研究目的
To investigate the direct relationship between peripapillary retinal nerve fiber layer (RNFL) thickness measured by optical coherence tomography (OCT) and visual field (VF) severity indices computed by standard automated perimetry in glaucoma.
研究成果
A moderate correlation exists between peripapillary RNFL thickness measured by SD/TD OCT and glaucoma VF severity indices, with the inferior quadrant showing the strongest association. No significant differences were found based on the type of VF index or OCT device. This supports the use of OCT in clinical settings for assessing glaucoma severity, but the moderate strength suggests that multiple factors influence RNFL measurements.
研究不足
The study has limitations such as the influence of factors like age, ethnicity, axial length, optic disc size, pupil size, cataracts, and refractive errors on RNFL thickness measurements. The correlation was only moderate (r around 0.5), and the R2 values for regression were below 0.400, indicating that other factors beyond VF status affect RNFL thickness. The sample size and cross-sectional design limit causal inferences.
1:Experimental Design and Method Selection:
A cross-sectional comparative study design was used to compare RNFL thickness measured by SD and TD OCTs with VF severity indices in glaucomatous and healthy eyes. Pearson's correlation coefficients were calculated to assess relationships.
2:Sample Selection and Data Sources:
163 subjects (104 glaucomatous patients and 59 healthy controls) aged 20 to 70 years were enrolled. Inclusion criteria included specific refractive errors and open anterior chamber angles; exclusion criteria included ocular trauma, surgery, or diseases affecting VF/RNFL.
3:List of Experimental Equipment and Materials:
SD Cirrus HD OCT (model 4000, software ver. 3.0), TD Stratus OCT (model 3000, software ver. 4.0), Humphrey Field Analyzer II for SAP, Heidelberg Retina Angiograph 1 for RNFL photography, Goldmann applanation tonometer for IOP measurement, ultrasonography for CCT measurement, slit-lamp biomicroscopy, gonioscopy, 90-diopter lens for optic disc examination.
4:0), TD Stratus OCT (model 3000, software ver. 0), Humphrey Field Analyzer II for SAP, Heidelberg Retina Angiograph 1 for RNFL photography, Goldmann applanation tonometer for IOP measurement, ultrasonography for CCT measurement, slit-lamp biomicroscopy, gonioscopy, 90-diopter lens for optic disc examination.
Experimental Procedures and Operational Workflow:
4. Experimental Procedures and Operational Workflow: All tests (ophthalmologic examination, OCT scans, VF tests) were completed within one month. OCT scans were performed without pupil dilation, with checks for signal strength and centering. VF tests used the 30-2 Swedish interactive threshold algorithm.
5:Data Analysis Methods:
Statistical analysis included Student's t-test, Pearson's correlation coefficient, regression analysis, Steiger's Z-test, and AIC calculation using SPSS ver. 18.0 and online tools.
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