Retinal nerve fiber layer thickness in normal Indian pediatric population measured with optical coherence tomography

Purpose: To measure the peripapillary retinal nerve fiber layer (RNFL) thickness in normal Indian pediatric population. Subjects and Methods: 120 normal Indian children ages 5-17 years presenting to the Pediatric Clinic were included in this observational cross-sectional study. RNFL thickness was me...

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Main Authors: Neelam Pawar, Devendra Maheshwari, Meenakshi Ravindran, Renagappa Ramakrishnan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=4;spage=412;epage=418;aulast=Pawar
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author Neelam Pawar
Devendra Maheshwari
Meenakshi Ravindran
Renagappa Ramakrishnan
author_facet Neelam Pawar
Devendra Maheshwari
Meenakshi Ravindran
Renagappa Ramakrishnan
author_sort Neelam Pawar
collection DOAJ
description Purpose: To measure the peripapillary retinal nerve fiber layer (RNFL) thickness in normal Indian pediatric population. Subjects and Methods: 120 normal Indian children ages 5-17 years presenting to the Pediatric Clinic were included in this observational cross-sectional study. RNFL thickness was measured with stratus optical coherence tomography (OCT). Children with strabismus or amblyopia, with neurological, metabolic, vascular, or other disorders and those with abnormal optic discs were excluded. One eye of each subject was randomly selected for statistical analysis. The effect of age, refraction and gender on RNFL thickness was investigated statistically. Result: OCT measurements were obtained in 120 of 130 (92.3%) subjects. Mean age was 10.8 ± 3.24 years (range 5-17). Average RNFL thickness was (± SD) 106.11 ± 9.5 μm (range 82.26-146.25). The RNFL was thickest inferiorly (134.10 ± 16.16 μm) and superiorly (133.44 ± 15.50 μm), thinner nasally (84.26 ± 16.43 μm), and thinnest temporally (70.72 ± 14.80 μm). In univariate regression analysis, age had no statistical significant effect on RNFL thickness (P = 0.7249) and refraction had a significant effect on RNFL thickness (P = 0.0008). Conclusion: OCT can be used to measure RNFL thickness in children. Refraction had an effect on RNFL thickness. In normal children, variation in RNFL thickness is large. The normative data provided by this study may assist in identifying changes in RNFL thickness in Indian children.
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spelling doaj.art-2d793f73371e40dd9ff78c182366c3232022-12-21T23:29:20ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892014-01-0162441241810.4103/0301-4738.121185Retinal nerve fiber layer thickness in normal Indian pediatric population measured with optical coherence tomographyNeelam PawarDevendra MaheshwariMeenakshi RavindranRenagappa RamakrishnanPurpose: To measure the peripapillary retinal nerve fiber layer (RNFL) thickness in normal Indian pediatric population. Subjects and Methods: 120 normal Indian children ages 5-17 years presenting to the Pediatric Clinic were included in this observational cross-sectional study. RNFL thickness was measured with stratus optical coherence tomography (OCT). Children with strabismus or amblyopia, with neurological, metabolic, vascular, or other disorders and those with abnormal optic discs were excluded. One eye of each subject was randomly selected for statistical analysis. The effect of age, refraction and gender on RNFL thickness was investigated statistically. Result: OCT measurements were obtained in 120 of 130 (92.3%) subjects. Mean age was 10.8 ± 3.24 years (range 5-17). Average RNFL thickness was (± SD) 106.11 ± 9.5 μm (range 82.26-146.25). The RNFL was thickest inferiorly (134.10 ± 16.16 μm) and superiorly (133.44 ± 15.50 μm), thinner nasally (84.26 ± 16.43 μm), and thinnest temporally (70.72 ± 14.80 μm). In univariate regression analysis, age had no statistical significant effect on RNFL thickness (P = 0.7249) and refraction had a significant effect on RNFL thickness (P = 0.0008). Conclusion: OCT can be used to measure RNFL thickness in children. Refraction had an effect on RNFL thickness. In normal children, variation in RNFL thickness is large. The normative data provided by this study may assist in identifying changes in RNFL thickness in Indian children.http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=4;spage=412;epage=418;aulast=PawarMean deviationnon-proliferative diabetic retinopathyshort fluctuationsshort wave automated perimetrystandard automated perimetryAntimicrobial effectconventional silicone oilendophthalmitis agentsheavy silicone oilKeratoconusmodified deep anterior lamellar keratoplastysteep corneal curvatureBevacizumabbranch retinal vein occlusionintravitrealmacular edematriamcinoloneBlindnessdisability evaluationquality of lifevisual acuityMitomycin Cpterygium recurrencepterygium surgerysubconjunctival bevacizumab injectionImaging in glaucomaoptical coherence tomographypediatricretinal nerve fiber layer
spellingShingle Neelam Pawar
Devendra Maheshwari
Meenakshi Ravindran
Renagappa Ramakrishnan
Retinal nerve fiber layer thickness in normal Indian pediatric population measured with optical coherence tomography
Indian Journal of Ophthalmology
Mean deviation
non-proliferative diabetic retinopathy
short fluctuations
short wave automated perimetry
standard automated perimetry
Antimicrobial effect
conventional silicone oil
endophthalmitis agents
heavy silicone oil
Keratoconus
modified deep anterior lamellar keratoplasty
steep corneal curvature
Bevacizumab
branch retinal vein occlusion
intravitreal
macular edema
triamcinolone
Blindness
disability evaluation
quality of life
visual acuity
Mitomycin C
pterygium recurrence
pterygium surgery
subconjunctival bevacizumab injection
Imaging in glaucoma
optical coherence tomography
pediatric
retinal nerve fiber layer
title Retinal nerve fiber layer thickness in normal Indian pediatric population measured with optical coherence tomography
title_full Retinal nerve fiber layer thickness in normal Indian pediatric population measured with optical coherence tomography
title_fullStr Retinal nerve fiber layer thickness in normal Indian pediatric population measured with optical coherence tomography
title_full_unstemmed Retinal nerve fiber layer thickness in normal Indian pediatric population measured with optical coherence tomography
title_short Retinal nerve fiber layer thickness in normal Indian pediatric population measured with optical coherence tomography
title_sort retinal nerve fiber layer thickness in normal indian pediatric population measured with optical coherence tomography
topic Mean deviation
non-proliferative diabetic retinopathy
short fluctuations
short wave automated perimetry
standard automated perimetry
Antimicrobial effect
conventional silicone oil
endophthalmitis agents
heavy silicone oil
Keratoconus
modified deep anterior lamellar keratoplasty
steep corneal curvature
Bevacizumab
branch retinal vein occlusion
intravitreal
macular edema
triamcinolone
Blindness
disability evaluation
quality of life
visual acuity
Mitomycin C
pterygium recurrence
pterygium surgery
subconjunctival bevacizumab injection
Imaging in glaucoma
optical coherence tomography
pediatric
retinal nerve fiber layer
url http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=4;spage=412;epage=418;aulast=Pawar
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AT meenakshiravindran retinalnervefiberlayerthicknessinnormalindianpediatricpopulationmeasuredwithopticalcoherencetomography
AT renagapparamakrishnan retinalnervefiberlayerthicknessinnormalindianpediatricpopulationmeasuredwithopticalcoherencetomography