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Abstract #14135 Published in IGR 8-3

Comparison of retinal nerve fiber layer measurements between NTG and HTG using GDx-vCC

Jung JI; Kim JH; Kook MS
Korean Journal of Ophthalmology 2006; 20: 26-32


PURPOSE: To compare quantitative polarimetric measurements in eyes with NTG and HTG using GDx-VCC. Both groups were matched by age and glaucoma stage based on the Humphrey visual field test. METHODS: We retrospectively reviewed the records of 146 patients who underwent Humphrey field analysis (HFA) and GDx-VCC. We compared outcomes of retinal nerve fiber layer (RNFL) parameters among the three groups by ANOVA and between each pair of groups using the Tukey-Kramer Post-Hoc test. We also evaluated the sensitivity and specificity of GDx-VCC in detecting glaucoma in each group. RESULTS: The mean age and HFA mean deviation (MD) were 55.6 ± 9.5 years and -0.8 ± 1.5 dB in 47 control patients, 59.4 ± 9.0 years and -5.77 ± 4.38 dB in 49 NTG patients, and 59.4 ± 11.7 years and -8.09 ± 6.77 dB in 51 HTG patients, respectively. All thickness parameters were lower in HTG patients compared to NTG patients, but there were no significant differences in ratio parameters between age-matched early HTG and NTG patients. The sensitivity of GDx-VCC was significantly higher in both early and total HTG patients compared to the respective groups of NTG patients. CONCLUSIONS: Compared to eyes with NTG, eyes with HTG showed reduced RNFL thickness and ratio parameters when patients were age and visual field matched. GDx-VCC appeared to be more sensitive in detecting RNFL damage in HTG patients.

Dr. J.I. Jung, Department of Ophthalmology, University of Soonchunhyang, College of Medicine, Seoul, Korea


Classification:

6.9.1 Laser scanning (Part of: 6 Clinical examination methods > 6.9 Computerized image analysis)
9.2.4 Normal pressure glaucoma (Part of: 9 Clinical forms of glaucomas > 9.2 Primary open angle glaucomas)



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