Lamina cribrosa depth in different stages of glaucoma.
OBJECTIVE
To compare lamina cribrosa (LC) depth between normal eyes and eyes with different stages of treated glaucoma.


METHODS
Serial enhanced depth imaging (EDI) optical coherence tomography (OCT) B-scans of the optic nerve head were obtained. To generate the mean LC depth for each eye, LC depths were measured in 11 equally spaced horizontal B-scans and averaged. The mean LC depth was compared among normal, preperimetric, mild-to-moderate, and severe glaucoma groups. Among patients with visual field (VF) loss, correlation analysis was performed (1) between mean LC depth and VF mean deviation (MD), and (2) between mean LC depth and retinal nerve fiber layer (RNFL) thickness.


RESULTS
Eighty-six normal eyes (age, 56 ± 14 years), 47 preperimetric glaucoma eyes (age, 60 ± 16 years), 55 mild-to-moderate glaucoma eyes (age, 59 ± 16 years; VF MD, -6.0 ± 3.2 dB), and 60 severe glaucoma eyes (age, 59 ± 17 years; VF MD, -19.7 ± 6.1 dB) were included. Mean LC depth was significantly greater in preperimetric glaucoma than in normal eyes (390 vs. 344 μm, P = 0.004) and in mild-to-moderate than in preperimetric glaucoma eyes (448 vs. 390 μm, P = 0.001). However, no significant difference was observed between mild-to-moderate and severe glaucoma eyes (448 vs. 437 μm, P = 0.52). No correlation was observed between LC depth and VF MD (P = 0.56) or RNFL thickness (P = 0.90) in glaucomatous eyes with VF loss.


CONCLUSIONS
In treated glaucoma, posterior LC displacement occurs mostly in the preperimetric and mild-to-moderate glaucoma stages. This warrants further investigation of LC depth as a parameter to monitor glaucoma progression in the early stages.
Department of Ophthalmology, Manhattan Eye, Ear and Throat Hospital, New York, New York, United States Department of Ophthalmology, Hofstra North Shore-LIJ School of Medicine, Hampstead, New York, United States.
Sung Chul
SC
Park
Moise and Chella Safra Advanced Ocular Imaging Laboratory, Einhorn Clinical Research Center, New York Eye and Ear Infirmary of Mount Sinai, New York, New York, United States.
John
J
Brumm
Moise and Chella Safra Advanced Ocular Imaging Laboratory, Einhorn Clinical Research Center, New York Eye and Ear Infirmary of Mount Sinai, New York, New York, United States.
Rafael L
RL
Furlanetto
Moise and Chella Safra Advanced Ocular Imaging Laboratory, Einhorn Clinical Research Center, New York Eye and Ear Infirmary of Mount Sinai, New York, New York, United States.
Camila
C
Netto
Moise and Chella Safra Advanced Ocular Imaging Laboratory, Einhorn Clinical Research Center, New York Eye and Ear Infirmary of Mount Sinai, New York, New York, United States.
Yiyi
Y
Liu
Department of Ophthalmology, Manhattan Eye, Ear and Throat Hospital, New York, New York, United States Department of Ophthalmology, Hofstra North Shore-LIJ School of Medicine, Hampstead, New York, United States.
Celso
C
Tello
Harkness Eye Institute, Columbia University Medical Center, New York, New York, United States.
Jeffrey M
JM
Liebmann
Moise and Chella Safra Advanced Ocular Imaging Laboratory, Einhorn Clinical Research Center, New York Eye and Ear Infirmary of Mount Sinai, New York, New York, United States.
Robert
R
Ritch
D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D005901:Glaucoma / Q000473:pathology* / Q000503:physiopathology; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009898:Optic Disk / Q000033:anatomy & histology / Q000473:pathology*; D009901:Optic Nerve Diseases / Q000473:pathology*; D041623:Tomography, Optical Coherence / Q000379:methods; D014786:Vision Disorders / Q000473:pathology; D014794:Visual Fields / Q000502:physiology
glaucoma; lamina cribrosa; visual field