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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Na, Jung Hwa Sung, Kyung Rim Sun, Jae Hong Lee, Youngrok Baek, Seunghee |
| Description | Author Affiliation: Na JH ( Department of Ophthalmology, College of Medicine, University of Ulsan, Asan Medical Center, Seoul, Korea.) |
| Abstract | PURPOSE: To explore factors affecting the glaucoma diagnostic capability of macular thickness and circumpapillary retinal nerve fiber layer (cRNFL) thickness as determined by spectral domain-optical coherence tomography. METHODS: Area under the curve (AUC) of the receiver operating characteristics (ROC) discriminating healthy from glaucomatous eyes was determined using 10 macular thickness and 16 cRNFL thickness parameters. Glaucomatous eyes were categorized into two groups using four criteria according to whether cRNFL thickness or macular thickness measurement was better for glaucoma detection (cRNFL better group [RBG], macula better group [MBG], respectively). The clinical characteristics were compared between RBG and MBG. ROC regression analysis was conducted to identify variables affecting diagnostic capability using either macular thickness or cRNFL thickness measurements. RESULTS: Four hundred twenty-four glaucomatous patients and 297 healthy subjects were analyzed. Of all cRNFL parameters, average thickness showed the largest AUC (0.958). Of macular parameters, the inferior outer sector showed the largest AUC (0.880). More eyes were placed into the RBG than the MBG, making use of all four criteria (90 vs. 24, 143 vs. 46, 76 vs. 18, and 103 vs. 36, respectively). RBG patients had a smaller optic disc area than did MBG patients in 3 of the 4 criteria. Signal strength affected the diagnostic performance of cRNFL thickness measurement (P = 0.043), whereas that of macular thickness was not affected by any covariate analyzed. CONCLUSIONS: Overall, cRNFL thickness measurements were generally superior to those of macular thickness when used to diagnose glaucoma. Macular thickness parameters were of greater value in eyes with larger optic discs. |
| ISSN | 01460404 |
| e-ISSN | 15525783 |
| Journal | Investigative Opthalmology & Visual Science |
| Issue Number | 11 |
| Volume Number | 52 |
| Language | English |
| Publisher | Association for Research in Vision and Ophthalmology |
| Publisher Date | 2011-10-11 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Glaucoma Diagnosis Macula Lutea Pathology Nerve Fibers Optic Disk Optic Nerve Diseases Retinal Ganglion Cells Area Under Curve Intraocular Pressure Physiology Prospective Studies Roc Curve Tomography, Optical Coherence Tonometry, Ocular Visual Acuity 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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