scholarly journals Age-Related Physiologic Thinning Rate of the Retinal Nerve Fiber Layer in Different Levels of Myopia

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Daun Jeong ◽  
Kyung Rim Sung ◽  
Youn Hye Jo ◽  
Sung-cheol Yun
Keyword(s):  
Nerve Fiber ◽  
Retinal Nerve Fiber Layer ◽  
Refractive Error ◽  
Fiber Layer ◽  
Nerve Fiber Layer ◽  
Rnfl Thickness ◽  
Significant Difference ◽  
Thinning Rate ◽  
Sd Oct ◽  
Retinal Nerve Fiber

Purpose. To investigate the effect of refractive error on the physiologic thinning rate of the retinal nerve fiber layer (RNFL) in healthy eyes. Materials and Methods. This study analyzed 223 eyes of 141 healthy subjects followed for more than 5 years and underwent at least five serial spectral domain optical coherence tomography (SD-OCT) examinations. Longitudinal RNFL measurements were analyzed by linear mixed models incorporating follow-up duration, baseline RNFL thickness, spherical equivalent (SE), age, intraocular pressure, and visual field mean deviation. Thinning rates were classified according to SE into three groups: nonmyopic (NM; >0 D), mild-to-moderately myopic (MM; >–6 D and ≤0 D), and highly myopic (HM; ≤–6 D). Results. The overall slopes of change in RNFL thickness over time in the NM, MM, and HM groups were −0.305 ± 0.128, −0.294 ± 0.068, and −0.208 ± 0.097 μm/yr, respectively. Slopes of RNFL thickness changes in these groups were −0.514 ± 0.248, −0.520 ± 0.133, and −0.528 ± 0.188 μm/yr, in the superior quadrant; −0.084 ± 0.145, 0.107 ± 0.082, and −0.161 ± 0.112 μm/yr, in the temporal quadrant; −0.807 ± 0.242, −0.794 ± 0.130, and −0.727 ± 0.183 μm/yr, in the inferior quadrant; and 0.160 ± 0.157, 0.118 ± 0.084, and 0.429 ± 0.119 μm/yr, in the nasal quadrant. Overall and in all four quadrants, there was no significant difference in the rate of RNFL thickness change among the three groups. Conclusions. Refractive error did not affect the physiologic thinning rate of RNFL when assessed by SD OCT.

scholarly journals The Effect of LASIK Procedure on Peripapillary Retinal Nerve Fiber Layer and Macular Ganglion Cell-Inner Plexiform Layer Thickness in Myopic Eyes

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Maja Zivkovic ◽  
Vesna Jaksic ◽  
Athanassios Giarmoukakis ◽  
Michael Grentzelos ◽  
Marko Zlatanovic ◽  
...  
Keyword(s):  
Ganglion Cell ◽  
Nerve Fiber ◽  
Retinal Nerve Fiber Layer ◽  
Plexiform Layer ◽  
Inner Plexiform Layer ◽  
Fiber Layer ◽  
Nerve Fiber Layer ◽  
Rnfl Thickness ◽  
Significant Difference ◽  
Retinal Nerve Fiber

Purpose. To evaluate the effect of applied suction during microkeratome-assisted laser in situ keratomileusis (LASIK) procedure on peripapillary retinal nerve fiber layer (RNFL) thickness as well as macular ganglion cell-inner plexiform layer (GC-IPL) thickness. Methods. 89 patients (124 eyes) with established myopia range from −3.0 to −8.0 diopters and no associated ocular diseases were included in this study. RNFL and GC-IPL thickness measurements were performed by spectral domain optical coherence tomography (SD OCT) one day before LASIK and at 1 and 6 months postoperatively. Results. Mean RNFL thickness prior to LASIK was 93.86±12.17 μm while the first month and the sixth month postoperatively were 94.01±12.04 μm and 94.46±12.27 μm, respectively. Comparing results, there is no significant difference between baseline, one month, and six months postoperatively for mean RNFL (p>0.05). Mean GC-IPL thickness was 81.70±7.47 μm preoperatively with no significant difference during the follow-up period (82.03±7.69 μm versus 81.84±7.64 μm; p>0.05). Conclusion. RNFL and GC-IPL complex thickness remained unaffected following LASIK intervention.

