title: Diagnostic accuracy of OCT with a normative database to detect diffuse retinal nerve fiber layer atrophy: Diffuse Atrophy Imaging Study.
abstract: OBJECTIVE
  To investigate the diagnostic accuracy of Stratus optical coherence tomography (OCT) with its internal normative database to detect diffuse retinal nerve fiber layer (RNFL) atrophy in glaucoma subjects.
  
  
  METHODS
  One hundred two eyes of 102 glaucoma patients with diffuse RNFL atrophy and 102 healthy eyes of 102 age-matched subjects were enrolled in the Diffuse Atrophy Imaging Study. Two experienced observers graded RNFL photographs of diffuse RNFL atrophy eyes using a four-level grading system. The diagnostic performances for detecting diffuse RNFL atrophy were examined according to visual field results and RNFL photograph grading.
  
  
  RESULTS
  Using a criterion of abnormal at the <5% level, the overall sensitivity of the Stratus OCT parameters ranged from 61.5% to 84.5%, and the overall specificity ranged from 90.2% to 99.0%. For mild, moderate, and severe diffuse RNFL atrophy, the superior quadrant had a sensitivity of 41.0%, 83.3%, and 100.0%, respectively, and the inferior quadrant had a sensitivity of 35.0%, 88.5%, and 100.0%, respectively. The highest likelihood ratios were obtained at the 11 and 12 o'clock sectors for superior RNFL and the 6 and 7 o'clock sectors for inferior RNFL.
  
  
  CONCLUSIONS
  OCT with a normative database can detect diffuse RNFL atrophy with moderate sensitivity and high specificity. Because the sensitivity of Stratus OCT is closely related to the degree of diffuse RNFL atrophy and the visual field results, OCT with an internal normative database should be evaluated with prudence, especially in the early stage of glaucoma with diffuse RNFL atrophy.
authors.affiliation: Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Jin Wook
authors.initials: JW
authors.lastname: Jeoung
authors.forename: Seok Hwan
authors.initials: SH
authors.lastname: Kim
authors.forename: Ki Ho
authors.initials: KH
authors.lastname: Park
authors.forename: Tae-Woo
authors.initials: TW
authors.lastname: Kim
authors.forename: Dong Myung
authors.initials: DM
authors.lastname: Kim
mesh_terms: D001284:Atrophy; D003941:Diagnostic Techniques, Ophthalmological; D005189:False Positive Reactions; D005260:Female; D005901:Glaucoma / Q000175:diagnosis*; D006801:Humans; D007429:Intraocular Pressure; D016013:Likelihood Functions; D008297:Male; D008875:Middle Aged; D009412:Nerve Fibers / Q000473:pathology*; D009901:Optic Nerve Diseases / Q000175:diagnosis*; D010781:Photography; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D012165:Retinal Ganglion Cells / Q000473:pathology*; D012680:Sensitivity and Specificity; D041623:Tomography, Optical Coherence; D014786:Vision Disorders / Q000175:diagnosis; D014794:Visual Fields