Morphometric Optic Nerve Head Analysis in Glaucoma Patients: A Comparison between the Simultaneous Nonmydriatic Stereoscopic Fundus Camera (Kowa Nonmyd WX3D) and the Heidelberg Scanning Laser Ophthalmoscope (HRT III).

Abstract:

:Purpose. To investigate the agreement between morphometric optic nerve head parameters assessed with the confocal laser ophthalmoscope HRT III and the stereoscopic fundus camera Kowa nonmyd WX3D retrospectively. Methods. Morphometric optic nerve head parameters of 40 eyes of 40 patients with primary open angle glaucoma were analyzed regarding their vertical cup-to-disc-ratio (CDR). Vertical CDR, disc area, cup volume, rim volume, and maximum cup depth were assessed with both devices by one examiner. Mean bias and limits of agreement (95% CI) were obtained using scatter plots and Bland-Altman analysis. Results. Overall vertical CDR comparison between HRT III and Kowa nonmyd WX3D measurements showed a mean difference (limits of agreement) of -0.06 (-0.36 to 0.24). For the CDR < 0.5 group (n = 24) mean difference in vertical CDR was -0.14 (-0.34 to 0.06) and for the CDR ≥ 0.5 group (n = 16) 0.06 (-0.21 to 0.34). Conclusion. This study showed a good agreement between Kowa nonmyd WX3D and HRT III with regard to widely used optic nerve head parameters in patients with glaucomatous optic neuropathy. However, data from Kowa nonmyd WX3D exhibited the tendency to measure larger CDR values than HRT III in the group with CDR < 0.5 group and lower CDR values in the group with CDR ≥ 0.5.

journal_name

J Ophthalmol

journal_title

Journal of ophthalmology

authors

Mariacher S,Hipp S,Wirthky R,Blumenstock G,Bartz-Schmidt KU,Ziemssen F,Schiefer U,Voykov B,Januschowski K

doi

10.1155/2016/4764857

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

4764857

eissn

2090-004X

issn

2090-0058

journal_volume

2016

pub_type

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