빛간섭단층촬영을 이용한 정상, 녹내장의증, 초기 녹내장에서의 변수 비교분석

• 영문명: Optical Coherence Tomography Parameters of Normal, Glaucoma Suspect, and Early Glaucoma Patients
• 발행기관: 대한안과학회
• 저자명: 박수은.정진권.정지용.박성희,Su Eun Park, M.D., Jin Kwon Jung, M.D., Ji Yong Jung, M.D., Song Hee Park, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume48,number10, 1379~1387쪽, 전체 9쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2007.10.31

영문 초록

Purpose: The objective of this study is to compare optic nerve head (ONH) analysis parameters and retinal nerve fiber layer (RNFL) thickness parameters as measured by optical coherence tomography (OCT) among age-matched normal eyes, glaucoma-suspect eyes, and early glaucomatous eyes; and to determine the discriminating parameter best suited to distinguish early glaucoma in age-matched normal eyes and glaucoma- suspect eyes. Methods: One hundred two normal eyes, 72 glaucoma-suspect eyes, and 85 eyes with early glaucoma that had been submitted to OCT and Humphrey field analysis were enrolled in this study. Optic nerve head analysis values and RNFL thickness values with OCT scans were compared among all groups. Sensitivity and specificity for the detection of early glaucoma were determined with a receiver operating characteristic (ROC) curve. Results: The best-suited parameters were determined to be from 0.637 to 0.753 in optic nerve head parameters and from 0.506 to 0.759 in RNFL thickness parameters calculated with the area under the ROC curve (AUROC). The average thickness for early glaucomatous eye (0.818) had the widest AUROC among all parameters. The sensitivity and specificity of RNFL thickness parameter were determined to be 49.4% and 93.1%, respectively, at the cut-off value 92.17 m. Conclusions: Optic nerve head and RNFL thickness parameters measured with OCT have relatively high sensitivity and specificity for detecting early glaucomatous eyes. Furthermore, they may provide clinically relevant information for the detection of early glaucomatous damage and for monitoring glaucomatous changes.

키워드

Optical coherence tomography, Optic disc parameter, Retinal nerve fiber layer thickness parameter