scholarly journals Assessment of retinal nerve fiber layer thickness in migraine patients measured with optical coherence tomography

2018 ◽  
Vol 5 (1) ◽  
pp. 21
Author(s):  
Alireza Khosravi ◽  
Kourosh Shahraki ◽  
Afsaneh Moghaddam

Background: Headache is one of the most disturbing symptoms with common neurological signs. Variations in optic nerve perfusion quality or retinal microcirculation may end up in peripapillary retinal nerve fiber layer (RNFL) thickness in patients with migraine. The aim of this study was to investigate the retinal nerve fiber layer (RNFL) thickness in patients with migraine.Methods: This cross-sectional study was conducted by including thirty patients diagnosed with migraine and thirty normal individuals. Patients were evaluated in groups including migraine with and without aura and controls. Retinal nerve fiber layer (RNFL) thickness was measured using stratus optical coherence tomography (OCT) and then was compared in case and control groups. All data were analyzed using SPSS software version 16.Results: RNFL thickness was significantly thinner in migraine patients compared to the control group. Symmetricity of RNFL showed significantly reduction in patients with migraine compared to standard value (95% vs 68%). Comparison of NRR area between patients and standard value showed significantly reduced values (P=0.0001). Mean value of optic disc area showed significantly reduced value compared to standard value about 2.35 m2 (P=0.0001).Conclusions: This study suggests that migraine leads to a reduction in the peripapillary RNFL thickness and to thinning in choroidal structures. These findings can be explained by a chronic ischemic insult related to migraine pathogenic mechanisms.

2011 ◽  
Vol 04 (01) ◽  
pp. 12 ◽  
Author(s):  
Elaine To ◽  
Dennis Lam ◽  
Christopher Kai-shun Leung ◽  
◽  
◽  
...  

High-speed, high-resolution imaging of the retinal nerve fiber layer (RNFL) with spectral-domain optical coherence tomography (OCT) has become an essential tool for evaluation of glaucoma. The Cirrus HD-OCT (Carl Zeiss Meditec, Inc. Dublin, CA) is a spectral-domain OCT that provides visualization of the distribution pattern and measurement of RNFL abnormalities in a 6x6mm2optic disc region. Analysis of the RNFL thickness deviation map—a color-coded map displaying areas of RNFL abnormalities—detects glaucoma with high sensitivity and specificity. Trend analysis of average and sectorial RNFL thicknesses, and event analysis of the RNFL thickness maps and the RNFL thickness profiles can be used to detect and follow diffuse and focal RNFL progression. RNFL measurement with spectral-domain OCT could provide important information for use in formulating treatment plans and evaluating disease prognosis in the management of glaucoma.


2009 ◽  
Vol 17 (5) ◽  
pp. 3997 ◽  
Author(s):  
Donald C. Hood ◽  
Ali S. Raza ◽  
Kristine Y. Kay ◽  
Shlomit F. Sandler ◽  
Daiyan Xin ◽  
...  

2015 ◽  
Vol 233 (3-4) ◽  
pp. 209-215 ◽  
Author(s):  
Radua Kamal Salah ◽  
Maria José Morillo-Sánchez ◽  
Antonio García-Ben ◽  
Francisca Rius-Diaz ◽  
Ángel Cilveti-Puche ◽  
...  

Purpose: The aim of this study was to investigate the repercussions of peripapillary detachment on retinal nerve fiber layer (RNFL) measurements in patients with highly myopic eyes. Methods: A total of 244 highly myopic eyes underwent a complete ophthalmologic examination that included optical coherence tomography (OCT) to analyze the peripapillary retina and RNFL thickness. Based on the OCT findings, patients were grouped as follows: group A: eyes with a peripapillary intrachoroidal cavitation (PIC); group B: eyes with a peripapillary neurosensory retinal detachment (PNRD), and group C: eyes without a peripapillary detachment. Results: The OCT scans identified a peripapillary detachment in 42 eyes (17.21%). Out of these 42 eyes, 22 showed PIC (52.38%; group A) and 20 had a PNRD (47.62%; group B). The average overall RNFL thickness in groups A, B and C was 74.11 ± 10.88, 88.26 ± 25.72 and 72.75 ± 16.24 μm, respectively (ANOVA test, p = 0.00). Conclusion: Eyes with a PNRD had a significantly greater average RFNL thickness than those without peripapillary detachment in pathologic myopia due to a misidentification of the outer profile of the RFNL. This fact makes the interpretation of RNFL thickness in highly myopic eyes more challenging.


