Retinal Nerve Fiber Layer Thickness and Optic Disc Parameters in Anisometropic Amblyopia by Cirrus HD OCT in Pediatric Population

Journal Title: Open Access Journal of Ophthalmology - Year 2017, Vol 2, Issue 1

Abstract

Background: To compare the peripapillary retinal nerve fiber layer (RNFL) thickness and characteristics of optic disc parameters in amblyopic and fellow eyes in pediatric patients with an isometropic amblyopia by Cirrus HD OCT. Method: This study was a prospective, cross-sectional, study including thirty-five subjects of newly diagnosed anisometropic amblyopia. All children underwent an ophthalmic examination that included visual acuity, and optical coherence tomography (Cirrus OCT Zeiss, 'Optic Disc Cube 200×200' protocol). Measurement of the Retinal nerve fiber layer and optic nerve head parameters (ONH) was done for both amblyopic and normal fellow eyes. Results: The mean best corrected visual acuity (log MAR scale) of the normal eyes and the amblyopic eye was statistically significant (P <0.001). The average RNFL thickness in the normal eye was 96.34 ± 9.3 µm (range 76 – 122 µm) while that of the amblyopic eye was 97.94 ± 11 µm (range 77-125 µm) which was not statistically significant (P=0.294). Among four quadrant and 12 o’ clock hour sector analysis, nasal and temporal sector had significant difference between amblyopic and normal eyes respectively (P=0.027, P=0.045). Among the ONH parameters, the average cup-to-disc area ratio and cup volume was lesser in the amblyopic eyes than in the fellow eyes (P=0.042, P=0.023 respectively). None of the other ONH parameters were significantly different between the investigated eyes. Conclusions: There was no difference between average RNFL thickness in amblyopic and normal fellow eye. Some of the morphological measurements between the amblyopic and fellow eyes in patients with unilateral amblyopia were significantly different.

Authors and Affiliations

Neelam Pawar

Keywords

Related Articles

Combined Surgical Approach in a Late Case of Orbital Cellulitis

Orbital cellulitis is a potentially life-threatening but uncommon ophthalmic emergency characterised by infection of the soft tissues behind the orbital septum.

Understanding Patient Perspectives of Anti-VEGF Treatment Experience and Effect in Age-Related Macular Degeneration

Purpose: Understand patients’ perspectives of intravitreal anti-VEGF therapy efficacy for exudative age-related macular degeneration (eAMD). Methods: 107 patients receiving intravitreal anti-VEGF injections in an academi...

Is it Time to Overthrow Trabeculectomy as an Initial Surgical Procedure for Non High Risk Open Angle Glaucomas?

Surgical practice patterns for managing glaucoma have changed the last decade since popularity of tube shunt implantation has progressively increased and that of trabeculectomy has decreased [1]. Specifically, Medicare f...

CNS Whipple’s Disease Heralded by Retinal Vasculitis

Background: Whipple’s disease is a rare, chronic, multi-organ, bacterial infection. The most common presenting manifestation of Whipple’s disease is gastrointestinal symptoms such as abdominal pain, weight loss, diarrhea...

An Unusual Case of Self Mutilation Ocular Injury by Scissor in a Young Adolescent Girl: Case Report

Self-injury is a complex behavior and symptom that results from a variety of factors. Adolescents who have difficulty talking about their feelings may show their emotional tension, physical discomfort, pain and low self-...

Download PDF file
  • EP ID EP399280
  • DOI 10.23880/oajo-16000112
  • Views 58
  • Downloads 0

How To Cite

Neelam Pawar (2017). Retinal Nerve Fiber Layer Thickness and Optic Disc Parameters in Anisometropic Amblyopia by Cirrus HD OCT in Pediatric Population. Open Access Journal of Ophthalmology, 2(1), 1-10. https://europub.co.uk/articles/-A-399280