at the location of DH were significantly reduced, both from 1 year before to the time of DH detection (both p<0.001) and from DH detection to 1 year later (both p<0.001). In eyes without MvD, however, the reductions in global (p=0.011) and sectoral (p=0.007) RNFL thickness were significant only from DH detection to 1 year later.ConclusionIn eyes with POAG, RNFL thinning was spatially consistent and progressive at the location of MvD accompanied by subsequent DH and continued to progress after the occurrence of DH. When DH was not accompanied by MvD, progressive RNFL thinning was more likely to occur after the detection of DH.

scholarly journals Retinal nerve fibre layer thickness measured by spectral domain optical coherence tomography amongst early primary open-angle glaucoma patients at Hospital Melaka

2020 ◽  
Vol 2 (3) ◽  
pp. 203-218
Author(s):  
Anhar Hafiz Silim ◽  
Raja Norliza Raja Omar ◽  
Othmaliza Othman ◽  
Rona Asnida Nasaruddin ◽  
Norshamsiah Md Din
Keyword(s):  
Optical Coherence Tomography ◽  
Visual Field ◽  
Layer Thickness ◽  
Nerve Fibre ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Retinal Nerve Fibre Layer ◽  
Open Angle ◽  
Fibre Layer ◽  
Nerve Fibre Layer

Introduction: Glaucoma is second only to cataract as a cause of blindness worldwide and Asians account for almost half the cases. Retinal nerve fibre layer (RNFL) assessment is an important objective method for diagnosis and monitoring of glaucoma as it develops earlier than the development of visual field defects. Purpose: To estimate the proportion of primary open-angle glaucoma (POAG) patients with normal RNFL thickness (RNFLT) amongst early POAG patients who were under follow-up at the Ophthalmology Department, Hospital Melaka (Melaka, Malaysia). Study design: Observational cross-sectional study. Materials and methods: Consecutive sampling of 64 POAG patients who were diagnosed as early POAG as defined by the Glaucoma Staging System 2 (GSS 2) into stage 1 and 2 on Octopus visual field test were recruited in this study. Data collected included demographic data, refraction, slit-lamp examination, intraocular pressure (IOP), gonioscopy, peripapillary retinal nerve fibre layer thickness (RNFLT) measured by spectral-domain optical coherence tomography (SD-OCT), and fundus photography. Results: Among 64 eyes, 57.8% were found to have normal and 42.2% to have abnormal RNFLT classification. There was no difference in terms of age, gender or ethnicity between those with normal and abnormal RNFLT. Mean IOP at presentation, mean duration of POAG, and mean spherical dioptres were compared between the two groups. Only mean spherical dioptres showed a significant difference between the two groups, p < 0.001. An increase of spherical dioptres also had a moderate positive correlation with RNFLT in most optic disc quadrants except the nasal, temporal, superonasal, and inferonasal quadrants. Conclusion: OCT cannot be used as a diagnostic tool alone, especially in early glaucoma, as it showed a normal RNFLT in almost half the patients. RNFLT in early POAG had significant correlation with spherical dioptres in most quadrants.

scholarly journals Evaluation of Changes in the Ganglionic Cell Inner Plexiform Layer and Macular Retinal Nerve Fibre Layer in Patients Receiving Hydroxychloroquine

2020 ◽  
Author(s):  
Mouna Al Saad ◽  
Amin Shehadeh ◽  
Mohammed A. Abu Ameerh ◽  
Jehad Meqbil ◽  
Mohammad Qablawi ◽  
...  
Keyword(s):  
Nerve Fibre ◽  
Plexiform Layer ◽  
Retinal Nerve Fibre Layer ◽  
Inner Plexiform Layer ◽  
Control Groups ◽  
Fiber Layer ◽  
Fibre Layer ◽  
Significant Difference ◽  
Ganglionic Cell ◽  
Nerve Fibre Layer