Background: Smoking has multisystem effects on human body due to hypoxia and systemic inflammation, which it produces. This contributory effect is observed in ocular tissues as well. The aim of the study was to evaluate retinal nerve fiber layer (RNFL) thickness in healthy individuals with a history of smoking, using optical coherence tomography (OCT). Methods: Patients healthy eyes n=300 were examined. Two groups were made; Group A with history of smoking (n=50) and Group B with no history of smoking (n=250). Subjects with a history of diabetes, hypertension, raised intra ocular pressure (IOP >21 mmHg), any neurological disease or family history of glaucoma were excluded from the study. Independent t-test was used to assess the thickness variation with smoking status. ANOVA was used to analyze the differences in both groups. p value <0.05 was taken as significant. Results: The mean retinal nerve fiber layer (RNFL) thickness was found to be 96.44 ± 9.32 μm in Group A eyes. It was found to be significantly increased (p=0.02) in Group B 99.54 ± 9.32 μm. The mean RNFL thickness 93.52 ± 8.60 μm in smokers with history of more than 10 years was found decreased compared to the thickness 98.66 ± 3.96 μm in those with history of smoking less than 10 years. Conclusion: Retinal nerve fiber layer (RNFL) was found to be decreased in subjects with positive history of smoking. This difference signifies that smoking is associated with ocular pathologies. Future protocols may be included in screening for RNFL thickness in smokers for early detection and prevention of optical diseases. Keywords: Smoking; Retina; Retinal Nerve Fiber Layer (RNFL); Retinal Damage; Optical Coherence Tomography (OCT).


2017 ◽  
Vol 11 (2) ◽  
pp. 52-57 ◽  
Author(s):  
Reetika Sharma ◽  
Divya Singh ◽  
Esha Agarwal ◽  
Sanjay K Mishra ◽  
Tanuj Dada

ABSTRACT Introduction To evaluate the relationship between retinal nerve fiber layer (RNFL) thickness measured by Cirrus high-definition (HD) optical coherence tomography (OCT) and the axial length and refractive error of the eye. Materials and methods A total of 100 eyes of 100 healthy subjects (age 20-34 years with M/F ratio of 57/43), comprising 50 eyes with emmetropia [spherical equivalent (SE) 0 D], 25 eyes with moderate myopia (SE between -4 D and -8 D), and 25 eyes with high myopia (SE between -8 D and -12 D) were analyzed in this cross-sectional study. Average and mean clock hour RNFL thicknesses were measured by cirrus HD-OCT and compared between the three groups. Associations between RNFL measurements and axial length and SE were evaluated by linear regression analysis. Results The average RNFL measurements were significantly lower in high myopia (78.68 +/- 5.67) and moderate myopia (83.76 +/- 3.44) group compared with emmetropia group (91.26 +/- 2.99), also in the superior and inferior mean clock hours. Significant correlations were evident between RNFL measurements and the SE and axial length. The average RNFL thickness decreased with increasing axial length (r = –0.8115) and negative refractive power (r = 0.8397). Myopia also affected the RNFL thickness distribution. As the axial length increased and the SE decreased, the thickness of the superior, inferior, and nasal peripapillary RNFL decreased. Conclusion The axial length/refractive error of the eye affected the average RNFL thickness and the RNFL thickness distribution. Analysis of RNFL thickness in the evaluation of glaucoma should always be interpreted with reference to the refractive status. When interpreting the RNFL thickness of highly myopic patients by OCT, careful attention must be given to the inherently thinner RNFL to avoid a false diagnosis of glaucoma. How to cite this article Singh D, Mishra SK, Agarwal E, Sharma R, Bhartiya S, Dada T. Assessment of Retinal Nerve Fiber Layer Changes by Cirrus High-definition Optical Coherence Tomography in Myopia. J Curr Glaucoma Pract 2017;11(2):52-57.


