Normative Database of the Superior–Inferior Thickness Asymmetry for All Inner and Outer Macular Layers of Adults for the Posterior Pole Algorithm of the Spectralis SD-OCT

Background: This study aims to establish a reference for the superior–inferior hemisphere asymmetry in thickness values for all macular layers for the posterior pole algorithm (PPA) available for the Spectralis SD-OCT device. Methods: We examined 300 eyes of 300 healthy Caucasian volunteers aged 18–...

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Main Authors: Ana Palazon-Cabanes, Begoña Palazon-Cabanes, Jose Javier Garcia-Medina, Aurora Alvarez-Sarrion, Monica del-Rio-Vellosillo
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/24/7609
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author Ana Palazon-Cabanes
Begoña Palazon-Cabanes
Jose Javier Garcia-Medina
Aurora Alvarez-Sarrion
Monica del-Rio-Vellosillo
author_facet Ana Palazon-Cabanes
Begoña Palazon-Cabanes
Jose Javier Garcia-Medina
Aurora Alvarez-Sarrion
Monica del-Rio-Vellosillo
author_sort Ana Palazon-Cabanes
collection DOAJ
description Background: This study aims to establish a reference for the superior–inferior hemisphere asymmetry in thickness values for all macular layers for the posterior pole algorithm (PPA) available for the Spectralis SD-OCT device. Methods: We examined 300 eyes of 300 healthy Caucasian volunteers aged 18–84 years using the PPA, composed of a grid of 64 (8 × 8) cells, to analyze the thickness asymmetries of the following automatically segmented macular layers: retinal nerve fiber layer (RNFL); ganglion cell layer (GCL); inner plexiform layer (IPL); inner nuclear layer (INL); outer plexiform layer (OPL); outer nuclear layer (ONL); retinal pigment epithelium (RPE); inner retina; outer retina; complete retina. Mean ± standard deviation and the 2.5th and 97.5th percentiles of the thickness asymmetry values were obtained for all the corresponding cells. Results: All the macular layers had significant superior–inferior thickness asymmetries. GCL, IPL, INL, ONL and RPE showed significantly greater thicknesses in the superior than the inferior hemisphere, whereas RNFL and OPL were thicker in the inferior hemisphere. The largest differences between hemispheres were for RNFL and ONL. Conclusions: This is the first normative database of macular thickness asymmetries for the PPA and should be considered to distinguish normal from pathological values when interpreting superior–inferior macular asymmetries.
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spelling doaj.art-8ac7cea16daa42138d5f17effe27049f2023-12-22T14:17:09ZengMDPI AGJournal of Clinical Medicine2077-03832023-12-011224760910.3390/jcm12247609Normative Database of the Superior–Inferior Thickness Asymmetry for All Inner and Outer Macular Layers of Adults for the Posterior Pole Algorithm of the Spectralis SD-OCTAna Palazon-Cabanes0Begoña Palazon-Cabanes1Jose Javier Garcia-Medina2Aurora Alvarez-Sarrion3Monica del-Rio-Vellosillo4Department of Ophthalmology, Hospital Virgen del Castillo, 30510 Murcia, SpainDepartment of Neurology, Hospital de la Vega Lorenzo Guirao, 30530 Murcia, SpainDepartment of Ophthalmology, General University Hospital Morales Meseguer, 30008 Murcia, SpainDepartment of Ophthalmology and Optometry, University of Murcia, 30120 Murcia, SpainDepartment of Anesthesiology, University Hospital Virgen de la Arrixaca, 30120 Murcia, SpainBackground: This study aims to establish a reference for the superior–inferior hemisphere asymmetry in thickness values for all macular layers for the posterior pole algorithm (PPA) available for the Spectralis SD-OCT device. Methods: We examined 300 eyes of 300 healthy Caucasian volunteers aged 18–84 years using the PPA, composed of a grid of 64 (8 × 8) cells, to analyze the thickness asymmetries of the following automatically segmented macular layers: retinal nerve fiber layer (RNFL); ganglion cell layer (GCL); inner plexiform layer (IPL); inner nuclear layer (INL); outer plexiform layer (OPL); outer nuclear layer (ONL); retinal pigment epithelium (RPE); inner retina; outer retina; complete retina. Mean ± standard deviation and the 2.5th and 97.5th percentiles of the thickness asymmetry values were obtained for all the corresponding cells. Results: All the macular layers had significant superior–inferior thickness asymmetries. GCL, IPL, INL, ONL and RPE showed significantly greater thicknesses in the superior than the inferior hemisphere, whereas RNFL and OPL were thicker in the inferior hemisphere. The largest differences between hemispheres were for RNFL and ONL. Conclusions: This is the first normative database of macular thickness asymmetries for the PPA and should be considered to distinguish normal from pathological values when interpreting superior–inferior macular asymmetries.https://www.mdpi.com/2077-0383/12/24/7609normative databaseasymmetryhemispheresthicknessmaculalayer
spellingShingle Ana Palazon-Cabanes
Begoña Palazon-Cabanes
Jose Javier Garcia-Medina
Aurora Alvarez-Sarrion
Monica del-Rio-Vellosillo
Normative Database of the Superior–Inferior Thickness Asymmetry for All Inner and Outer Macular Layers of Adults for the Posterior Pole Algorithm of the Spectralis SD-OCT
Journal of Clinical Medicine
normative database
asymmetry
hemispheres
thickness
macula
layer
title Normative Database of the Superior–Inferior Thickness Asymmetry for All Inner and Outer Macular Layers of Adults for the Posterior Pole Algorithm of the Spectralis SD-OCT
title_full Normative Database of the Superior–Inferior Thickness Asymmetry for All Inner and Outer Macular Layers of Adults for the Posterior Pole Algorithm of the Spectralis SD-OCT
title_fullStr Normative Database of the Superior–Inferior Thickness Asymmetry for All Inner and Outer Macular Layers of Adults for the Posterior Pole Algorithm of the Spectralis SD-OCT
title_full_unstemmed Normative Database of the Superior–Inferior Thickness Asymmetry for All Inner and Outer Macular Layers of Adults for the Posterior Pole Algorithm of the Spectralis SD-OCT
title_short Normative Database of the Superior–Inferior Thickness Asymmetry for All Inner and Outer Macular Layers of Adults for the Posterior Pole Algorithm of the Spectralis SD-OCT
title_sort normative database of the superior inferior thickness asymmetry for all inner and outer macular layers of adults for the posterior pole algorithm of the spectralis sd oct
topic normative database
asymmetry
hemispheres
thickness
macula
layer
url https://www.mdpi.com/2077-0383/12/24/7609
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