Retinal nerve fiber layer thickness in glaucomatous Nepalese eyes and its relation with visual field sensitivity

Safal Khanal, Madhu Thapa, Lyne Racette, Richard Johnson, Pinakin Gunvant Davey, Mahesh Raj Joshi, Gauri Shankar Shrestha

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: To evaluate peripapillary retinal nerve fiber layer (RNFL) thickness in glaucomatous Nepalese eyes using spectral domain optical coherence tomography (SD-OCT) and study its relationship with visual field sensitivity.

Results: The mean pRNFL thickness was significantly less in the POAG (64.30 ± 14.45 μm, p < 0.01), NTG (85.43 ± 9.79 μm, p < 0.001) and GS (102.0 ± 9.37 μm, p < 0.001) groups than in the healthy group (109.8 ± 8.32 μm). The RNFL was significantly thinner across all quadrants in all study group pairs (p < 0.05) except for normal vs. GS (only superior and inferior quadrant, significant). Linear regression plots with RNFL thickness as a predictor of MD and LV demonstrated a strong and statistically significant degree of determination in the POAG group (R2 = 0.203 and 0.175, p = 0.013 and 0.021).

Methods: A total of 120 eyes comprising primary open angle glaucoma (POAG), glaucoma suspects (GS), normal tension glaucoma (NTG) and healthy subjects (n = 30 cases in each group) underwent a complete ophthalmic examination, including optic nerve head (ONH) evaluation and standard automated perimetry (SAP). RNFL thickness measurements around the optic disk were taken with circular spectral domain optical coherence tomography (SD-OCT) scans. Analysis of variance (ANOVA) was used for comparison of RNFL parameters among various study groups. The relationship of RNFL parameters with visual field (VF) global indices was evaluated with regression analysis.

Conclusion: The RNFL thickness measurements with SD-OCT are lower in glaucomatous eyes ascompared to age-matched GS and normal eyes in the Nepalese population. A high resolutionSD-OCT could aid significantly in the early diagnosis of glaucoma in Nepal.

Original languageEnglish
Pages (from-to)217-224
Number of pages8
JournalJournal of Optometry
Volume7
Issue number4
DOIs
StatePublished - Oct 1 2014

Fingerprint

Visual Fields
Nerve Fibers
Ocular Hypertension
Optical Coherence Tomography
Low Tension Glaucoma
Optic Disk
Nepal
Visual Field Tests
Glaucoma
Early Diagnosis
Linear Models
Analysis of Variance
Healthy Volunteers
Regression Analysis
Population
Primary Open Angle Glaucoma

Keywords

  • Glaucoma
  • Nerve fiber layer
  • Optical coherence tomography
  • Primary open angle glaucoma
  • Visual field

ASJC Scopus subject areas

  • Optometry
  • Medicine(all)

Cite this

Khanal, S., Thapa, M., Racette, L., Johnson, R., Davey, P. G., Joshi, M. R., & Shrestha, G. S. (2014). Retinal nerve fiber layer thickness in glaucomatous Nepalese eyes and its relation with visual field sensitivity. Journal of Optometry, 7(4), 217-224. https://doi.org/10.1016/j.optom.2014.05.002

Retinal nerve fiber layer thickness in glaucomatous Nepalese eyes and its relation with visual field sensitivity. / Khanal, Safal; Thapa, Madhu; Racette, Lyne; Johnson, Richard; Davey, Pinakin Gunvant; Joshi, Mahesh Raj; Shrestha, Gauri Shankar.

In: Journal of Optometry, Vol. 7, No. 4, 01.10.2014, p. 217-224.

Research output: Contribution to journalArticle

Khanal, S, Thapa, M, Racette, L, Johnson, R, Davey, PG, Joshi, MR & Shrestha, GS 2014, 'Retinal nerve fiber layer thickness in glaucomatous Nepalese eyes and its relation with visual field sensitivity', Journal of Optometry, vol. 7, no. 4, pp. 217-224. https://doi.org/10.1016/j.optom.2014.05.002
Khanal, Safal ; Thapa, Madhu ; Racette, Lyne ; Johnson, Richard ; Davey, Pinakin Gunvant ; Joshi, Mahesh Raj ; Shrestha, Gauri Shankar. / Retinal nerve fiber layer thickness in glaucomatous Nepalese eyes and its relation with visual field sensitivity. In: Journal of Optometry. 2014 ; Vol. 7, No. 4. pp. 217-224.
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