녹내장의증 소아, 정상, 녹내장 소아 간의 망막신경섬유층 두께 비교

• 영문명: Comparison of RNFL Thickness among Normal, Glaucoma Suspect and Glaucoma in Children
• 발행기관: 대한안과학회
• 저자명: 윤상원 강성모,Sang Won Yoon, MD, Sung Mo Kang, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number1, 113~119쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.01.15

영문 초록

Purpose: To compare the retinal nerve fiber layer (RNFL) thickness among normal children, glaucoma suspects, and children with glaucoma, using optical coherence tomography (OCT). Methods: Ninety‐four eyes of 47 normal children, 62 eyes of 38 glaucoma suspects and 33 eyes of 21 children with glaucoma, from the ages of 5 to 15 years were examined at the Ophthalmology Center at the Inha University Hospital. The RNFL thickness was measured with OCT. Patient cooperation and signal strength of the OCT scans were assessed. The mean, superior, inferior, nasal, and temporal RNFL thicknesses were measured by OCT in all three groups. Results: After adjustment by refractive error, the RNFL thicknesses of the mean, superior, inferior, nasal, and temporal areas were 110.8±10.1 μm, 140.1±17.5 μm, 134.1±14.8 μm, 79.9±14.5 μm, and 89.2±16.8 μm, respectively, in the normal group; 107.9±10.8 μm, 134.8±15.5 μm, 130.2±18.8 μm, 75.4±17.1 μm, and 91.2±18.7 μm, respectively, in the glaucoma suspect group; and 102.8±18.1 μm, 129.5±16.5 μm, 126.1±20.2 μm, 70.3±19.7 μm, and 85.1±16.9 μm, respectively, in the glaucoma patient group. There was a significant difference among the three groups in all locations except in the temporal area (p=0.003). Conclusions: RNFL thickness in children measured by OCT may be useful in the diagnosis and follow‐up of glaucoma in children.

키워드

Glaucoma suspect, Optical coherence tomography, Pediatric retinal nerve fiber layer thickness, Refractive error