Alterations in the Retinal Nerve Fiber Layer Thickness Color Map in Non-Glaucomatous Eyes with Myopia

被引:3
作者
Yilmaz, Hayati [1 ]
Koylu, Mehmet Talay [2 ]
Yesiltas, Yagmur Seda [2 ]
Akincioglu, Dorukcan [3 ]
Yalinbas, Duygu [2 ]
Oguz, Yesim Gedik [2 ]
Bayer, Atilla [4 ]
Mutlu, Fatih Mehmet [2 ]
机构
[1] Univ Hlth Sci Turkey, Umraniye Training & Res Hosp, Clin Ophthalmol, Istanbul, Turkey
[2] Univ Hlth Sci Turkey, Gulhane Fac Med, Dept Ophthalmol, Ankara, Turkey
[3] Ataturk State Hosp, Antalya, Turkey
[4] Dunyagoz Hosp, Ankara, Turkey
来源
TURK OFTALMOLOJI DERGISI-TURKISH JOURNAL OF OPHTHALMOLOGY | 2021年 / 51卷 / 01期
关键词
Myopia; retinal nerve fiber layer; glaucoma; OPTICAL COHERENCE TOMOGRAPHY; OPEN-ANGLE GLAUCOMA;
D O I
10.4274/tjo.galenos.2020.58726
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Objectives: To determine the normal values for retinal nerve fiber layer thickness (RNFLT) in myopic patients without glaucoma and analyze the changes in their color map. Materials and Methods: A total of 245 eyes without glaucoma were included in the study. According to the degree of myopia, the cases were divided into 4 groups: control group (+1.00/-1.00 D; n=70), Group 1 (-1.00/-3.00 D; n=50), Group 2 (-3.00/-6.00 D; n=75), and Group 3 (>-6.00 D; n=50). Intra-group comparisons were performed in terms of superotemporal, superonasal, nasal, inferonasal, inferotemporal, temporal, and global RNFLT (Heidelberg Spectralis, Optic Coherence Tomography, Germany) and the color coding of these quadrants (green: within normal limits, yellow: borderline, red: outside normal limits). Results: All groups were similar in age and gender (p>0.05). As the degree of myopia increased, RNFLT became thinner in the upper and lower temporal and upper and lower nasal quadrants (p<0.01). The rate of measurements considered borderline and outside normal limit in at least 1 quadrant was higher in groups with higher myopia for all quadrants (p<0.05). This rate was found to be 8/70 (11.4%) for the control group, 9/50 (18.0%) for Group 1, 21/75 (28.0%) for Group 2, and 33/50 (66.0%) for Group 3 (p<0.01). Conclusion: The high rate of RNFLT classified as borderline or outside normal limits in myopic patients is a finding to which clinicians should pay attention in order not to make a misdiagnosis, especially in cases of suspected glaucoma.
引用
收藏
页码:26 / 31
页数:6
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