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Negative refraction power causes underestimation of peripapillary retinal nerve fibre layer thickness in spectral-domain optical coherence tomography

 J Lee  ;  N R Kim  ;  H Kim  ;  J Han  ;  E S Lee  ;  G J Seong  ;  C Y Kim 
 British Journal of Ophthalmology, Vol.95(9) : 1284-1289, 2011 
Journal Title
 British Journal of Ophthalmology 
Issue Date
Adult ; Diagnostic Errors* ; Female ; Humans ; Male ; Myopia/pathology* ; Myopia/physiopathology ; Nerve Fibers/pathology* ; Refraction, Ocular* ; Reproducibility of Results ; Retinal Ganglion Cells/pathology* ; Tomography, Optical Coherence/methods* ; Young Adult
BACKGROUND/AIMS : Although studies using optical coherence tomography (OCT) reported that the retinal nerve fibre layer (RNFL) thickness of myopic eyes was thinner than those of normal controls, it was unclear if this finding indicated the difference in actual structural thickness or that created by sources affecting accuracy of OCT measurement. This study's aim was to evaluate the effect of refraction power on the measurement of the RNFL thickness using spectral-domain OCT. METHODS : OCT scans to measure RNFL thickness were repeated in 15 cycloplegic eyes of 15 participants, while different refraction powers were induced by wearing soft contact lenses of eight different dioptres (-6 to +8). RESULTS : Measured RNFL thicknesses decreased significantly with soft contact lenses of higher plus dioptres and increased with those of more minus dioptres. This finding was consistent with or without controlling factors including the signal strength and test-retest variability of the machine. Measurement of peripapillary RNFL thicknesses was not varied between scans performed with and without plano contact lenses. CONCLUSIONS : In spectral-domain OCT, RNFL thickness was underestimated in eyes with increasing negative refraction power and overestimated with increasing positive refraction power.
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1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Na Rae(김나래)
Kim, Chan Yun(김찬윤) ORCID logo https://orcid.org/0000-0002-8373-9999
Seong, Gong Je(성공제) ORCID logo https://orcid.org/0000-0002-5456-4296
Lee, Eun Suk(이은석)
Lee, Jun Won(이준원) ORCID logo https://orcid.org/0000-0003-0543-7132
Han, Jinu(한진우) ORCID logo https://orcid.org/0000-0002-8607-6625
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