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Relationship between Peripapillary Retinal Nerve Fiber Layer Thickness Measured by Optical Coherence Tomography and Visual Field Severity Indices

DOI:10.3341/kjo.2015.29.4.263 期刊:Korean Journal of Ophthalmology 出版年份:2015 更新时间:2025-09-23 15:22:29
摘要: Purpose: Though there are many reports regarding the structure-function relationship in glaucoma, they are too complicated to apply to the routine clinical setting. The aim of this study was 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. Methods: This cross-sectional comparative study included 104 glaucomatous patients and 59 healthy subjects. Peripapillary RNFL thickness was measured by spectral domain (SD) and time domain (TD) OCTs. Four glaucoma VF severity indices, including mean deviation (MD), pattern standard deviation (PSD), Collaborative Initial Glaucoma Treatment Study (CIGTS) VF score, and Advanced Glaucoma Intervention Study (AGIS) VF score, were calculated using standard automated perimetry. The Pearson’s correlation coefficients (r) between the average and quadrants of peripapillary RNFL thicknesses and the four VF severity indices were calculated. Results: In glaucomatous eyes, the r value between the average RNFL thickness measured by SD OCT and each VF severity index were 0.562, -0.514, -0.577, and -0.567 for the MD, PSD, CIGTS VF score, and AGIS VF score, respectively (all p < 0.001). Among each quadrant, the inferior RNFL thickness showed the largest r value; 0.587, -0.552, -0.613, and -0.598 for the MD, PSD, CIGTS VF score, and AGIS VF score, respectively (all p < 0.001). Measurements by TD OCT showed similar strengths of association with SD OCT. Conclusions: Moderate correlation was identified between peripapillary RNFL thicknesses measured by SD/TD OCT and glaucoma VF severity indices. Among each quadrant, the inferior RNFL thickness showed the greatest association with glaucoma VF severity indices. There was no significant difference according to the type of VF severity index or the type of OCTs.
作者: Eun Min Kang,Samin Hong,Chan Yun Kim,Gong Je Seong
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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.

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.

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.

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