PMID- 23127751 OWN - NLM STAT- MEDLINE DCOM- 20130314 LR - 20220310 IS - 1879-1891 (Electronic) IS - 0002-9394 (Print) IS - 0002-9394 (Linking) VI - 155 IP - 2 DP - 2013 Feb TI - Normative reference ranges for the retinal nerve fiber layer, macula, and retinal layer thicknesses in children. PG - 354-360.e1 LID - S0002-9394(12)00581-8 [pii] LID - 10.1016/j.ajo.2012.08.010 [doi] AB - PURPOSE: To establish a normative database of peripapillary retinal nerve fiber layer (RNFL) thickness, macular thickness, and retinal layer thickness in healthy North American children, using spectral-domain optical coherence tomography (SD OCT). DESIGN: Prospective cross-sectional study. METHODS: This institutional study enrolled 83 healthy children (aged 5-15 years) as volunteer research subjects at the Retina Foundation of the Southwest (Dallas, Texas); all had normal visual acuity. Imaging was accomplished with the Spectralis SD OCT. Peripapillary RNFL thickness and macular thickness were assessed for 1 eye of each child using the Heidelberg Spectralis SD OCT software. Thicknesses of individual retinal layers and layer combinations were assessed using custom software to segment the line scans obtained with the Spectralis SD OCT. RESULTS: Average global peripapillary RNFL thickness was 107.6 +/- 1.2 mum and average central subfield macular thickness was 271.2 +/- 2.0 mum. Peripapillary RNFL thickness was thicker than has been reported in adults, particularly the superior and inferior sectors, and central subfield macular thickness was significantly correlated with age. While the thickness of most retinal layers was comparable with those of adults, the outer segment layer was 36% thinner in children than in adults. CONCLUSIONS: SD OCT can be used to assess peripapillary RNFL thickness, macular thickness, and retinal layer thickness in children as young as 5 years. Pediatric means and normative reference ranges are provided for each measurement. The values presented herein can be used as a standard with which to compare those of children suspected of having retinal or optic nerve abnormalities. CI - Copyright (c) 2013 Elsevier Inc. All rights reserved. FAU - Yanni, Susan E AU - Yanni SE AD - Retina Foundation of the Southwest, Dallas, Texas 75231-0920, USA. susan.e.yanni@gmail.com FAU - Wang, Jingyun AU - Wang J FAU - Cheng, Christina S AU - Cheng CS FAU - Locke, Kelly I AU - Locke KI FAU - Wen, Yuquan AU - Wen Y FAU - Birch, David G AU - Birch DG FAU - Birch, Eileen E AU - Birch EE LA - eng GR - R01 EY009076/EY/NEI NIH HHS/United States GR - R01 EY022313/EY/NEI NIH HHS/United States GR - EY09076/EY/NEI NIH HHS/United States GR - EY022313/EY/NEI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20121103 PL - United States TA - Am J Ophthalmol JT - American journal of ophthalmology JID - 0370500 SB - IM MH - Adolescent MH - Child MH - Child, Preschool MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - *Nerve Fibers MH - Optic Disk/*anatomy & histology MH - Prospective Studies MH - Reference Values MH - Retina/*anatomy & histology MH - Retinal Ganglion Cells/*cytology MH - Tomography, Optical Coherence MH - Visual Acuity/physiology PMC - PMC3545013 MID - NIHMS404499 EDAT- 2012/11/07 06:00 MHDA- 2013/03/15 06:00 PMCR- 2014/02/01 CRDT- 2012/11/07 06:00 PHST- 2012/07/13 00:00 [received] PHST- 2012/08/14 00:00 [revised] PHST- 2012/08/16 00:00 [accepted] PHST- 2012/11/07 06:00 [entrez] PHST- 2012/11/07 06:00 [pubmed] PHST- 2013/03/15 06:00 [medline] PHST- 2014/02/01 00:00 [pmc-release] AID - S0002-9394(12)00581-8 [pii] AID - 10.1016/j.ajo.2012.08.010 [doi] PST - ppublish SO - Am J Ophthalmol. 2013 Feb;155(2):354-360.e1. doi: 10.1016/j.ajo.2012.08.010. Epub 2012 Nov 3.