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PURPOSE: To assess the neuroretinal rim shape in a population-based study. DESIGN: Population-based, cross-sectional cohort study. METHODS: The Beijing Eye Study included 4,439 subjects with an age of 40+ years. On color optic disk photographs of a random sample of 92 subjects (92 eyes), neuroretinal rim width and area were measured in different disk sectors. RESULTS: The neuroretinal rim was significantly (P = .038) wider in the inferior disk region (0.52 ± 0.11 mm) than in the superior disk region (0.49 ± 0.10 mm), where it was significantly (P < .001) wider than in the nasal disk region (0.47 ± 0.09 mm) and was significantly (P < .001) the smallest in the temporal disk region (0.40 ± 0.12 mm). The rim was significantly wider inferiorly (I), followed by the superior disk region (S), the nasal disk region (N), and finally the temporal disk region (T) [ISNT] rule defined as the rim being larger inferiorly than superiorly, being larger than nasally and being larger than temporally, was fulfilled in 48 (52%) subjects. CONCLUSIONS: In adult Chinese as in Caucasians, the neuroretinal rim usually follows the ISNT rule.
Dr. Y. Wang, Beijing Institute of Ophthalmology, Beijing Tongren Hospital, Capital University of Medical Science, Beijing, China
2.14 Optic disc (Part of: 2 Anatomical structures in glaucoma)
6.8.2 Posterior segment (Part of: 6 Clinical examination methods > 6.8 Photography)