NDLI: Structural Measurements for Monitoring Change in Glaucoma: Comparing Retinal Nerve Fiber Layer Thickness With Minimum Rim Width and Area.

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Structural Measurements for Monitoring Change in Glaucoma: Comparing Retinal Nerve Fiber Layer Thickness With Minimum Rim Width and Area.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Demirel, Shaban Boey, Pui Yi Yang, Hongli Gardiner, Stuart K. Burgoyne, Claude F. Fortune, Brad
Description	Country affiliation: United States Author Affiliation: Gardiner SK ( Devers Eye Institute Legacy Health, Portland, Oregon, United States.); Boey PY ( Singapore National Eye Center, Singapore.); Yang H ( Devers Eye Institute Legacy Health, Portland, Oregon, United States.); Fortune B ( Devers Eye Institute Legacy Health, Portland, Oregon, United States.); Burgoyne CF ( Devers Eye Institute Legacy Health, Portland, Oregon, United States.); Demirel S ( Devers Eye Institute Legacy Health, Portland, Oregon, United States.)
Abstract	PURPOSE: Minimum rim width (MRW) and area (MRA) have been introduced as anatomically defensible measures of neuroretinal rim tissue observable using spectral-domain optical coherence tomography (SDOCT). They have been reported to change earlier than retinal nerve fiber layer thickness (RNFLT) in glaucoma. This study sought to determine which is better to distinguish subsequent change from variability, using the previously described longitudinal signal-to-noise ratio (LSNR). METHODS: Data from 157 eyes of 157 participants with high-risk ocular hypertension or non-end-stage glaucoma (mean deviation [MD] from -22 to +3 dB) were used. Participants were tested approximately every 6 months for at least six visits. For each eye, MRW, MRA, and RNFLT were regressed linearly against time. Longitudinal signal-to-noise ratio for each eye was defined as the rate of change over time (signal) divided by the standard deviation of residuals from this trend (noise). These were compared between parameters using a Wilcoxon signed rank test. RESULTS: The median LSNRs were -0.58yâ »¹ for RNFLT (bootstrapped 95% confidence interval -0.69 to -0.48yâ »¹); -0.44yâ »¹ (-0.59 to -0.32yâ »¹) for MRW; and -0.23yâ »¹ (-0.32 to -0.08yâ »¹) for MRA. Longitudinal signal-to-noise ratios were significantly more negative for RNFLT than for MRW (P = 0.025) or for MRA (P < 0.001). CONCLUSIONS: Retinal nerve fiber layer thickness measured by SDOCT had a better LSNR than MRW or MRA. Although MRW and MRA may be more sensitive for early detection of glaucomatous damage, these data suggest that RNFLT may be preferable for monitoring change.
ISSN	01460404
e-ISSN	15525783
DOI	10.1167/iovs.15-16701
Journal	Investigative Opthalmology & Visual Science
Issue Number	11
Volume Number	56
Language	English
Publisher	Association for Research in Vision and Ophthalmology
Publisher Date	2015-10-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Glaucoma Pathology Optic Nerve Disease Progression Longitudinal Studies Retina Comparative Study Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't Discipline Ophthalmology
Content Type	Text
Resource Type	Article
Subject	Ophthalmology Sensory Systems Cellular and Molecular Neuroscience

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