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WGA Rescources

Abstract #59321 Published in IGR 16-3

Evaluation of the Retinal Ganglion Cell Layer Thickness in Healthy Turkish Children

Totan Y; Gürağaç FB; Güler E
Journal of Glaucoma 2015; 24: e103-e108


PURPOSE: To identify the distribution, variation, and determinants of ganglion cell-inner plexiform layer (GC-IPL) thickness in healthy Turkish children measured by high-definition optical coherence tomography (HD-OCT). PATIENTS AND METHODS: This institutional study involved 296 eyes from 296 healthy children aged between 3 and 17 years. Each child underwent a dilated eye examination, cycloplegic refraction, and axial length measurement using Nidek AL-Scan optical biometer. Macular scan was used to measure the GC-IPL thickness, and peripapillary retinal nerve fiber layer (RNFL) thickness was measured using the HD-OCT (Cirrus HD-OCT). Right eye of each subject was selected for analysis. RESULTS: A total of 296 children (125 boys, 171 girls) were included in this study. The mean age of the children was 9.62±4.10 years (range, 3 to 17 y). The mean spherical equivalent was -0.09±1.49 D. The mean AL was 23.03±1.03 mm. The mean overall GC-IPL thickness was 83.44±5.52 μm and RNFL thickness was 96.91±10.21 μm. They were thicker than has been reported in adults. According to age-adjusted multiple regression analyses significant predictors of mean GC-IPL thickness were peripapillary RNFL thickness and AL (P<0.001). CONCLUSIONS: This study ensures a pediatric normative database of GC-IPL using spectral-domain OCT. This information may provide to diagnosis and monitoring of optic nerve diseases and glaucoma in children.

Department of Ophthalmology, Turgut Özal University, Medical School, Ankara, Turkey.

Full article

Classification:

2.13 Retina and retinal nerve fibre layer (Part of: 2 Anatomical structures in glaucoma)
6.9.2.2 Posterior (Part of: 6 Clinical examination methods > 6.9 Computerized image analysis > 6.9.2 Optical coherence tomography)
9.1.2 Juvenile glaucoma (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)



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