Repeatability and agreement of multiple neuroretinal rim thickness acquisitions from Cirrus and its ISNT/IST patterns

Kwok Cheung Andrew Lam, Lotus Hui-ching Lai, Wing-hang Lam, Chun-man Tiu

Research output: Chapter in book / Conference proceedingConference article published in proceeding or bookAcademic researchpeer-review

Abstract

Purpose : Bruch’s membrane opening minimum rim width (BMO-MRW) has been popularly used to evaluate and monitor glaucoma. Neuroretinal rim (NRR) thickness also shared good diagnostic ability. This study investigated repeatability and agreement among multiple NRR thickness acquisitions. We also evaluated its ISNT/IST patterns and effect from axial length (AL).

Methods : 100 eyes (100 healthy subjects) had NRR thickness measured 5 times consecutively. Signal strength was at least 7 with no obvious artifacts. NRR thickness and retinal nerve fiber layer (RNFL) thickness were obtained. An average from all 5 acquisitions was considered as reference standard. The first, average from the first 2, first 3, and first 4 acquisitions were compared with the reference standard. AL was measured using partial coherence interferometry. Correlations between AL and NRR thickness, and RNFL thickness were studied. Number of eyes following the ISNT and IST patterns were counted.

Results : 87 eyes fulfilled the inclusion criteria. Table 1 shows repeatability and coefficient of variation among 5 acquisitions. They demonstrated comparable results. Table 2 shows agreement between different averaging methods with the reference standard. Agreement improved with averaging from more acquisitions. There were significant correlations between superior/inferior RNFL thickness and AL (r=0.28, p=0.008 and r=0.40, p
Conclusions : One NRR acquisition could provide valid information for clinical use. NRR thickness is less affected by AL for evaluating ganglion cell axons.
Original languageEnglish
Title of host publicationInvestigative Ophthalmology & Visual Science
Pages3314
Volume63
ISBN (Electronic)1552-5783
Publication statusPublished - Jun 2022
EventAssociation for Research in Vision and Ophthalmology (ARVO) Annual Meeting 2022 - Denver, United States
Duration: 1 May 20224 May 2022

Conference

ConferenceAssociation for Research in Vision and Ophthalmology (ARVO) Annual Meeting 2022
Abbreviated titleARVO 2022
Country/TerritoryUnited States
CityDenver
Period1/05/224/05/22

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