NDLI: Effect of contact lens power on optical coherence tomography of the retinal nerve fiber layer.

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Effect of contact lens power on optical coherence tomography of the retinal nerve fiber layer.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Dziura, James Li, Fang-Yong Salchow, Daniel J. Hwang, Anita M.
Description	Country affiliation: United States Author Affiliation: Salchow DJ ( Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Connecticut 06510, USA. daniel.salchow@yale.edu)
Abstract	PURPOSE: To study the effect of contact lens (CL) power on retinal nerve fiber layer (RNFL) thickness measurements using optical coherence tomography (OCT). METHODS: Cross-sectional study on 15 healthy subjects. Peripapillary RNFL thickness was measured using time-domain OCT without CL and with CL of different powers (+4 D, +10, -4D, and -10 D), and again without CL. RNFL thickness measurements were compared statistically. RESULTS: Age of study subjects was 30.5 ± 3.2 (mean ± SD) years. Global RNFL thickness measurements showed good repeatability (average without CL was 107 ± 9.3 µm for the first measurement, and 107.4 ± 7.4 µm for the second [P = 0.8]). There was no significant effect of CL power on global RNFL thickness, although more variability was observed with the -10 D CL. When analyzing individual clock-hour segments, only differences in the 6 o'clock hour segment were statistically significant (between -10 D CL [155.9 ± 22.4 µm] and without CL [143.5 ± 19.3 µm], as well as between -10 D and +4 D CL [138.9 ± 19.9 µm], with P < 0.001). When analyzed for individual quadrants, differences in the inferior quadrant were significant between measurements with -10 D CL and all other CLs. CONCLUSIONS: Refractive error changes at the corneal plane do not significantly affect RNFL thickness measurements using OCT; caution is warranted in inferior segments, where variations may occur. These results may be applicable to RNFL thickness measurements before and after cataract or refractive surgery.
ISSN	01460404
e-ISSN	15525783
Journal	Investigative Opthalmology & Visual Science
Issue Number	3
Volume Number	52
Language	English
Publisher	Association for Research in Vision and Ophthalmology
Publisher Date	2011-03-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Contact Lenses Nerve Fibers Pathology Refractive Errors Physiopathology Retinal Ganglion Cells Tomography, Optical Coherence Cross-sectional Studies Therapy 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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