Novel utilisation of ultrawide-field fundus photography for detecting retinal nerve fibre layer defects in glaucomatous eyes

2021 ◽  
pp. bjophthalmol-2020-318559
Author(s):  
Mi Jeung Kim ◽  
Jung Hyun Lee ◽  
Ji In Park ◽  
Jin Young Choi ◽  
Joonhong Sohn ◽  
...  
Keyword(s):  
Nerve Fibre ◽  
Normal Control ◽  
Clinical Effectiveness ◽  
Retinal Nerve Fibre Layer ◽  
Fundus Photography ◽  
Eligibility Criteria ◽  
Glaucoma Suspect ◽  
Fibre Layer ◽  
Nerve Fibre Layer ◽  
Green Separation

Background/aimsEvaluation of the retinal nerve fibre layer (RNFL) is important for identifying glaucomatous damage. Ultrawide-field fundus photography (UWP) imaging is increasingly used in the ophthalmological field; however, it is unknown whether it can be used for detecting RNFL defects (RNFLDs). We investigated whether RNFLD can be detected with UWP images and compared the clinical effectiveness of three types of images for detecting RNFLD: conventional red-free RNFL photography (RFP), non-mydriatic UWP and digitally converted green separation of non-mydriatic UWP (G-UWP).MethodsEyes with glaucoma or glaucoma suspect and normal control eyes meeting the eligibility criteria were consecutively enrolled from September 2019 to April 2020. Their conventional RFP, non-mydriatic UWP and G-UWP images were assessed for detecting RNFLD to evaluate the sensitivity and specificity for detecting RNFLD.ResultsThree image sets of 196 participants (84 normal control, 25 glaucoma suspect and 87 glaucoma) were obtained. The sensitivity of G-UWP (94.6%; 95% CI 88.7 to 98.0) and RFP (92.9%; 95% CI 86.4 to 96.9) was higher than that of UWP (82.1%; 95% CI 73.8 to 88.7; p<0.05). The sensitivities of G-UWP and RFP are comparable. The specificity of G-UWP (78.6%; 95% CI 68.3 to 86.8) and UWP (75.0%; 95% CI 64.4 to 83.8) was comparable, but both were lower than that of RFP (98.8%; 95% CI 93.5 to 100.0; p<0.05).ConclusionNon-mydriatic UWP images can be used to detect RNFLD. Non-mydriatic G-UWP showed comparable sensitivity but lower specificity to conventional RFP. Non-mydriatic G-UWP could be used as a convenient and useful diagnostic tool for screening glaucoma in clinical settings.

Retinal Nerve Fibre Layer Assessment in Glaucoma and Glaucoma Suspect by Optical Coherence Tomography (OCT)

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Ahmed Mohamed El-Dabae ◽  
Mohamed Omar Rashed ◽  
Mohamed Abd El-Hakim Zaky ◽  
Weam Mohamed Ahmed Ebeid
Keyword(s):  
Visual Field ◽  
Nerve Fibre ◽  
Roc Curve ◽  
Retinal Nerve Fibre Layer ◽  
Curve Analysis ◽  
Cutoff Point ◽  
Roc Curve Analysis ◽  
Glaucoma Suspect ◽  
Fibre Layer ◽  
Nerve Fibre Layer

Abstract Background Glaucoma is a progressive optic neuropathy characterized by structural changes in the optic nerve head, retinal nerve fiber layer (RNFL) defect, and accompanying visual field damage (VFD). In glaucoma management, detecting progression is essential in both early and late stages of the disease. In patients with an established diagnosis of glaucoma, evidence of progression will influence a clinician’s decision whether to modify glaucoma therapy. In patients who are suspected of having the disease, progression detection can confirm the diagnosis, and help decide how to manage the patient. Although standard automated perimetry has been the most commonly used test to monitor glaucomatous progression, evidence suggests that in some eyes substantial structural damage can be detected before the development of clinically detectable VFD. Objective To compare retinal nerve fibre layer thickness between glaucoma and glaucoma suspects. Methods We conducted our cross sectional comparative study on Forty eight eyes from patients recruited from Ain Shams University Hospitals, Ophthalmology Department during the period from February 2019 to December 2019. The Forty eight eyes were recruited in this study and divided into 2 groups. Group A- (Twenty-four eyes with moderate open angle glaucoma) and Group B- (Twenty four eyes with criteria of glaucoma suspects). Results There was highly Significant difference as regards OCT parameters of the patients (p &lt; 0.001 for all). As the mean value of Cup/disc ratio was lower in Glaucoma Suspected cases, while Total RNFL, RNFL Superior and RNFL Inferior was higher in Glaucoma Suspected cases than patients with Moderate glaucoma. This study showed that; by using ROC-curve analysis, cup to disc ratio (CDR) at a cutoff point (&gt;0.59) detected patients with glaucoma, with excellent accuracy, sensitivity= 95% and specificity= 100%. Also, by using ROC-curve analysis, superior RNFL at a cutoff point (≤116) detected patients with glaucoma, with fair accuracy, sensitivity= 66% and specificity= 91%. While inferior RNFL at a cutoff point (≤113) detected patients with glaucoma, with good accuracy, sensitivity= 70% and specificity= 95%. Conclusion In conclusion, structural progression measured using SD OCT was associated with functional progression shown in VF loss in glaucoma suspect or preperimetric glaucoma eyes and in glaucomatous eyes. Average, inferior and superior RNFL attenuations were the most important risk factors for visual field progression.