scholarly journals Evaluation of retinal nerve fiber layer thickness in patients of pituitary adenomas with and without optic chiasmal compression

2019 ◽  
Author(s):  
Kun Lei ◽  
Lina Wang ◽  
Meizi Wang ◽  
Shuran Wang ◽  
Yuanzhen Qu
Keyword(s):  
Nerve Fiber ◽  
Retinal Nerve Fiber Layer ◽  
Pituitary Tumors ◽  
Fiber Layer ◽  
Nerve Fiber Layer ◽  
Chiasmal Compression ◽  
Nerve Fiber Layer Thickness ◽  
Significant Difference ◽  
Sd Oct ◽  
Retinal Nerve Fiber

Abstract Background: Numerous studies have demonstrated loss of circumpapillary retinal nerve fiber layer (cpRNFL) thickness in patients with chiasmal compression using optical coherence tomography (OCT). This study aimed to evaluate the cpRNFL and ganglion cell compound (GCC) thicknesses in patients suffering pituitary tumors with and without chiasmal compression. Methods: forty-four patients with pituitary adenoma (PA) (twenty-one without chiasmal compression and twenty-three with chiasmal compression) and eighteen controls were enrolled. cpRNFL and GCC thickness were measured in both patients and controls by SD-OCT. Results: three groups (PAs with optic chiasmal compression, PAs without optic chiasmal compression and controls) were closely matched in terms of mean age, sex and IOP (p=0.173, p=0.184 and P=0.343, respectively). The average cpRNFL and GCC thickness was significantly different among three groups (cpRNFL : 94.1±12.5µm, 106.4±7.3µm, 110.7±6.9µm, respectively; GCC: 85.8±6.9µm, 93.8±5.0µm, 97.2±5.6µm, respectively ). The cpRNFL was analyzed in different regions, and significant difference was found in nasal upper and nasal lower between PAs without optic chiasmal compression and controls. Conclusion: Even there is no evidence of compression at the chiasm on magnetic resonance imaging (MRI), GCC and cpRNFL thinning could still be detected in patients of pituitary tumor by SD-OCT. The loss of RNFL is more severe in patients with chiasmal compression.

scholarly journals Diagnostic Ability of Retinal Nerve Fiber Layer Thickness Deviation Map for Localized and Diffuse Retinal Nerve Fiber Layer Defects

2017 ◽  
Vol 2017 ◽  
pp. 1-9
Author(s):  
Joong Won Shin ◽  
Mincheol Seong ◽  
Jung Wook Lee ◽  
Eun Hee Hong ◽  
Ki Bang Uhm
Keyword(s):  
Nerve Fiber ◽  
Retinal Nerve Fiber Layer ◽  
Diagnostic Performance ◽  
Angular Width ◽  
Fiber Layer ◽  
Diagnostic Ability ◽  
Nerve Fiber Layer ◽  
Rnfl Thickness ◽  
Significant Difference ◽  
Retinal Nerve Fiber

Purpose. To evaluate the diagnostic ability of the retinal nerve fiber layer (RNFL) deviation map for glaucoma with localized or diffuse RNFL defects. Methods. Eyes of 139 glaucoma patients and 165 healthy subjects were enrolled. All participants were imaged with Cirrus HD-OCT (Carl Zeiss Meditec, Dublin, CA, USA). A RNFL defect was defined as at least 10 contiguous red (<1% level) superpixels in RNFL deviation map. The area, location, and angular width of RNFL defects were automatically measured. We compared sensitivities, specificities, and area under the receiver operating characteristic curves (AUCs) of RNFL deviation map and circumpapillary RNFL thickness for localized and diffuse RNFL defects. Subgroup analysis was performed according to the severity of glaucoma. Results. For localized defects, the area of RNFL defects (AUC, 0.991; sensitivity, 97%; specificity, 90%) in deviation map showed a higher diagnostic performance (p=0.002) than the best circumpapillary RNFL parameter (inferior RNFL thickness; AUC, 0.914; sensitivity, 79%; specificity, 92%). For diffuse defects, there was no significant difference between the RNFL deviation map and circumpapillary RNFL parameters. In mild glaucoma with localized defect, RNFL deviation map showed a better diagnostic performance than circumpapillary RNFL measurement. Conclusions. RNFL deviation map is a useful tool for evaluating glaucoma regardless of localized or diffuse defect type and has advantages over circumpapillary RNFL measurement for detecting localized RNFL defects.

