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Diagnostic Ability of Swept-Source and Spectral-Domain Optical Coherence Tomography for Glaucoma

Authors
 Sang Yeop Lee  ;  Hyoung Won Bae  ;  Gong Je Seong  ;  Chan Yun Kim 
Citation
 Yonsei Medical Journal, Vol.59(7) : 887-896, 2018 
Journal Title
 Yonsei Medical Journal 
ISSN
 0513-5796 
Issue Date
2018
MeSH
Adult ; Aged ; Area Under Curve ; Case-Control Studies ; Female ; Glaucoma/diagnosis* ; Humans ; Intraocular Pressure/physiology ; Male ; Middle Aged ; Nerve Fibers/pathology* ; Optic Disk/pathology* ; Predictive Value of Tests ; ROC Curve ; Reproducibility of Results ; Republic of Korea ; Retinal Ganglion Cells/pathology* ; Retrospective Studies ; Sensitivity and Specificity ; Tomography, Optical Coherence/methods*
Keywords
Glaucoma ; diagnostic ability ; spectral domain optical coherence tomography ; swept source optical coherence tomography
Abstract
PURPOSE: To compare the diagnostic abilities of swept-source optical coherence tomography (OCT) [Deep Range Imaging OCT-1 (DRI-OCT)] and spectral-domain OCT (Cirrus HD-OCT) for glaucoma in Korean adults. MATERIALS AND METHODS: This retrospective study involved measuring peripapillary retinal nerve fiber layer (PP-RNFL) thickness, full macular thickness, and ganglion cell-inner plexiform layer (GC-IPL) thickness on two different OCT systems. We used three-dimensional optic disc scanning of DRI-OCT and included 12 clock-hour sectors for measurement of the PP-RNFL. Areas under receiver operating characteristic curves (AUCs) were calculated and compared to determine how well each system could distinguish control and glaucomatous patients. RESULTS: Ninety-one healthy and 58 glaucomatous eyes were included. Both systems could clearly distinguish between control eyes and eyes with moderate to severe glaucoma. Among all sectors, the AUC values of areas associated with glaucoma were >0.7 for both OCTs. The PP-RNFL sector of highest AUC value on both OCTs was the inferior sector of the clock-hour map (0.968 and 0.959 in DRI-OCT and Cirrus HD-OCT, respectively). Among macular thickness sectors, AUC values were highest on both OCTs for the outer inferior sector (0.859 and 0.853 in DRI-OCT and Cirrus HD-OCT, respectively). The GC-IPL also provided high diagnostic values (DRI-OCT and Cirrus HD-OCT were the best in the average and inferior sectors, respectively). CONCLUSION: Although the two OCT systems provided different thickness measurements, DRI-OCT exhibited as good, if not better, diagnostic ability for glaucoma as Cirrus HD-OCT in Korean adults.
Files in This Item:
T201802559.pdf Download
DOI
10.3349/ymj.2018.59.7.887
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실)
Yonsei Authors
김찬윤(Kim, Chan Yun) ORCID logo https://orcid.org/0000-0002-8373-9999
배형원(Bae, Hyoung Won)
성공제(Seong, Gong Je) ORCID logo https://orcid.org/0000-0002-5456-4296
이상엽(Lee, Sang Yeop) ORCID logo https://orcid.org/0000-0002-3834-7953
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/163433
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