Measurement by nerve fiber analyzer of retinal nerve fiber layer thickness in normal subjects and patients with ocular hypertension.

Abstract:

PURPOSE:To measure retinal nerve fiber layer (NFL) thickness in normal subjects and patients with ocular hypertension and examine the relationship between age and normal NFL thickness. METHODS:Nerve fiber layer thickness was determined by scanning laser polarimetry in 210 normal subjects and 100 patients with ocular hypertension. Relative ratios for the superior and inferior NFLs were calculated by dividing the NFL values of the respective regions by the nasal value. RESULTS:Mean superior NFL in normal subjects measured 2.5 (95% confidence interval [CI], 1.3 to 3.7), and mean inferior NFL, 2.4 (95% CI, 1.2 to 3.6). Regression analysis showed a gradual decrease in NFL thickness with increasing age. In the patients with ocular hypertension, mean superior and inferior NFL were significantly lower compared with those of normal subjects: superior, 1.6 (95% CI, 0.4 to 2.8) and inferior, 1.6 (95% CI, 1.0 to 2.2). Of the patients with ocular hypertension, 58 of 100 (58%) had an abnormal NFL parameter. CONCLUSIONS:Normograms we obtained for NFL as determined by scanning laser polarimetry may serve as reference points for future studies. Patients with ocular hypertension had a significantly lower NFL thickness, although there was some overlap in resulting measurements with those of normal subjects. The Nerve Fiber Analyzer may be useful for individual follow-up of people at risk for glaucoma; however, its role as a screening instrument requires further study.

journal_name

Am J Ophthalmol

authors

Tjon-Fo-Sang MJ,de Vries J,Lemij HG

doi

10.1016/s0002-9394(14)72013-6

subject

Has Abstract

pub_date

1996-08-01 00:00:00

pages

220-7

issue

2

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(14)72013-6

journal_volume

122

pub_type

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