Size of the Optic Nerve Head and Its Relationship with the Thickness of the Macular Ganglion Cell Complex and Peripapillary Retinal Nerve Fiber Layer in Patients with Primary Open Angle Glaucoma

Purpose. To evaluate the relationships among the optic nerve head (ONH) area, macular ganglion cell complex (mGCC) thickness, circumpapillary retinal nerve fiber layer (cpRNFL) thickness, and visual field defects in patients with primary open angle glaucoma (POAG). Methods. This retrospective study...

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Main Authors: Nobuko Enomoto, Ayako Anraku, Kyoko Ishida, Asuka Takeyama, Fumihiko Yagi, Goji Tomita
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2015/186249
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author Nobuko Enomoto
Ayako Anraku
Kyoko Ishida
Asuka Takeyama
Fumihiko Yagi
Goji Tomita
author_facet Nobuko Enomoto
Ayako Anraku
Kyoko Ishida
Asuka Takeyama
Fumihiko Yagi
Goji Tomita
author_sort Nobuko Enomoto
collection DOAJ
description Purpose. To evaluate the relationships among the optic nerve head (ONH) area, macular ganglion cell complex (mGCC) thickness, circumpapillary retinal nerve fiber layer (cpRNFL) thickness, and visual field defects in patients with primary open angle glaucoma (POAG). Methods. This retrospective study included 90 eyes of 90 patients with POAG. The ONH area, rim area, mGCC thickness, and cpRNFL thickness were measured using optical coherence tomography. Mean deviation (MD) was measured using standard automated perimetry. The relationships among clinical factors including age, refraction, the ONH area, the rim area, the mGCC thickness, the cpRNFL thickness, and MD were evaluated using correlation coefficients and multiple regression analyses. Results. The significant correlation of the ONH area with refraction (r=0.362, P<0.001), the mGCC thickness (r=0.225, P=0.033), and the cpRNFL thickness (r=0.253, P=0.016) was found. Multiple regression analysis showed that the ONH area, rim area, and MD were selected as significant contributing factors to explain the mGCC thickness and cpRNFL thickness. No factor was selected to explain MD. Conclusions. The ONH area, in other words, the disc size itself may affect the mGCC thickness and cpRNFL thickness in POAG patients.
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institution Kabale University
issn 2090-004X
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language English
publishDate 2015-01-01
publisher Wiley
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series Journal of Ophthalmology
spelling doaj-art-076d63d50ba046fb81c647909db490f72025-02-03T05:51:59ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/186249186249Size of the Optic Nerve Head and Its Relationship with the Thickness of the Macular Ganglion Cell Complex and Peripapillary Retinal Nerve Fiber Layer in Patients with Primary Open Angle GlaucomaNobuko Enomoto0Ayako Anraku1Kyoko Ishida2Asuka Takeyama3Fumihiko Yagi4Goji Tomita5Department of Ophthalmology, Toho University, Ohashi Medical Center, 2-17-5 Ohashi, Meguro-ku 153-8515, JapanDepartment of Ophthalmology, Toho University, Ohashi Medical Center, 2-17-5 Ohashi, Meguro-ku 153-8515, JapanDepartment of Ophthalmology, Toho University, Ohashi Medical Center, 2-17-5 Ohashi, Meguro-ku 153-8515, JapanDepartment of Ophthalmology, Toho University, Ohashi Medical Center, 2-17-5 Ohashi, Meguro-ku 153-8515, JapanDepartment of Ophthalmology, Toho University, Ohashi Medical Center, 2-17-5 Ohashi, Meguro-ku 153-8515, JapanDepartment of Ophthalmology, Toho University, Ohashi Medical Center, 2-17-5 Ohashi, Meguro-ku 153-8515, JapanPurpose. To evaluate the relationships among the optic nerve head (ONH) area, macular ganglion cell complex (mGCC) thickness, circumpapillary retinal nerve fiber layer (cpRNFL) thickness, and visual field defects in patients with primary open angle glaucoma (POAG). Methods. This retrospective study included 90 eyes of 90 patients with POAG. The ONH area, rim area, mGCC thickness, and cpRNFL thickness were measured using optical coherence tomography. Mean deviation (MD) was measured using standard automated perimetry. The relationships among clinical factors including age, refraction, the ONH area, the rim area, the mGCC thickness, the cpRNFL thickness, and MD were evaluated using correlation coefficients and multiple regression analyses. Results. The significant correlation of the ONH area with refraction (r=0.362, P<0.001), the mGCC thickness (r=0.225, P=0.033), and the cpRNFL thickness (r=0.253, P=0.016) was found. Multiple regression analysis showed that the ONH area, rim area, and MD were selected as significant contributing factors to explain the mGCC thickness and cpRNFL thickness. No factor was selected to explain MD. Conclusions. The ONH area, in other words, the disc size itself may affect the mGCC thickness and cpRNFL thickness in POAG patients.http://dx.doi.org/10.1155/2015/186249
spellingShingle Nobuko Enomoto
Ayako Anraku
Kyoko Ishida
Asuka Takeyama
Fumihiko Yagi
Goji Tomita
Size of the Optic Nerve Head and Its Relationship with the Thickness of the Macular Ganglion Cell Complex and Peripapillary Retinal Nerve Fiber Layer in Patients with Primary Open Angle Glaucoma
Journal of Ophthalmology
title Size of the Optic Nerve Head and Its Relationship with the Thickness of the Macular Ganglion Cell Complex and Peripapillary Retinal Nerve Fiber Layer in Patients with Primary Open Angle Glaucoma
title_full Size of the Optic Nerve Head and Its Relationship with the Thickness of the Macular Ganglion Cell Complex and Peripapillary Retinal Nerve Fiber Layer in Patients with Primary Open Angle Glaucoma
title_fullStr Size of the Optic Nerve Head and Its Relationship with the Thickness of the Macular Ganglion Cell Complex and Peripapillary Retinal Nerve Fiber Layer in Patients with Primary Open Angle Glaucoma
title_full_unstemmed Size of the Optic Nerve Head and Its Relationship with the Thickness of the Macular Ganglion Cell Complex and Peripapillary Retinal Nerve Fiber Layer in Patients with Primary Open Angle Glaucoma
title_short Size of the Optic Nerve Head and Its Relationship with the Thickness of the Macular Ganglion Cell Complex and Peripapillary Retinal Nerve Fiber Layer in Patients with Primary Open Angle Glaucoma
title_sort size of the optic nerve head and its relationship with the thickness of the macular ganglion cell complex and peripapillary retinal nerve fiber layer in patients with primary open angle glaucoma
url http://dx.doi.org/10.1155/2015/186249
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