Glaucoma-Diagnostic Ability of Ganglion Cell-Inner Plexiform Layer Thickness Difference Across Temporal Raphe in Highly Myopic Eyes

To evaluate the glaucoma-diagnostic ability of the ganglion cell-inner plexiform layer (GCIPL) thickness difference across the temporal raphe in highly myopic eyes. We consecutively enrolled a total of 195 highly myopic eyes (axial length [AL] >26.5 mm) of 195 subjects: 93 glaucoma patients along...

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Veröffentlicht in:Investigative ophthalmology & visual science 2016-11, Vol.57 (14), p.5856
Hauptverfasser: Kim, Young Kook, Yoo, Byeong Wook, Jeoung, Jin Wook, Kim, Hee Chan, Kim, Hae Jin, Park, Ki Ho
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container_issue 14
container_start_page 5856
container_title Investigative ophthalmology & visual science
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creator Kim, Young Kook
Yoo, Byeong Wook
Jeoung, Jin Wook
Kim, Hee Chan
Kim, Hae Jin
Park, Ki Ho
description To evaluate the glaucoma-diagnostic ability of the ganglion cell-inner plexiform layer (GCIPL) thickness difference across the temporal raphe in highly myopic eyes. We consecutively enrolled a total of 195 highly myopic eyes (axial length [AL] >26.5 mm) of 195 subjects: 93 glaucoma patients along with and 102 nonglaucomatous subjects. Cirrus high-definition optical coherence tomography (OCT) was employed to scan all of the subjects' macular and optic discs. Using a MATLAB-based customized program (the GCIPL hemifield test), a positive test result was automatically declared if the following two conditions were met: (1) the horizontal line is detected for longer than one-half of the distance from the temporal inner elliptical annulus to the outer elliptical annulus, and (2) the average GCIPL thickness difference within 10 pixels of the reference line, both above and below, is 5 μm or more. The glaucoma-diagnostic ability was computed using the area under the receiver operating characteristic curve (AUC). Among the glaucomatous eyes, GCIPL hemifield test positivity was shown in 92.5% (86 of 93), significantly higher than that for the nonglaucomatous eyes (4.90%, 5 of 102; P
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Among the glaucomatous eyes, GCIPL hemifield test positivity was shown in 92.5% (86 of 93), significantly higher than that for the nonglaucomatous eyes (4.90%, 5 of 102; P &lt;0.001). The value of AUC for the GCIPL hemifield test was excellent (0.938; sensitivity 92.50%, specificity 95.10%) and was the best compared with those for any of OCT parameters. 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subjects Adult
Aged
Area Under Curve
Case-Control Studies
Female
Glaucoma - diagnosis
Glaucoma - physiopathology
Humans
Male
Middle Aged
Myopia, Degenerative - pathology
Nerve Fibers
Optic Disk - pathology
Optic Nerve Diseases - pathology
Retinal Ganglion Cells - pathology
Tomography, Optical Coherence - methods
Visual Fields - physiology
title Glaucoma-Diagnostic Ability of Ganglion Cell-Inner Plexiform Layer Thickness Difference Across Temporal Raphe in Highly Myopic Eyes
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