2Ankara Numune Eğitim ve Araştırma Hastanesi 3. Göz Kliniği, Ankara, Asist. Dr.
3Ankara Numune Eğitim ve Araştırma Hastanesi 3. Göz Kliniği, Ankara, Uz. Dr.
4Ankara Numune Eğitim ve Araştırma Hastanesi 3. Göz Kliniği Şefi, Ankara, Uz. Dr. Purpose: We aimed to compare the analysis of retinal nevre fiber layer (RNLF) thickness of the patient with ocular hypertension (OHT) and open angle glaucoma (OAG) with the analysis in normal population.
Material and Methods: The 167 eye of 87 subjects were examined after pupillary dilation with optical coherence tomography (Stratus OCT, model 3000).There were 3 groups; OHT group 1 (n=36), OAG group 2 (n=85), control group, group 3 (n=46). The results of RNLF thickness (mean, superior, inferior, nasal, temporal) were recorded and compared statistically.
Results: Central corneal thickness (CCT) was 577.7±24.8 μ in group 1 whereas 557.0±34.6 μ in group 2 and 541.8±32.3 μ in group 3. The measurement of CCT was significantly thicker in group 1 than that of group 2 and 3 (p<0.05). RNLF thicknesses (mean, superior, inferior, nasal, temporal) were 103,1±9,3, 124.3±15,8, 134.6±14.5, 85.4±19.6, 67.9±11.8 μ respectively in group 1, whereas 84.9±17.0, 101.5±25.6, 107.8±26.0, 67.8±18.9, 61.1±16,6 μ in group 2 and 98.3±11.3, 117.3±25.6, 127.9±24.1, 77.2±16, 66.2±11.4 μ in group 3. Although there was no statistically significant difference between group 1 and group 3 regarding the mean and all quadrant thicknesses, there was a significant difference amoung groups at all quadrants except temporal quadrant (p<0.001).
Conclusion: RNLF thickness analysis with Stratus OCT is an effective and reliable method in detection and evaluation of glaucoma patients. It can provide a significant contribution to other diagnostic methods.
Keywords : Glaucoma, ocular hypertension, santral corneal thickness, optic coherence tomography, retina nerve fiber thickness