scholarly journals Effect of intravitreal ranibizumab and aflibercept injections on retinal nerve fiber layer thickness

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Jayoung Ahn ◽  
Kyuhwan Jang ◽  
Joonhong Sohn ◽  
Ji In Park ◽  
Daniel Duck-Jin Hwang
Keyword(s):  
Nerve Fiber ◽  
Retinal Nerve Fiber Layer ◽  
Intravitreal Ranibizumab ◽  
Fiber Layer ◽  
Exudative Amd ◽  
Nerve Fiber Layer ◽  
Rnfl Thickness ◽  
Significant Difference ◽  
Fellow Eyes ◽  
Retinal Nerve Fiber

AbstractThe purpose is to evaluate the effects of multiple intravitreal ranibizumab (IVR) and aflibercept (IVA) injections on peripapillary retinal nerve fiber layer (RNFL) thickness in patients with exudative age-related macular degeneration (AMD). This retrospective, observational, consecutive case series study enrolled patients newly diagnosed with monocular exudative AMD from January 2014 to October 2019 who were administered IVR or IVA injections. Normal fellow eyes were included as controls. Medical records and spectral domain optical coherence tomography results were reviewed at baseline and at 3, 6, and 12 months after injection. No statistically significant differences in peripapillary RNFL thickness and intraocular pressure were observed between the treated and fellow eyes in the two groups. The global RNFL thicknesses for the treated eyes decreased significantly after 12 months compared with baseline, but no significant difference was observed in any of the six examined sectors (temporal, superior temporal, superior nasal, nasal, inferior nasal, and inferior temporal). At 12 months, the central macular thickness of the treated eyes decreased significantly. Multiple IVR and IVA injections are apparently safe considering peripapillary RNFL damage in patients with exudative AMD. The decreased RNFL thickness of the global sector was presumably due to anatomical improvement of macular lesions.

scholarly journals Effects of Misalignments in the Retinal Nerve Fiber Layer Thickness Measurements with Spectral Domain Optical Coherence Tomography

2014 ◽  
Vol 2014 ◽  
pp. 1-7
Author(s):  
Kleyton A. Barella ◽  
Fernanda Cremasco ◽  
Camila Zangalli ◽  
Vital P. Costa
Keyword(s):  
Nerve Fiber ◽  
Layer Thickness ◽  
Retinal Nerve Fiber Layer ◽  
Fiber Layer ◽  
Cross Sectional ◽  
Nerve Fiber Layer ◽  
Nerve Fiber Layer Thickness ◽  
Significant Difference ◽  
Sd Oct ◽  
Retinal Nerve Fiber

Purpose. To investigate misalignments (MAs) on retinal nerve fiber layer thickness (RNFLT) measurements obtained withCirrus©SD-OCT.Methods. This was a retrospective, observational, cross-sectional study. Twenty-seven healthy and 29 glaucomatous eyes of 56 individuals with one normal exam and another showing MA were included. MAs were defined as an improper alignment of vertical vessels in the en face image. MAs were classified in complete MA (CMA) and partial MA (PMA), according to their site: 1 (superior, outside the measurement ring (MR)), 2 (superior, within MR), 3 (inferior, within MR), and 4 (inferior, outside MR). We compared RNFLT measurements of aligned versus misaligned exams in all 4 sectors, in the superior area (sectors 1 + 2), inferior area (sectors 3 + 4), and within the measurement ring (sectors 2 + 3).Results. RNFLT measurements at 12 clock-hour of eyes with MAs in the superior area (sectors 1 + 2) were significantly lower than those obtained in the same eyes without MAsP=0.043. No significant difference was found in other areas (sectors 1 + 2 + 3 + 4, sectors 3 + 4, and sectors 2 + 3).Conclusion. SD-OCT scans with superior MAs may present lower superior RNFLT measurements compared to aligned exams.