1970 ◽  
Vol 4 (1) ◽  
pp. 59-63 ◽  
Author(s):  
A Malik ◽  
M Singh ◽  
SK Arya ◽  
S Sood ◽  
P Ichhpujani

Introduction: Measuring the thickness of the retinal nerve fiber layer is a potential method of recognizing axon loss prior to the visual field abnormality. Objective: To study normal individuals to quantify peripapillary retinal nerve fiber layer (RNFL) thickness in Asian Indian subjects. Materials and methods: This was a prospective study of 150 normal subjects. Peripapillary RNFL was imaged with Optical Coherence Tomography (OCT3) and the thickness of the RNFL around the disc was determined in four quadrants with a 3.4 mm circle OCT scan. The influence of age and gender was evaluated on various parameters using unpaired t test, Pearson’s correlation coefficient and ANOVA. Results: The sample included 66 males and 84 females. The mean age of the study sample was 42.64 ± 13.63 years. The average RNFL thickness was 101.07 ± 10.13μm with the maximum thickness in the inferior quadrant (127.47±15.57) followed by the superior, nasal and temporal quadrants. The difference between the inferior and superior quadrants was statistically significant (p < 0.001). There was no significant difference in RNFL thickness between males and females. Negative correlation was found between age and average RNFL thickness, superior and temporal average (Pearson’s correlation value = -0.262, - 0.209, - 0.294 respectively and p = 0.02, 0.04, 0.001 respectively). Conclusion: The present study provides additional data on the existing database of RNFL thickness in Asian Indians. It is also evident that RNFL thickness decreases with age but there is no relationship with gender. DOI: http://dx.doi.org/10.3126/nepjoph.v4i1.5852 NEPJOPH 2012; 4(1): 59-63


Author(s):  
Mustafa Nassan Hasoun, Yusuf Suleiman, Hala Saeed Mustafa Nassan Hasoun, Yusuf Suleiman, Hala Saeed

Objective: The aim of this study is to evaluate the retinal nerve fiber layer (RNFL) thickness by optical coherence tomography (OCT) in Syrian patients with MS and diseases- free controls and to assess this thickness in MS-ON and MS-NON, and assess the relationship between RNFL thickness Expanded Disability Status Scale (EDSS) score. Although there are many similar studies to evaluate role of OCT at MS patients in different countries and many races,but this study is the first one of using OCT at MS patients in our country. Methods: This study (cross sectional ,case- control) was carried out at Tishreen University Hospital in Latakia. A total of 112 eyes from 56 individuals with an age range from 22 to 43 years were studied. twenty -six patients with definite MS, Diagnosis of MS was based on the MacDonald criteria.The disease-free controls were matched for age and gender (n=30; 60eyes). Retinal nerve fiber layer thickness was measured using optical coherence tomography (Spectralis OCT - Heidelberg Engineering), and gathering information about past ON history since more than 6 months and EDSS. Results: There were statistically Significant differences (p=0.0001) between both groups (case- control) were observed in OCT parameters (average, and all sectors especially temporal and superior sector) with lower RNFL thickness in the MS group (MS-ON,MS-NON).There were statistically significant differences (p=0.0001) between MS-ON (n = 20 eyes) and MS-NON (n = 32eyes) for all RNFL parameters measured by OCT, with lower RNFL thickness in (MS-ON).There were statistically significant inverse correlations was observed between average RNFL thickness and neurologic impairment (Expanded Disability Status Scale) (r=- 0.6، P=0.0001) and all sectors especially in temporal and superior quadrants (r=-7 , P=0.0001). Conclusions: OCT seems to be a reproducible test to detect axonal loss of ganglion cells in MS (RNFL). Further and larger longitudinal prospective studies would be valuable to assess the evolution over time of the RNFL measurements in Syrian MS patients.


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