title: Detection of macular ganglion cell loss in preperimetric glaucoma patients with localized retinal nerve fibre defects by spectral-domain optical coherence tomography.
abstract: BACKGROUND
  To evaluate and compare the utility of ganglion cell complex with peripapillary retinal nerve fibre layer and optic nerve head measurements for detection of localized defects in patients with preperimetric glaucoma using spectral-domain optical coherence tomography.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  Preperimetric glaucoma patients.
  
  
  METHODS
  A total of 105 eyes with preperimetric glaucoma and 68 age- and refractive error-matched control eyes were enrolled. The ability to detect localized retinal nerve fibre layer defects by RTVue-100 spectral-domain optical coherence tomography (Optovue, Inc., Fremont, CA, USA) was assessed calculating the areas under receiver operating characteristic curves.
  
  
  METHODS
  The ability to detect localized retinal nerve fibre layer defects by spectral-domain optical coherence tomography.
  
  
  RESULTS
  Global volume loss and superior ganglion cell complex thickness showed the largest area under receiver operating characteristic curve values (both areas under receiver operating characteristic curves 0.84, P < 0.001) among ganglion cell complex parameters. Average peripapillary retinal nerve fibre layer thickness afforded the best diagnostic capability (area under receiver operating characteristic curve 0.89, P < 0.001), whereas among optic nerve head parameters, the horizontal cup:disc ratio yielded the highest area under receiver operating characteristic curve (0.85, P < 0.001). No statistical difference was evident between the areas under receiver operating characteristic curves of the most informative parameters when the data were gathered from the three different sites (ganglion cell complex, peripapillary retinal nerve fibre layer, and optic nerve head) (P > 0.02).
  
  
  CONCLUSIONS
  Ganglion cell complex thickness was significantly reduced in eyes with preperimetric glaucoma. Ganglion cell complex imaging using spectral-domain optical coherence tomography may be a useful ancillary modality for detection of early macular changes in glaucomatous eyes with localized retinal nerve fibre layer defects.
authors.affiliation: Department of Ophthalmology, College of Medicine, Asan Medical Center, University of Ulsan, Seoul, Korea.
authors.forename: Jung Hwa
authors.initials: JH
authors.lastname: Na
authors.forename: Kyoungsub
authors.initials: K
authors.lastname: Lee
authors.forename: Jong Rak
authors.initials: JR
authors.lastname: Lee
authors.forename: Seunghee
authors.initials: S
authors.lastname: Baek
authors.forename: Sung Jun
authors.initials: SJ
authors.lastname: Yoo
authors.forename: Michael S
authors.initials: MS
authors.lastname: Kook
mesh_terms: D019540:Area Under Curve; D005260:Female; D005901:Glaucoma / Q000175:diagnosis*; D006068:Gonioscopy; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D009412:Nerve Fibers / Q000473:pathology*; D009898:Optic Disk / Q000473:pathology*; D009901:Optic Nerve Diseases / Q000175:diagnosis*; D011446:Prospective Studies; D012165:Retinal Ganglion Cells / Q000473:pathology*; D041623:Tomography, Optical Coherence; D014065:Tonometry, Ocular; D058609:Visual Field Tests; D014794:Visual Fields
keywords: ganglion cell complex; preperimetric glaucoma; spectral domain optical coherence tomography