Comparison of macular retinal thickness measurements using spectral-domain and swept-source optical coherence tomography in healthy eyes

AimThis study compares retinal thickness measurements in healthy eyes using one SD-OCT and two SS-OCT devices to assess differences and consistency for clinical application.MethodsForty-eight eyes with a mean age of 28.15 ± 8.85 years were enrolled. Retinal thickness was measured using Heidelberg Sp...

Full description

Saved in:
Bibliographic Details
Main Authors: Huan Wan, Zhaode Wu, Ziling Liu, Bo Qin
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1529719/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832576354178039808
author Huan Wan
Zhaode Wu
Ziling Liu
Bo Qin
author_facet Huan Wan
Zhaode Wu
Ziling Liu
Bo Qin
author_sort Huan Wan
collection DOAJ
description AimThis study compares retinal thickness measurements in healthy eyes using one SD-OCT and two SS-OCT devices to assess differences and consistency for clinical application.MethodsForty-eight eyes with a mean age of 28.15 ± 8.85 years were enrolled. Retinal thickness was measured using Heidelberg Spectralis SD-OCT, Svision VG200 SS-OCT, and TowardPi En Face SS-OCT. Normally distributed data were presented as mean ± SD; non-normal data as median (P25–P75). Intraclass correlation coefficients (ICC) and Bland–Altman analysis were used to assess agreement, with a 7 μm error threshold.ResultsSignificant differences were found between the three devices (p < 0.001). SD-OCT measurements were consistently lower than SS-OCT (p < 0.001), while the two SS-OCT devices showed no significant differences except in the nasal region (p = 0.006). ICC values between SD-OCT and SS-OCT devices were low (0.125–0.532), while SS-OCT devices showed better agreement (ICC: 0.369–0.922). Bland–Altman analysis found only 8.33% of SD-OCT and SS-OCT measurements within the 7 μm error range, compared to 81.25–83.33% for SS-OCT devices.ConclusionThe measurements of macular retinal thickness using SD-OCT and SS-OCT devices showed poor consistency and cannot be used interchangeably. However, measurements obtained from different SS-OCT devices demonstrated good consistency. To enhance the accuracy of results, it is recommended to maintain consistency in the devices used for follow-up examinations in the same patient.
format Article
id doaj-art-99a97f13a22e40d79da2c26dfbb2f837
institution Kabale University
issn 2296-858X
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Medicine
spelling doaj-art-99a97f13a22e40d79da2c26dfbb2f8372025-01-31T06:39:48ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-01-011210.3389/fmed.2025.15297191529719Comparison of macular retinal thickness measurements using spectral-domain and swept-source optical coherence tomography in healthy eyesHuan Wan0Zhaode Wu1Ziling Liu2Bo Qin3The Second Clinical Medical College of Jinan University, Shenzhen, ChinaDepartment of Ophthalmology, Shenzhen People’s Hospital, The Second Clinical Medical College of Jinan University, Shenzhen, Guangdong, ChinaShenzhen Aier Eye Hospital, Aier Eye Hospital, Jinan University, Shenzhen, ChinaShenzhen Aier Eye Hospital, Aier Eye Hospital, Jinan University, Shenzhen, ChinaAimThis study compares retinal thickness measurements in healthy eyes using one SD-OCT and two SS-OCT devices to assess differences and consistency for clinical application.MethodsForty-eight eyes with a mean age of 28.15 ± 8.85 years were enrolled. Retinal thickness was measured using Heidelberg Spectralis SD-OCT, Svision VG200 SS-OCT, and TowardPi En Face SS-OCT. Normally distributed data were presented as mean ± SD; non-normal data as median (P25–P75). Intraclass correlation coefficients (ICC) and Bland–Altman analysis were used to assess agreement, with a 7 μm error threshold.ResultsSignificant differences were found between the three devices (p < 0.001). SD-OCT measurements were consistently lower than SS-OCT (p < 0.001), while the two SS-OCT devices showed no significant differences except in the nasal region (p = 0.006). ICC values between SD-OCT and SS-OCT devices were low (0.125–0.532), while SS-OCT devices showed better agreement (ICC: 0.369–0.922). Bland–Altman analysis found only 8.33% of SD-OCT and SS-OCT measurements within the 7 μm error range, compared to 81.25–83.33% for SS-OCT devices.ConclusionThe measurements of macular retinal thickness using SD-OCT and SS-OCT devices showed poor consistency and cannot be used interchangeably. However, measurements obtained from different SS-OCT devices demonstrated good consistency. To enhance the accuracy of results, it is recommended to maintain consistency in the devices used for follow-up examinations in the same patient.https://www.frontiersin.org/articles/10.3389/fmed.2025.1529719/fulloptical coherence tomography (OCT)spectral-domain OCT (SD-OCT)swept-source OCT (SS-OCT)retinal thickness measurementconsistency analysis
spellingShingle Huan Wan
Zhaode Wu
Ziling Liu
Bo Qin
Comparison of macular retinal thickness measurements using spectral-domain and swept-source optical coherence tomography in healthy eyes
Frontiers in Medicine
optical coherence tomography (OCT)
spectral-domain OCT (SD-OCT)
swept-source OCT (SS-OCT)
retinal thickness measurement
consistency analysis
title Comparison of macular retinal thickness measurements using spectral-domain and swept-source optical coherence tomography in healthy eyes
title_full Comparison of macular retinal thickness measurements using spectral-domain and swept-source optical coherence tomography in healthy eyes
title_fullStr Comparison of macular retinal thickness measurements using spectral-domain and swept-source optical coherence tomography in healthy eyes
title_full_unstemmed Comparison of macular retinal thickness measurements using spectral-domain and swept-source optical coherence tomography in healthy eyes
title_short Comparison of macular retinal thickness measurements using spectral-domain and swept-source optical coherence tomography in healthy eyes
title_sort comparison of macular retinal thickness measurements using spectral domain and swept source optical coherence tomography in healthy eyes
topic optical coherence tomography (OCT)
spectral-domain OCT (SD-OCT)
swept-source OCT (SS-OCT)
retinal thickness measurement
consistency analysis
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1529719/full
work_keys_str_mv AT huanwan comparisonofmacularretinalthicknessmeasurementsusingspectraldomainandsweptsourceopticalcoherencetomographyinhealthyeyes
AT zhaodewu comparisonofmacularretinalthicknessmeasurementsusingspectraldomainandsweptsourceopticalcoherencetomographyinhealthyeyes
AT zilingliu comparisonofmacularretinalthicknessmeasurementsusingspectraldomainandsweptsourceopticalcoherencetomographyinhealthyeyes
AT boqin comparisonofmacularretinalthicknessmeasurementsusingspectraldomainandsweptsourceopticalcoherencetomographyinhealthyeyes