scholarly journals Retinal nerve fibre layer, ganglion cell layer and choroid thinning in migraine with aura

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Metin Ekinci ◽  
Erdinç Ceylan ◽  
Halil Hüseyin Çağatay ◽  
Sadullah Keleş ◽  
Nergiz Hüseyinoğlu ◽  
...  
Keyword(s):  
Ganglion Cell ◽  
Nerve Fibre ◽  
Migraine With Aura ◽  
Ganglion Cell Layer ◽  
Cell Layer ◽  
Retinal Nerve Fibre Layer ◽  
Fibre Layer ◽  
Nerve Fibre Layer

Evaluation of the distribution pattern of the circumpapillary retinal nerve fibre layer from the nasal hemiretina

2015 ◽  
Vol 99 (10) ◽  
pp. 1419-1423 ◽  
Author(s):  
Kaori Ueda ◽  
Akiyasu Kanamori ◽  
Azusa Akashi ◽  
Yoshiko Matsumoto ◽  
Yuko Yamada ◽  
...  
Keyword(s):  
Distribution Pattern ◽  
Nerve Fibre ◽  
Retinal Nerve Fibre Layer ◽  
Fibre Layer ◽  
Nerve Fibre Layer

Is retinal nerve fibre layer thickness correlated with visual function in individuals having optic neuritis?

2021 ◽  
pp. 1-7
Author(s):  
Abbas Ali Yekta ◽  
Sara Sorouh ◽  
Amir Asharlous ◽  
Ali Mirzajani ◽  
Ebrahim Jafarzadehpur ◽  
...  
Keyword(s):  
Optic Neuritis ◽  
Layer Thickness ◽  
Nerve Fibre ◽  
Visual Function ◽  
Retinal Nerve Fibre Layer ◽  
Fibre Layer ◽  
Nerve Fibre Layer

Influence of uveitis on Bruch’s membrane opening minimum rim width and retinal nerve fibre layer thickness measurements

2018 ◽  
Vol 103 (10) ◽  
pp. 1413-1417 ◽  
Author(s):  
Matthias F Kriegel ◽  
Arnd Heiligenhaus ◽  
Carsten Heinz
Keyword(s):  
Layer Thickness ◽  
Nerve Fibre ◽  
Retinal Nerve Fibre Layer ◽  
Bruch's Membrane ◽  
Bruch’S Membrane ◽  
Fibre Layer ◽  
Bruch’S Membrane Opening ◽  
Nerve Fibre Layer ◽  
Active Inflammation ◽  
The Impact

Background/aimsTo assess the impact of papillary leakage and active inflammation on optical coherence tomography (OCT)-based retinal nerve fibre layer thickness (RNFLT) and Bruch’s membrane opening minimum rim width (BMO-MRW) measurements in uveitic eyes with and without secondary glaucoma.MethodsProspective, single-centre analysis of patients with uveitis. All patients included received a fluorescein angiography examination and an OCT scan measuring the BMO-MRW and the RNFLT in three concentric peripapillary ring scans.ResultsOverall, 95 eyes of 56 patients were enrolled. Papillary leakage and active inflammation were present in 39 (41%) and 57 (60%) eyes, respectively. Twenty-one eyes were classified as glaucomatous; 10 of those glaucomatous eyes showed papillary leakage. Both BMO-MRW and RNFLT measurements were significantly increased in eyes with papillary leakage (BMO-MRW: p=0.0001; RNFLT: first to third ring (p<0.0001)). Active inflammation led to a significantly thickened RNFLT (first ring: p=0.0026; second ring: p=0.0009; third ring: p=0.0002) while only a trend towards increased values could be observed in the BMO-MRW measurements (p=0.3063). Glaucomatous eyes with papillary leakage demonstrated significantly higher values on both BMO-MRW and RNFLT measurements than glaucomatous eyes without leakage (BMO-MRW: p=0.0159; RNFLT: first ring: p=0.0062; second ring: p=0.0037; third ring: p=0.0197). No significant difference could be observed between glaucomatous eyes with leakage and non-glaucomatous eyes without leakage (BMO-MRW: p=0.4132; RNFLT: first ring: p=0.5412; second ring: p=0.3208; third ring: p=0.1164).ConclusionsThe OCT scanning parameters BMO-MRW and RNFLT were significantly influenced by papillary leakage in uveitic eyes with and without glaucoma. RNFLT values were also significantly increased while active inflammation was present. In patients with uveitis, these OCT-based imaging tools should be interpreted with caution, especially in those with papillary leakage or active inflammation.

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