PMID- 19726949 OWN - NLM STAT- MEDLINE DCOM- 20091207 LR - 20181201 IS - 1536-5166 (Electronic) IS - 1070-8022 (Linking) VI - 29 IP - 3 DP - 2009 Sep TI - Evaluation of the retinal nerve fiber layer: descriptive or predictive? PG - 245-9 LID - 10.1097/WNO.0b013e3181b1b3d7 [doi] AB - For nearly a century, ophthalmologists have recognized that thinning of the retinal nerve fiber layer (rNFL) could be observed ophthalmoscopically in diseases of the optic nerve. Using high-resolution red-free fundus photography, Hoyt found slit-like rNFL defects that corresponded to visual field defects in glaucoma. Frisen extended these observations to multiple sclerosis, predicting the later discovery that axonal loss occurs in the retina without clinical bouts of optic neuritis. In measurement of the rNFL, red-free fundus photography has been superseded by more widely available, robust, and quantitative retinal imaging techniques, including Heidelberg retinal tomography, scanning laser polarimetry, and optical coherence tomography (OCT). Having emerged as the technique of choice in measuring the rNFL, OCT has shown that the degree of preoperative rNFL thinning reliably predicts whether vision will recover after surgery for pituitary adenoma. Such quantitative studies of the rNFL have the potential, therefore, of providing descriptive and predictive information that will be valuable in clinical care. FAU - Savino, Peter J AU - Savino PJ AD - Shiley Eye Center, University of California-San Diego, 9415 Camp Point Drive, La Jolla, CA 92093-0946, USA. pjsavino@aol.com LA - eng PT - Case Reports PT - Historical Article PT - Journal Article PT - Lecture PL - United States TA - J Neuroophthalmol JT - Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society JID - 9431308 SB - IM MH - Diagnostic Techniques, Ophthalmological/*history/*trends MH - Female MH - History, 20th Century MH - Humans MH - Middle Aged MH - Optic Nerve Diseases/*diagnosis/*history MH - Predictive Value of Tests MH - Prognosis MH - Retina/*pathology/physiopathology MH - Retinal Ganglion Cells/pathology MH - Tomography, Optical Coherence/trends MH - Wallerian Degeneration/pathology/physiopathology EDAT- 2009/09/04 06:00 MHDA- 2009/12/16 06:00 CRDT- 2009/09/04 06:00 PHST- 2009/09/04 06:00 [entrez] PHST- 2009/09/04 06:00 [pubmed] PHST- 2009/12/16 06:00 [medline] AID - 00041327-200909000-00014 [pii] AID - 10.1097/WNO.0b013e3181b1b3d7 [doi] PST - ppublish SO - J Neuroophthalmol. 2009 Sep;29(3):245-9. doi: 10.1097/WNO.0b013e3181b1b3d7.