Effect of Oral Isotretinoin Treatment on Retinal Nerve Fiber Layer Thickness

2014 ◽  
Vol 18 (4) ◽  
pp. 236-242 ◽  
Author(s):  
Haydar Ucak ◽  
Veysel Aykut ◽  
Savas Ozturk ◽  
Demet Cicek ◽  
Ilker Erden ◽  
...  
Keyword(s):  
Nerve Fiber ◽  
Retinal Nerve Fiber Layer ◽  
Fiber Layer ◽  
Nerve Fiber Layer ◽  
Ocular Side ◽  
Rnfl Thickness ◽  
Significant Difference ◽  
Before And After ◽  
Oral Isotretinoin ◽  
Retinal Nerve Fiber

Background: Oral isotretinoin treatment can cause ocular side effects. Objective: This study was performed to detect possible toxic effects of oral isotretinoin treatment on the retinal nerve fiber layer (RNFL) and ganglion cell layer (GCL). Methods: The study population consisted of 54 eyes of 27 patients with nodulocystic acne who used oral isotretinoin (Roaccutane) treatment. Macular GCL and peripapillary RNFL thickness measurements were performed using spectral domain optical coherence tomography (OCT) before and after therapy. Results: Before and after treatment, a complete ophthalmologic examination was normal in all eyes. However, posttreatment lower temporal (TL) values were significantly lower (76.80 ± 16.31) than pretreatment TL values (84.96 ± 24.83) ( p = .02). There was no statistically significant difference in the other OCT values, upper temporal, superotemporal, superonasal, upper nasal, lower nasal, inferonasal, and inferotemporal ( p = .35, p = .40, p = .56, p = .95, p = .94, p = .93, p = .61, respectively). Also, there was no statistically significant difference between the right and left eyes and between genders for all parameters ( p > .05). Conclusion: The use of oral isotretinoin treatment has increased in recent years. In addition, oral isotretinoin treatment has a broad adverse effect potential on the ocular system. The measurement of RNFL thickness, especially TL thickness, by OCT may be useful for detecting the possible toxic effect of oral isotretinoin therapy on RNFL.

Retinal Nerve Fiber Layer Thickness between Normal Eyes & Glaucoma

2015 ◽  
Author(s):  
Basimah S Al-Otaibi
Keyword(s):  
Nerve Fiber ◽  
Retinal Nerve Fiber Layer ◽  
Thickness Measurement ◽  
Fiber Layer ◽  
Cross Sectional ◽  
Nerve Fiber Layer ◽  
Early Stages ◽  
Rnfl Thickness ◽  
Significant Difference ◽  
Retinal Nerve Fiber

Background: Screening of the retinal nerve fiber layer (RNFL) is valuable in the early stages of glaucoma, because RNFL changes may precede functional loss. Aim to study: The purpose of this study was to assess the RNFL thickness in normal and glaucomatous eyes. Difference in the RNFL thickness was also determined between the groups.Methods: Sixty healthy subjects and 30 subjects with glaucoma participated in this cross-sectional study. Healthy volunteers free of glaucoma were divided into 2 groups, younger (age ≤ 35 years) and older (age > 35 years) participants. All subjects underwent complete ophthalmic evaluation, including visual acuity, refraction, slit-lamp, intraocular pressure (IOP) measurement, and RNFL thickness measurement by Optical Coherence Tomography (OCT). Unpaired t-test was performed to compare RNFL thickness between the eyes of younger and older participants. One way analysis (ANOVA) test was employed to compare RNFL thickness among the 3 groups (normal young, normal old & glaucomatous eyes).Results: Mean values of RNFL thickness in the younger, older and glaucoma populations were 109.3±15 µm (95% CI 103.7-114.06 µm), 106.8 ± 14 µm (95% CI 101.49-112.02) and 92.8± 29 µm (95% CI 82.11-103.47), respectively. There was a significant difference among the 3 groups (p=0.0045). The RNFL was thinner in older participants than younger participants (p=0.0067). Conclusions: Screening of the RNFL is valuable in the early stages of glaucoma.

