PMID- 22039236 OWN - NLM STAT- MEDLINE DCOM- 20120222 LR - 20221207 IS - 1552-5783 (Electronic) IS - 0146-0404 (Linking) VI - 52 IP - 13 DP - 2011 Dec 20 TI - Determinants of quantitative optic nerve measurements using spectral domain optical coherence tomography in a population-based sample of non-glaucomatous subjects. PG - 9629-35 LID - 10.1167/iovs.11-7481 [doi] AB - PURPOSE: To evaluate the ocular and systemic factors influencing measurements of optic nerve head (ONH) parameters and retinal nerve fiber layer (RNFL) thickness with spectral-domain optical coherence tomography (SD-OCT) in healthy Chinese adults. METHODS: Adults ranging in age from 40 to 80 years were consecutively recruited from the population-based Singapore Chinese Eye Study. A SD-OCT instrument was used to measure ONH and RNFL parameters. A total of 542 eyes from 542 non-glaucomatous Chinese subjects were analyzed. Univariable and multiple linear regression analyses were performed to examine the effects of a range of ocular (e.g., intraocular pressure [IOP], axial length [AL], disc area) and systemic (e.g., blood pressure, serum glucose) factors on ONH and RNFL parameters. RESULTS: In multiple regression analyses, neuroretinal rim area was independently associated with age (beta = -0.006, P < 0.001), disc area (beta = 0.183, P < 0.001), IOP (beta = -0.009, P = 0.008), AL (beta = -0.023, P = 0.004), and lens nuclear color (beta = 0.042, P = 0.001). Vertical cup-to-disc ratio was independently correlated with age (beta = 0.003, P < 0.001), disc area (beta = 0.207, P < 0.001), IOP (beta = 0.004, P = 0.014), AL (beta = 0.010, P = 0.008), and lens nuclear color (beta = -0.017, P = 0.006). Average RNFL thickness was independently related to age (beta = -0.204, P = 0.001), disc area (beta = 4.218, P < 0.001), signal strength (beta = 1.348, P < 0.001), and AL (beta = -1.332, P < 0.001). Disc area had the strongest effect on measurements of ONH parameters and RNFL thickness. CONCLUSIONS: In a non-glaucomatous population, optic nerve measurements with SD-OCT vary with disc area, age, IOP, AL, lens nuclear color, and signal strength, but systemic parameters have little influence. This information may be useful for interpretation of SD-OCT measurements. FAU - Cheung, Carol Y AU - Cheung CY AD - Singapore Eye Research Institute, Singapore National Eye Centre, Singapore. FAU - Chen, David AU - Chen D FAU - Wong, Tien Y AU - Wong TY FAU - Tham, Yih Chung AU - Tham YC FAU - Wu, Renyi AU - Wu R FAU - Zheng, Yingfeng AU - Zheng Y FAU - Cheng, Ching Yu AU - Cheng CY FAU - Saw, Seang Mei AU - Saw SM FAU - Baskaran, Mani AU - Baskaran M FAU - Leung, Christopher K AU - Leung CK FAU - Aung, Tin AU - Aung T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20111220 PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Aging/physiology MH - Asian People MH - Axial Length, Eye/anatomy & histology MH - Blood Pressure/physiology MH - Female MH - Humans MH - Intraocular Pressure/physiology MH - Male MH - Middle Aged MH - *Nerve Fibers MH - Optic Disk/*anatomy & histology MH - Optic Nerve/*anatomy & histology MH - Reference Values MH - Retinal Ganglion Cells/*cytology MH - Singapore/epidemiology MH - *Tomography, Optical Coherence EDAT- 2011/11/01 06:00 MHDA- 2012/02/23 06:00 CRDT- 2011/11/01 06:00 PHST- 2011/11/01 06:00 [entrez] PHST- 2011/11/01 06:00 [pubmed] PHST- 2012/02/23 06:00 [medline] AID - iovs.11-7481 [pii] AID - 10.1167/iovs.11-7481 [doi] PST - epublish SO - Invest Ophthalmol Vis Sci. 2011 Dec 20;52(13):9629-35. doi: 10.1167/iovs.11-7481.