Abstract Backgrounds: To evaluate changes in the thickness of ganglionic cell-inner plexiform layer and macular retinal nerve fiber layer using ocular coherence tomographyin patients exposed to hydroxychloroquine .Methods: This was a retrospective, cross-sectional study of patients on hydroxychloroquine therapy. Ocular coherence tomography images showing of ganglionic cell-inner plexiform cell layer and macular retinal nerve fiber layer thickness were obtained and compared to those of the control groups. The relationship between the thickness of of ganglionic cell-inner plexiform and macular retinal nerve fibre layer and the duration and cumulative dose of hydroxychloroquine was evaluated.Results: In all, 219 patients were included in this study; the mean age was 43.38 (±17.39) years. The study group comprised 100 (20 male and 80 female) patients, with a mean age of 45.28 (± 12.24) years; the control group had 119 patients (44 males and 75 females), with a mean age of 41.79 (± 20.67) years, with no significant difference in age between the groups (p = 0.123). There was a significant difference in mean of ganglionic cell-inner plexiform thickness between the study and control groups (85.6+/- 8 μm ) vs. (88.6+/-6 μm ) (p = 0.006), with a mean difference of 0.31 (95% confidence interval). The average RNFL thickness was similar in the study and control groups, 28.8±2.5 μm (range: 23 – 38) and 29.2±2.8 μm (range: 22 – 35) respectively, (p = 0.389). There was no significant correlation between of ganglionic cell-inner plexiform and macular retinal nerve fibre layer with daily dose (p = 0.229) or cumulative dose of hydroxychloroquine (p = 0.678). Conclusion : The average thickness of ganglionic cell -inner plexiform cell layer was significantly lower in those taking hydroxychloroquine than in controls. Thinning of this layer could be an early indicator of retinal toxicity before the appearance of clinical retinopathy. However, thickness of the macular retinal nerve fibre laye showed no decrease in hydroxychloroquine users and did not correlate with the duration or cumulative doses of hydroxychloroquine. Therefore, macular retinal nerve fibre layer thickness is not a useful biomarker for the early detection of hydroxychloroquine retinal toxicity.

scholarly journals Effect of Active and Passive Smoking on Retinal Nerve Fibre Layer and Ganglion Cell Complex

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Amany Abd El-Fattah El-Shazly ◽  
Yousra Ahmed Thabet Farweez ◽  
Lamia Salah Elewa ◽  
Yasser Abdelmageuid Elzankalony ◽  
Botheina Ahmed Thabet Farweez
Keyword(s):  
Ganglion Cell ◽  
Nerve Fibre ◽  
Retinal Nerve Fibre Layer ◽  
Cell Complex ◽  
Ganglion Cell Complex ◽  
Urinary Cotinine ◽  
Fibre Layer ◽  
Significant Difference ◽  
Nerve Fibre Layer ◽  
Sd Oct

Aim.To evaluate the possible structural and functional changes in the retinal nerve fibre layer (RNFL) and the ganglion cell complex (GCC) of chronic smokers and compare them with those of passive healthy smokers using spectral domain optical coherence tomography (SD-OCT) and pattern electroretinogram (PERG).Materials and Methods. We include 80 active chronic smokers and 80 age- and sex-matched healthy passive smokers. After a full ophthalmological examination, SD-OCT and PERG were tested for all participants. Urinary levels of cotinine and creatinine with subsequent calculation of the cotinine creatinine ratio (CCR).Results. Inferior and superior quadrants of RNFL were thinner in group I, but nasal and temporal quadrants did not show significant difference between the groups. There were no significant differences of GCC values between the two groups. There was no significant difference of PERG-P50 amplitude and latency; however, PERG-N95 showed significant difference between the two groups. Multiple regression analyses demonstrated that the number of cigarettes/day, urinary cotinine, and PERG-N95 amplitude are the most important determinants for both superior and inferior RNFL thicknesses.Conclusion. RNFL thickness decreases in chronic, healthy, heavy cigarette smokers, and this thinning is related to the number of cigarettes/day, urinary cotinine, and PERG-N95 latency and amplitude.

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