Has spectral-domain optical coherence tomography retinal nerve fiber layer assessment become the method of choice for glaucoma evaluation in clinical practice?

Vivekanand Undrakonda, Sarita Gonsalves, Shailaja S. Bhat

Research output: Contribution to journalArticle

Abstract

AIM: The aim of the study was to assess the role of spectral-domain optical coherence tomography (SD-OCT) as a method of choice for early glaucoma diagnosis in glaucoma suspects. DESIGN: This was a retrospective cross-sectional study. MATERIALS AND METHODS: After a comprehensive ophthalmic examination and visual field analysis, 20 patients were included in each of the three groups: Normal group, possible glaucoma, definitive glaucoma, respectively. The optic nerve head (ONH) and peripapillary retinal nerve fiber layer parameters of participants were analyzed using SD-OCT optic disc cube protocol scans. Data was analyzed using one-way analysis of variance test. RESULTS: ONH RNFL defects in possible glaucoma patients were frequently found in superior, inferior, and temporal quadrants. CONCLUSION: Diagnostic capability of SD-OCT parameters for detection of structural changes in the ONH and retinal nerve fiber layer differed in three groups significantly. Hence, using SD-OCT has become an imperative and quick way of timely diagnosis of glaucoma in private practice.

Original languageEnglish
Pages (from-to)123-126
Number of pages4
JournalMiddle East African Journal of Ophthalmology
Volume26
Issue number3
DOIs
Publication statusPublished - 01-07-2019

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Optical Coherence Tomography
Nerve Fibers
Glaucoma
Optic Disk
Ocular Hypertension
Private Practice
Visual Fields
Early Diagnosis
Analysis of Variance
Cross-Sectional Studies

All Science Journal Classification (ASJC) codes

  • Ophthalmology

Cite this

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title = "Has spectral-domain optical coherence tomography retinal nerve fiber layer assessment become the method of choice for glaucoma evaluation in clinical practice?",
abstract = "AIM: The aim of the study was to assess the role of spectral-domain optical coherence tomography (SD-OCT) as a method of choice for early glaucoma diagnosis in glaucoma suspects. DESIGN: This was a retrospective cross-sectional study. MATERIALS AND METHODS: After a comprehensive ophthalmic examination and visual field analysis, 20 patients were included in each of the three groups: Normal group, possible glaucoma, definitive glaucoma, respectively. The optic nerve head (ONH) and peripapillary retinal nerve fiber layer parameters of participants were analyzed using SD-OCT optic disc cube protocol scans. Data was analyzed using one-way analysis of variance test. RESULTS: ONH RNFL defects in possible glaucoma patients were frequently found in superior, inferior, and temporal quadrants. CONCLUSION: Diagnostic capability of SD-OCT parameters for detection of structural changes in the ONH and retinal nerve fiber layer differed in three groups significantly. Hence, using SD-OCT has become an imperative and quick way of timely diagnosis of glaucoma in private practice.",
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