Evaluation of the Diagnostic Capability of Spectralis SD-OCT 8 × 8 Posterior Pole Software with the Grid Tilted at 7 Degrees and Horizontalized in Glaucoma

<b>Background</b>: The goal was to evaluate the diagnostic capability of different parameters obtained with the posterior pole (PP) software in Spectralis SD-OCT with the 8 × 8 grid tilted at 7° and horizontalized in glaucomatous eyes. <b>Methods</b>: A total of 299 eyes were...

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Main Authors: Aurora Alvarez-Sarrion, Jose Javier Garcia-Medina, Ana Palazon-Cabanes, Maria Dolores Pinazo-Duran, Monica Del-Rio-Vellosillo
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/13/4/1016
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author Aurora Alvarez-Sarrion
Jose Javier Garcia-Medina
Ana Palazon-Cabanes
Maria Dolores Pinazo-Duran
Monica Del-Rio-Vellosillo
author_facet Aurora Alvarez-Sarrion
Jose Javier Garcia-Medina
Ana Palazon-Cabanes
Maria Dolores Pinazo-Duran
Monica Del-Rio-Vellosillo
author_sort Aurora Alvarez-Sarrion
collection DOAJ
description <b>Background</b>: The goal was to evaluate the diagnostic capability of different parameters obtained with the posterior pole (PP) software in Spectralis SD-OCT with the 8 × 8 grid tilted at 7° and horizontalized in glaucomatous eyes. <b>Methods</b>: A total of 299 eyes were included, comprising 136 healthy eyes and 163 with primary open-angle glaucoma (POAG). The following segmentations were evaluated: complete retina, retinal nerve fiber layer (RNFL), ganglion cell layer (GCL), GCL and inner plexiform layer (GCLIPL), ganglion cell complex (GCC), outer plexiform layer and outer nuclear layer (OPLONL), inner retinal layer (IRL), and outer retinal layer (ORL). Different patterns of macular damage were represented using heatmaps for each studied layer, where the areas under the curve (AUROC) values and a retinal thickness cutoff point were defined to discriminate POAG patients. Results: There was not any difference in the diagnostic capability for detecting glaucoma between the grid tilted at 7° and horizontalized. The macular segmentations that offer the highest diagnostic ability in glaucoma discrimination were, in the following order, RNFL (AUROC = 0.796), GCC (AUROC = 0.785), GCL (AUROC = 0.784), GCLIPL (AUROC = 0.770), IRL (AUROC = 0.755), and the complete retina (AUROC = 0.752). In contrast, ORL and OPLONL do not appear to be helpful for discriminating POAG. <b>Conclusions</b>: Some results of PP software may be useful for discriminating POAG.
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spelling doaj.art-c4c51b3285ec440fba6183bcf2a81c8d2024-02-23T15:22:02ZengMDPI AGJournal of Clinical Medicine2077-03832024-02-01134101610.3390/jcm13041016Evaluation of the Diagnostic Capability of Spectralis SD-OCT 8 × 8 Posterior Pole Software with the Grid Tilted at 7 Degrees and Horizontalized in GlaucomaAurora Alvarez-Sarrion0Jose Javier Garcia-Medina1Ana Palazon-Cabanes2Maria Dolores Pinazo-Duran3Monica Del-Rio-Vellosillo4Department of Ophthalmology and Optometry, University of Murcia, 30120 Murcia, SpainDepartment of Ophthalmology and Optometry, University of Murcia, 30120 Murcia, SpainDepartment of Ophthalmology, Hospital Virgen del Castillo, Yecla, 30510 Murcia, SpainOphthalmic Research Unit “Santiago Grisolia”, 28029 Valencia, SpainDepartment of Anesthesiology, General University Hospital Morales Meseguer, 30008 Murcia, Spain<b>Background</b>: The goal was to evaluate the diagnostic capability of different parameters obtained with the posterior pole (PP) software in Spectralis SD-OCT with the 8 × 8 grid tilted at 7° and horizontalized in glaucomatous eyes. <b>Methods</b>: A total of 299 eyes were included, comprising 136 healthy eyes and 163 with primary open-angle glaucoma (POAG). The following segmentations were evaluated: complete retina, retinal nerve fiber layer (RNFL), ganglion cell layer (GCL), GCL and inner plexiform layer (GCLIPL), ganglion cell complex (GCC), outer plexiform layer and outer nuclear layer (OPLONL), inner retinal layer (IRL), and outer retinal layer (ORL). Different patterns of macular damage were represented using heatmaps for each studied layer, where the areas under the curve (AUROC) values and a retinal thickness cutoff point were defined to discriminate POAG patients. Results: There was not any difference in the diagnostic capability for detecting glaucoma between the grid tilted at 7° and horizontalized. The macular segmentations that offer the highest diagnostic ability in glaucoma discrimination were, in the following order, RNFL (AUROC = 0.796), GCC (AUROC = 0.785), GCL (AUROC = 0.784), GCLIPL (AUROC = 0.770), IRL (AUROC = 0.755), and the complete retina (AUROC = 0.752). In contrast, ORL and OPLONL do not appear to be helpful for discriminating POAG. <b>Conclusions</b>: Some results of PP software may be useful for discriminating POAG.https://www.mdpi.com/2077-0383/13/4/1016glaucomaposterior polemaculathicknesslayersegmentation
spellingShingle Aurora Alvarez-Sarrion
Jose Javier Garcia-Medina
Ana Palazon-Cabanes
Maria Dolores Pinazo-Duran
Monica Del-Rio-Vellosillo
Evaluation of the Diagnostic Capability of Spectralis SD-OCT 8 × 8 Posterior Pole Software with the Grid Tilted at 7 Degrees and Horizontalized in Glaucoma
Journal of Clinical Medicine
glaucoma
posterior pole
macula
thickness
layer
segmentation
title Evaluation of the Diagnostic Capability of Spectralis SD-OCT 8 × 8 Posterior Pole Software with the Grid Tilted at 7 Degrees and Horizontalized in Glaucoma
title_full Evaluation of the Diagnostic Capability of Spectralis SD-OCT 8 × 8 Posterior Pole Software with the Grid Tilted at 7 Degrees and Horizontalized in Glaucoma
title_fullStr Evaluation of the Diagnostic Capability of Spectralis SD-OCT 8 × 8 Posterior Pole Software with the Grid Tilted at 7 Degrees and Horizontalized in Glaucoma
title_full_unstemmed Evaluation of the Diagnostic Capability of Spectralis SD-OCT 8 × 8 Posterior Pole Software with the Grid Tilted at 7 Degrees and Horizontalized in Glaucoma
title_short Evaluation of the Diagnostic Capability of Spectralis SD-OCT 8 × 8 Posterior Pole Software with the Grid Tilted at 7 Degrees and Horizontalized in Glaucoma
title_sort evaluation of the diagnostic capability of spectralis sd oct 8 8 posterior pole software with the grid tilted at 7 degrees and horizontalized in glaucoma
topic glaucoma
posterior pole
macula
thickness
layer
segmentation
url https://www.mdpi.com/2077-0383/13/4/1016
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