Ophthalmology Summit 2019
Ophthalmology Case Reports | Volume 3
Note:
OF EXCELLENCE
IN INTERNATIONAL
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alliedacademies.comYEARS
March 27-28, 2019 | Amsterdam, Netherlands
2
nd
GLOBAL
OPHTHALMOLOGY SUMMIT 2019
Page46
MACULAR AND RETINAL NERVE FIBER LAYER ANALYSIS BY OPTICAL
COHERENCE TOMOGRAPHY IN NORMAL CHILDREN
Asmaa N Ali, Rania K Farag, Tarek A Abd El Wahab
and
Asaad A Ghanem
Mansoura Ophthalmology Center, Egypt
T
his study aims to evaluate macular and peripapillary retinal nerve fiber layer measurements in normal chil-
dren and their correlation with age, gender, laterality, refraction and axial length
Methods:
This was an observational cross sectional study among 100 eyes of 50 child (25 boys, 25 girls) aged
between 6 and 17 years. After detailed eye examination and axial length measurements, the children were
scanned using swept source optical coherence tomography (3D DRI OCT Triton [plus], Topcon Corporation,
Tokyo, Japan) to measure macular thickness, macular volume, peripapillary RNFL thickness and optic disc pa-
rameters.
Results:
Both eyes of fifty child were included in the study. Mean age was 10.96 ± 2.75 years, average spher-
ical equivalent refraction (SE) was 0.78±1.65 (−4.50 to +5.00) diopters and average axial length was 22.87
± 0.90 (20.99 to 24.67) mm. Average macular thickness was 276.41±17.8 μm, central macular thickness was
225.26±20.79 μm, mean macular volume was 7.84±0.48 mm3 and mean peripapillary RNFL thickness was
111.26±20.46 μm. Axial length showed positive correlation with age unlike negative correlation with spherical
equivalent. It also showed negative correlation with mean average RNFL thickness. Most of the parafoveal
region quadrants correlated positively with age unlike RNFL measurements that correlated negatively. Central
macular thickness values were significantly higher in males (p=0.001) but there was no difference between
male and female as regard RNFL thickness. Spherical equivalent didn’t show significant effect on studied pa-
rameters. Concerning the side of the eye, it had no statistically significant difference between both eyes but
good correlation.
Conclusion:
Normative paediatric SS-OCT data might facilitate use of SS-OCT for assessing childhood oph-
thalmic diseases. This study provides a paediatric normative database of SS-OCT peripapillary RNFL and mac-
ular data.
Ophthalmol Case Rep 2019, Volume 3