scholarly journals The Relationship between Visual Field Global Indices and Retinal Nerve Fiber Layer Thickness in Healthy Myopes

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Yuan-zhi Yuan ◽  
Chen-li Feng ◽  
Bao-yue Li ◽  
Min-qian Shen ◽  
Xiu-ping Chen ◽  
...  
Keyword(s):  
Visual Field ◽  
Nerve Fiber ◽  
Retinal Nerve Fiber Layer ◽  
Refractive Error ◽  
Central Visual Field ◽  
Fiber Layer ◽  
Nerve Fiber Layer ◽  
Global Indices ◽  
Rnfl Thickness ◽  
Retinal Nerve Fiber

The aim of the current study was to investigate the association between the thickness of the retinal nerve fiber layer (RNFL) and central visual field indices in otherwise healthy myopes. In total, 57 otherwise healthy subjects were cross-sectionally studied. General ophthalmic examinations, refractive measurements, RNFL thickness by spectral domain optical coherence tomography (OCT), and central visual fields were examined. Linear models were used to assess the associations. In this young and mid-aged population, the mean spherical equivalent was −4.79 (SD 1.66) and −4.59 (SD 1.88) diopters in the right and left eyes, respectively. Approximately 7% to 14% of the eyes showed the average RNFL thickness out of the normal range. The temporal RNFL was remarkably thicker, whereas the nasal RNFL was thinner. The higher the refractive error, the thinner the RNFL thickness. A thicker overall RNFL was significantly associated with decreased mean sensitivity and increased mean defect, and further adjustments for age, sex, refractive error, optic disk area, or ocular magnification did not change the association. Although nonpathologic myopia does not significantly affect central visual field global indices, its effects on the RNFL may be linked with performance on the central visual field test.

scholarly journals Factors related to retinal nerve fiber layer thickness in bipolar disorder patients and major depression patients

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yanhong Liu ◽  
Yongsheng Tong ◽  
Lvzhen Huang ◽  
Jingxu Chen ◽  
Shaoxiao Yan ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Major Depression ◽  
Nerve Fiber ◽  
Retinal Nerve Fiber Layer ◽  
Macular Thickness ◽  
Fiber Layer ◽  
Nerve Fiber Layer ◽  
Rnfl Thickness ◽  
Normal People ◽  
Retinal Nerve Fiber

Abstract Background We analyzed the correlation of the clinical data with retinal nerve fiber layer (RNFL) thickness and macular thickness in bipolar disorder patients and major depression patients. The aim of this study is to explore factors that affect RNFL thickness in bipolar disorder patients and major depression patients, with a view to providing a new diagnostic strategy. Methods Eighty-two bipolar disorder patients, 35 major depression patients and 274 people who were age and gender matched with the patients were enrolled. Demographic information and metabolic profile of all participants were collected. Best-corrected visual acuity of each eye, intraocular pressure (IOP), fundus examination was performed. RNFL and macular thickness were measured by optical coherence tomography (OCT). Correlations between RNFL and macular thickness and other data were analyzed. Results RNFL and macula lutea in bipolar dipolar patients and major depression patients are thinner than normal people. Triglyceride and UA levels are the highest in the bipolar disorder group, while alanine aminotransferase (ALT) and glutamic oxalacetic transaminase (AST) levels in the depression group are the highest. Age onset and ALT are positively while uric acid (UA) is negatively correlated with RNFL thickness in bipolar dipolar patients. Cholesterol level is positively correlated with RNFL thickness while the duration of illness is correlated with RNFL thickness of left eye in major depression patients. Conclusions RNFL and macula lutea in bipolar dipolar patients and major depression patients are thinner than normal people. In bipolar disorder patients, age-onset and ALT are potential protective factors in the progress of RNFL thinning, while UA is the pathological factor.

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