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Measurements of the parapapillary atrophy zones in en face optical coherence tomography images.


ABSTRACT:

Objective

To measure the parapapillary atrophy (PPA) area in en face images obtained with swept-source optical coherence tomography (SS-OCT), and to evaluate its relationship to glaucoma, myopia, and age in non-highly myopic subjects.

Design

Retrospective, cross-sectional study.

Participants

Fifty eyes of 30 subjects with open-angle glaucoma (G group) and forty-three eyes of 26 healthy control subjects (C group). Eyes with high myopia (spherical equivalent refractive error ? -8 diopters or axial length ? 26.5 mm) were excluded.

Methods

Mean age ± standard deviation was 59.9 ± 12.4 years. The beta zone and the gamma zone PPA areas were measured in en face images reconstructed from three-dimensional SS-OCT images. Relationship between the PPA areas and patient characteristics such as glaucoma, axial length, and age was statistically evaluated using multivariate mixed-effects models.

Main outcome measures

Areas of the beta zone and the gamma zone PPA measured on en face OCT images.

Results

Average ± standard deviation area of the beta and the gamma zone was 0.64 ± 0.79 and 0.16 ± 0.30 mm2, respectively. In multivariate models, the gamma zone significantly correlated with axial length (P = 0.001) but not with glaucoma (P = 0.944). In contrast, the beta zone significantly correlated with age (P = 0.0249) and glaucoma (P = 0.014).

Conclusions

En face images reconstructed from 3D SS-OCT data facilitated measurements of the beta and the gamma PPA zones even in eyes with optic disc distortion. The OCT-defined beta zone is associated with glaucoma and age, whereas the gamma zone correlated with myopia but not with glaucoma. This study confirmed the clinical usefulness of OCT-based classification of the PPA zones in distinguishing glaucomatous damage of the optic nerve from myopic damage in non-highly myopic eyes.

SUBMITTER: Miki A 

PROVIDER: S-EPMC5393576 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature

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Publications

Measurements of the parapapillary atrophy zones in en face optical coherence tomography images.

Miki Atsuya A   Ikuno Yasushi Y   Weinreb Robert N RN   Yokoyama Junko J   Asai Tomoko T   Usui Shinichi S   Nishida Kohji K  

PloS one 20170417 4


<h4>Objective</h4>To measure the parapapillary atrophy (PPA) area in en face images obtained with swept-source optical coherence tomography (SS-OCT), and to evaluate its relationship to glaucoma, myopia, and age in non-highly myopic subjects.<h4>Design</h4>Retrospective, cross-sectional study.<h4>Participants</h4>Fifty eyes of 30 subjects with open-angle glaucoma (G group) and forty-three eyes of 26 healthy control subjects (C group). Eyes with high myopia (spherical equivalent refractive error  ...[more]

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