Determinants of peripapillary retinal nerve fiber layer’s grayscale value in normal eyes by spectral domain optical coherence tomography

Abstract To determine and evaluate the distribution, variation, and determinants of peripapillary retinal nerve fiber layer (pRNFL) grayscale value with spectral-domain optical coherence tomography (SD-OCT) in normal eyes. In this cross-sectional study, three hundred ninety-seven normal eyes from 39...

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Main Authors: Xiaolin Xie, Binyao Chen, Jianling Yang, Chukai Huang, Kunliang Qiu, Ce Zheng, Mingzhi Zhang
Format: Article
Language:English
Published: Nature Portfolio 2021-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-88604-x
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author Xiaolin Xie
Binyao Chen
Jianling Yang
Chukai Huang
Kunliang Qiu
Ce Zheng
Mingzhi Zhang
author_facet Xiaolin Xie
Binyao Chen
Jianling Yang
Chukai Huang
Kunliang Qiu
Ce Zheng
Mingzhi Zhang
author_sort Xiaolin Xie
collection DOAJ
description Abstract To determine and evaluate the distribution, variation, and determinants of peripapillary retinal nerve fiber layer (pRNFL) grayscale value with spectral-domain optical coherence tomography (SD-OCT) in normal eyes. In this cross-sectional study, three hundred ninety-seven normal eyes from 397 healthy Chinese adults aged 18–80 were consecutively recruited from a tertiary eye care center. An SD-OCT instrument took pRNFL imaging. We used a customized software to measure pRNFL parameters, including thickness and grayscale value. Univariable and multiple linear regression analyses were performed to examine the relationship between pRNFL grayscale value with ocular (e.g., axial length [A.L.], spherical equivalent [S.E.], intraocular pressure [IOP]), and systemic (e.g., age, sex) factors. A total of 397 eyes from 397 healthy subjects were included in the final analysis with mean (± SD) age 44.63 ± 16.43 years (range 18–80 years) and 196 (49.4%) males. The mean average of pRNFL grayscale value and thickness 164.82 ± 5.69 and 106.68 ± 8.89 μm, respectively. pRNFL grayscale value in nasal sectors (163.26 ± 9.31) was significantly lower comparing those in all other five sectors (all with p < 0.001)]. In multivariable analysis, average pRNFL grayscale value was independently correlated to older age (β = − 0.053, p = 0.002), longer axial length (β = − 0.664, p = 0.003), lower RPE grayscale value (β = 0.372, p < 0.001) and lower ImageQ (β = 0.658, p < 0.001). In this study, we provided normative SD-OCT data on the pRNFL grayscale value profile in nonglaucomatous eyes. Lower average pRNFL grayscale value was independently correlated to older age, longer axial length, lower RPE grayscale value, and lower ImageQ. These determinants should be considered when interpreting pRNFL grayscale value in glaucoma assessment.
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spelling doaj.art-2d496c17836d469991469ced678469732022-12-21T20:35:07ZengNature PortfolioScientific Reports2045-23222021-05-011111910.1038/s41598-021-88604-xDeterminants of peripapillary retinal nerve fiber layer’s grayscale value in normal eyes by spectral domain optical coherence tomographyXiaolin Xie0Binyao Chen1Jianling Yang2Chukai Huang3Kunliang Qiu4Ce Zheng5Mingzhi Zhang6Joint Shantou International Eye Center of Shantou University and the Chinese University of Hong Kong, Shantou University Medical CollegeJoint Shantou International Eye Center of Shantou University and the Chinese University of Hong Kong, Shantou University Medical CollegeJoint Shantou International Eye Center of Shantou University and the Chinese University of Hong Kong, Shantou University Medical CollegeJoint Shantou International Eye Center of Shantou University and the Chinese University of Hong Kong, Shantou University Medical CollegeJoint Shantou International Eye Center of Shantou University and the Chinese University of Hong Kong, Shantou University Medical CollegeDepartment of Ophthalmology, Xinhua Hospital, Affiliated to Shanghai Jiaotong University School of MedicineJoint Shantou International Eye Center of Shantou University and the Chinese University of Hong Kong, Shantou University Medical CollegeAbstract To determine and evaluate the distribution, variation, and determinants of peripapillary retinal nerve fiber layer (pRNFL) grayscale value with spectral-domain optical coherence tomography (SD-OCT) in normal eyes. In this cross-sectional study, three hundred ninety-seven normal eyes from 397 healthy Chinese adults aged 18–80 were consecutively recruited from a tertiary eye care center. An SD-OCT instrument took pRNFL imaging. We used a customized software to measure pRNFL parameters, including thickness and grayscale value. Univariable and multiple linear regression analyses were performed to examine the relationship between pRNFL grayscale value with ocular (e.g., axial length [A.L.], spherical equivalent [S.E.], intraocular pressure [IOP]), and systemic (e.g., age, sex) factors. A total of 397 eyes from 397 healthy subjects were included in the final analysis with mean (± SD) age 44.63 ± 16.43 years (range 18–80 years) and 196 (49.4%) males. The mean average of pRNFL grayscale value and thickness 164.82 ± 5.69 and 106.68 ± 8.89 μm, respectively. pRNFL grayscale value in nasal sectors (163.26 ± 9.31) was significantly lower comparing those in all other five sectors (all with p < 0.001)]. In multivariable analysis, average pRNFL grayscale value was independently correlated to older age (β = − 0.053, p = 0.002), longer axial length (β = − 0.664, p = 0.003), lower RPE grayscale value (β = 0.372, p < 0.001) and lower ImageQ (β = 0.658, p < 0.001). In this study, we provided normative SD-OCT data on the pRNFL grayscale value profile in nonglaucomatous eyes. Lower average pRNFL grayscale value was independently correlated to older age, longer axial length, lower RPE grayscale value, and lower ImageQ. These determinants should be considered when interpreting pRNFL grayscale value in glaucoma assessment.https://doi.org/10.1038/s41598-021-88604-x
spellingShingle Xiaolin Xie
Binyao Chen
Jianling Yang
Chukai Huang
Kunliang Qiu
Ce Zheng
Mingzhi Zhang
Determinants of peripapillary retinal nerve fiber layer’s grayscale value in normal eyes by spectral domain optical coherence tomography
Scientific Reports
title Determinants of peripapillary retinal nerve fiber layer’s grayscale value in normal eyes by spectral domain optical coherence tomography
title_full Determinants of peripapillary retinal nerve fiber layer’s grayscale value in normal eyes by spectral domain optical coherence tomography
title_fullStr Determinants of peripapillary retinal nerve fiber layer’s grayscale value in normal eyes by spectral domain optical coherence tomography
title_full_unstemmed Determinants of peripapillary retinal nerve fiber layer’s grayscale value in normal eyes by spectral domain optical coherence tomography
title_short Determinants of peripapillary retinal nerve fiber layer’s grayscale value in normal eyes by spectral domain optical coherence tomography
title_sort determinants of peripapillary retinal nerve fiber layer s grayscale value in normal eyes by spectral domain optical coherence tomography
url https://doi.org/10.1038/s41598-021-88604-x
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