PMID- 21907415 OWN - NLM STAT- MEDLINE DCOM- 20120126 LR - 20220408 IS - 1549-4713 (Electronic) IS - 0161-6420 (Linking) VI - 118 IP - 12 DP - 2011 Dec TI - Variation in optic nerve and macular structure with age and race with spectral-domain optical coherence tomography. PG - 2403-8 LID - 10.1016/j.ophtha.2011.06.013 [doi] AB - PURPOSE: To evaluate the effects of age and race on optic disc, retinal nerve fiber layer (RNFL), and macular measurements with spectral-domain optical coherence tomography (SD OCT). DESIGN: Cross-sectional observational study. PARTICIPANTS: Three hundred fifty adult subjects without ocular disease. METHODS: Data from SD OCT imaging of the optic nerve head, peripapillary RNFL, and macula of 632 eyes from 350 subjects without ocular disease were imaged with SD OCT. Multivariate models were used to determine the effect of age and race on quantitative measurements of optic disc, RNFL, and macula. MAIN OUTCOME MEASURES: Optic nerve, RNFL, and macular measurements with SD OCT across racial strata and age. RESULTS: For optic nerve parameters, participants of European descent had significantly smaller optic disc area than other groups (P<0.0001), and Indian participants had significantly smaller rim area than other groups (P<0.0001). Indian and Hispanic participants had thicker global RNFL measurements than other groups (P<0.0001). Participants of African descent were associated with thinner inner retinal thickness in the macula (P<0.0001). Age was associated with several parameters, with rim area reducing by 0.005 mm(2)/year, RNFL thickness reducing by 0.18 mum/year, and inner retinal thickness reducing by 0.1 mum/year (P<0.0001 for all age associations). CONCLUSIONS: Optic nerve, RNFL, and macular measurements with SD OCT all varied across racial groups and with age. These differences are important in defining the range of normal variation in differing populations and should be considered in the use of these instruments in the detection of optic nerve and macular disease across these population groups. FINANCIAL DISCLOSURE(S): Proprietary or commercial disclosure may be found after the references. CI - Copyright (c) 2011 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved. FAU - Girkin, Christopher A AU - Girkin CA AD - Department of Ophthalmology, University of Alabama at Birmingham, Birmingham, Alabama 35233, USA. cgirkin@uab.edu FAU - McGwin, Gerald Jr AU - McGwin G Jr FAU - Sinai, Micheal J AU - Sinai MJ FAU - Sekhar, G Chandra AU - Sekhar GC FAU - Fingeret, Murrey AU - Fingeret M FAU - Wollstein, Gadi AU - Wollstein G FAU - Varma, Rohit AU - Varma R FAU - Greenfield, David AU - Greenfield D FAU - Liebmann, Jeffery AU - Liebmann J FAU - Araie, Makoto AU - Araie M FAU - Tomita, Goji AU - Tomita G FAU - Maeda, Naoyuki AU - Maeda N FAU - Garway-Heath, David F AU - Garway-Heath DF LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20110909 PL - United States TA - Ophthalmology JT - Ophthalmology JID - 7802443 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Aging/*physiology MH - Body Weights and Measures MH - Cross-Sectional Studies MH - Ethnicity MH - Female MH - Humans MH - Intraocular Pressure/physiology MH - Macula Lutea/*anatomy & histology MH - Male MH - Middle Aged MH - *Nerve Fibers MH - Optic Disk/*anatomy & histology MH - Prospective Studies MH - *Racial Groups MH - Retinal Ganglion Cells/*cytology MH - *Tomography, Optical Coherence MH - Visual Acuity/physiology MH - Young Adult EDAT- 2011/09/13 06:00 MHDA- 2012/01/27 06:00 CRDT- 2011/09/13 06:00 PHST- 2011/02/04 00:00 [received] PHST- 2011/06/10 00:00 [revised] PHST- 2011/06/14 00:00 [accepted] PHST- 2011/09/13 06:00 [entrez] PHST- 2011/09/13 06:00 [pubmed] PHST- 2012/01/27 06:00 [medline] AID - S0161-6420(11)00556-2 [pii] AID - 10.1016/j.ophtha.2011.06.013 [doi] PST - ppublish SO - Ophthalmology. 2011 Dec;118(12):2403-8. doi: 10.1016/j.ophtha.2011.06.013. Epub 2011 Sep 9.