Alterations in the Retinal Nerve Fiber Layer Thickness Color Map in Non- Glaucomatous Eyes with Myopia

Objectives:To determine the normal values for retinal nerve fiber layer thickness (RNFLT) in myopic patients without glaucoma and analyze the changes in their color map.Materials and Methods:A total of 245 eyes without glaucoma were included in the study. According to the degree of myopia, the cases...

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Main Authors: Hayati Yılmaz, Mehmet Talay Köylü, Yağmur Seda Yeşiltaş, Dorukcan Akıncıoğlu, Duygu Yalınbaş, Yeşim Gedik Oğuz, Atilla Bayer, Fatih Mehmet Mutlu
Format: Article
Language:English
Published: Galenos Yayinevi 2021-01-01
Series:Türk Oftalmoloji Dergisi
Subjects:
Online Access: http://www.oftalmoloji.org/archives/archive-detail/article-preview/alterations-in-the-retinal-nerve-fiber-layer-thick/44755
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author Hayati Yılmaz
Mehmet Talay Köylü
Yağmur Seda Yeşiltaş
Dorukcan Akıncıoğlu
Duygu Yalınbaş
Yeşim Gedik Oğuz
Atilla Bayer
Fatih Mehmet Mutlu
author_facet Hayati Yılmaz
Mehmet Talay Köylü
Yağmur Seda Yeşiltaş
Dorukcan Akıncıoğlu
Duygu Yalınbaş
Yeşim Gedik Oğuz
Atilla Bayer
Fatih Mehmet Mutlu
author_sort Hayati Yılmaz
collection DOAJ
description Objectives:To determine the normal values for retinal nerve fiber layer thickness (RNFLT) in myopic patients without glaucoma and analyze the changes in their color map.Materials and Methods:A total of 245 eyes without glaucoma were included in the study. According to the degree of myopia, the cases were divided into 4 groups: control group (+1.00/-1.00 D; n=70), Group 1 (-1.00/-3.00 D; n=50), Group 2 (-3.00/-6.00 D; n=75), and Group 3 (>-6.00 D; n=50). Intra-group comparisons were performed in terms of superotemporal, superonasal, nasal, inferonasal, inferotemporal, temporal, and global RNFLT (Heidelberg Spectralis, Optic Coherence Tomography, Germany) and the color coding of these quadrants (green: within normal limits, yellow: borderline, red: outside normal limits).Results:All groups were similar in age and gender (p>0.05). As the degree of myopia increased, RNFLT became thinner in the upper and lower temporal and upper and lower nasal quadrants (p<0.01). The rate of measurements considered borderline and outside normal limit in at least 1 quadrant was higher in groups with higher myopia for all quadrants (p<0.05). This rate was found to be 8/70 (11.4%) for the control group, 9/50 (18.0%) for Group 1, 21/75 (28.0%) for Group 2, and 33/50 (66.0%) for Group 3 (p<0.01).Conclusion:The high rate of RNFLT classified as borderline or outside normal limits in myopic patients is a finding to which clinicians should pay attention in order not to make a misdiagnosis, especially in cases of suspected glaucoma.
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spelling doaj.art-94fe155cb21f42feb90533a4ecc4e9e12023-02-15T16:21:08ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612021-01-01511263110.4274/tjo.galenos.2020.5872613049054Alterations in the Retinal Nerve Fiber Layer Thickness Color Map in Non- Glaucomatous Eyes with MyopiaHayati Yılmaz0Mehmet Talay Köylü1Yağmur Seda Yeşiltaş2Dorukcan Akıncıoğlu3Duygu Yalınbaş4Yeşim Gedik Oğuz5Atilla Bayer6Fatih Mehmet Mutlu7 Sağlık Bilimleri Üniversitesi, Ümraniye Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, İstanbul, Türkiye Sağlık Bilimleri Üniversitesi, Gülhane Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Ankara, Türkiye Sağlık Bilimleri Üniversitesi, Gülhane Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Ankara, Türkiye Atatürk Devlet Hastanesi, Antalya, Türkiye Sağlık Bilimleri Üniversitesi, Gülhane Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Ankara, Türkiye Sağlık Bilimleri Üniversitesi, Gülhane Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Ankara, Türkiye Dünyagöz Hastanesi, Ankara, Türkiye Sağlık Bilimleri Üniversitesi, Gülhane Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Ankara, Türkiye Objectives:To determine the normal values for retinal nerve fiber layer thickness (RNFLT) in myopic patients without glaucoma and analyze the changes in their color map.Materials and Methods:A total of 245 eyes without glaucoma were included in the study. According to the degree of myopia, the cases were divided into 4 groups: control group (+1.00/-1.00 D; n=70), Group 1 (-1.00/-3.00 D; n=50), Group 2 (-3.00/-6.00 D; n=75), and Group 3 (>-6.00 D; n=50). Intra-group comparisons were performed in terms of superotemporal, superonasal, nasal, inferonasal, inferotemporal, temporal, and global RNFLT (Heidelberg Spectralis, Optic Coherence Tomography, Germany) and the color coding of these quadrants (green: within normal limits, yellow: borderline, red: outside normal limits).Results:All groups were similar in age and gender (p>0.05). As the degree of myopia increased, RNFLT became thinner in the upper and lower temporal and upper and lower nasal quadrants (p<0.01). The rate of measurements considered borderline and outside normal limit in at least 1 quadrant was higher in groups with higher myopia for all quadrants (p<0.05). This rate was found to be 8/70 (11.4%) for the control group, 9/50 (18.0%) for Group 1, 21/75 (28.0%) for Group 2, and 33/50 (66.0%) for Group 3 (p<0.01).Conclusion:The high rate of RNFLT classified as borderline or outside normal limits in myopic patients is a finding to which clinicians should pay attention in order not to make a misdiagnosis, especially in cases of suspected glaucoma. http://www.oftalmoloji.org/archives/archive-detail/article-preview/alterations-in-the-retinal-nerve-fiber-layer-thick/44755 myopiaretinal nerve fiber layerglaucoma
spellingShingle Hayati Yılmaz
Mehmet Talay Köylü
Yağmur Seda Yeşiltaş
Dorukcan Akıncıoğlu
Duygu Yalınbaş
Yeşim Gedik Oğuz
Atilla Bayer
Fatih Mehmet Mutlu
Alterations in the Retinal Nerve Fiber Layer Thickness Color Map in Non- Glaucomatous Eyes with Myopia
Türk Oftalmoloji Dergisi
myopia
retinal nerve fiber layer
glaucoma
title Alterations in the Retinal Nerve Fiber Layer Thickness Color Map in Non- Glaucomatous Eyes with Myopia
title_full Alterations in the Retinal Nerve Fiber Layer Thickness Color Map in Non- Glaucomatous Eyes with Myopia
title_fullStr Alterations in the Retinal Nerve Fiber Layer Thickness Color Map in Non- Glaucomatous Eyes with Myopia
title_full_unstemmed Alterations in the Retinal Nerve Fiber Layer Thickness Color Map in Non- Glaucomatous Eyes with Myopia
title_short Alterations in the Retinal Nerve Fiber Layer Thickness Color Map in Non- Glaucomatous Eyes with Myopia
title_sort alterations in the retinal nerve fiber layer thickness color map in non glaucomatous eyes with myopia
topic myopia
retinal nerve fiber layer
glaucoma
url http://www.oftalmoloji.org/archives/archive-detail/article-preview/alterations-in-the-retinal-nerve-fiber-layer-thick/44755
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