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Abstract #46279 Published in IGR 13-2
The retinal nerve fibre layer thickness in glaucomatous hydrophthalmic eyes assessed by scanning laser polarimetry with variable corneal compensation in comparison with age-matched healthy children
Hlozanek M; Osmera J; Lezatkova P; Sedlackova P; Filous AActa Ophthalmologica 2011;
Purpose: To compare the thickness of the retinal nerve fibre layer (RNFL) in hydrophthalmic glaucomatous eyes in children with age-matched healthy controls using scanning laser polarimetry with variable corneal compensation (GDxVCC). Methods: Twenty hydrophthalmic eyes of 20 patients with the mean age of 10.64(plus or minus)3.02years being treated for congenital or infantile glaucoma were included in the analysis. Evaluation of RNFL thickness measured by GDxVCC in standard Temporal-Superior-Nasal-Inferior-Temporal (TSNIT) parameters was performed. The results were compared to TSNIT values of an age-matched control group of 120 healthy children published recently as referential values. The correlation between horizontal corneal diameter and RNFL thickness in hydrophthalmic eyes was also investigated. Results: The mean (plus or minus) SD values in TSNIT Average, Superior Average, Inferior Average and TSNIT SD in hydrophthalmic eyes were 52.3(plus or minus)11.4, 59.7(plus or minus)17.1, 62.0(plus or minus)15.6 and 20.0(plus or minus)7.8(mu)m, respectively. All these values were significantly lower compared to referential TSNIT parameters of age-matched healthy eyes (p=0.021, p=0.001, p=0.003 and p=0.018, respectively). A substantial number of hydrophthalmic eyes laid below the level of 5% probability of normality in respective TSNIT parameters: 30% of the eyes in TSNIT average, 50% of the eyes in superior average, 30% of the eyes in inferior average and 45% of the eyes in TSNIT SD. No significant correlation between enlarged corneal diameter and RNFL thickness was found. Conclusions: The mean values of all standard TSNIT parameters assessed using GDxVCC in hydrophthalmic glaucomatous eyes in children were significantly lower in comparison with referential values of healthy age-matched children.
A. Filous. Department of Ophthalmology for Children and Adults, Charles University, 2nd Faculty of Medicine, V Uvalu 84, 15006 Prague 5, Czech Republic. Email: ales.filous@lfmotol.cuni.cz
Classification:
9.1.2 Juvenile glaucoma (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
6.9.1.2 Confocal Scanning Laser Polarimetry (Part of: 6 Clinical examination methods > 6.9 Computerized image analysis > 6.9.1 Laser scanning)
