PMID- 23377582 OWN - NLM STAT- MEDLINE DCOM- 20141121 LR - 20140603 IS - 1536-481X (Electronic) IS - 1057-0829 (Linking) VI - 23 IP - 5 DP - 2014 Jun-Jul TI - Diagnostic ability of spectral-domain versus time-domain optical coherence tomography in preperimetric glaucoma. PG - 299-306 LID - 10.1097/IJG.0b013e3182741cc4 [doi] AB - PURPOSE: To evaluate and compare the diagnostic abilities of the speckle noise-reduced spectral-domain optical coherence tomography (SD-OCT; Spectralis OCT) and time-domain optical coherence tomography (TD-OCT; Stratus OCT) to detect localized retinal nerve fiber layer (RNFL) defects in patients with preperimetric open-angle glaucoma. METHODS: Thirty-five eyes of 35 preperimetric glaucoma patients with localized RNFL defects and 72 normal control eyes were scanned using SD-OCT and TD-OCT. Areas under the receiver-operating characteristic curves (AUROCs), and the sensitivity and specificity for detecting localized RNFL defects based on the internal normative database of each device were calculated and compared. RESULTS: The AUROC for the best parameter from SD-OCT (inferotemporal sector, AUROC=0.940) was significantly higher than that of TD-OCT (7 o'clock sector, AUROC=0.881; P=0.009). The sensitivity of the SD-OCT parameters ranged from 18.9% to 83.8% and that of the TD-OCT parameters ranged from 5.4% to 54.1%, with the criterion of abnormal at the 5% level. The highest sensitivity of the SD-OCT was found with the temporal-superior-nasal-inferior-temporal thickness graph abnormal at the 5% level, which had a specificity of 90.3%. On the basis of temporal-superior-nasal-inferior-temporal thickness graphs, SD-OCT was more sensitive (P=0.001) for detection of preperimetric RNFL defects than TD-OCT at a comparable specificity (P=0.227). CONCLUSIONS: Speckle noise-reduced SD-OCT is better able to detect preperimetric localized RNFL defect(s) than TD-OCT. FAU - Jeoung, Jin Wook AU - Jeoung JW AD - *Department of Ophthalmology, Seoul National University College of Medicine daggerDepartment of Ophthalmology, Seoul National University Hospital parallelDepartment of Ophthalmology, Seoul National University Boramae Hospital, Seoul double daggerDepartment of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Korea section signHamilton Glaucoma Center and Department of Ophthalmology, University of California San Diego, La Jolla, CA. FAU - Kim, Tae-Woo AU - Kim TW FAU - Weinreb, Robert N AU - Weinreb RN FAU - Kim, Seok Hwan AU - Kim SH FAU - Park, Ki Ho AU - Park KH FAU - Kim, Dong Myung AU - Kim DM LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Glaucoma JT - Journal of glaucoma JID - 9300903 SB - IM MH - Adult MH - Aged MH - Area Under Curve MH - Female MH - Glaucoma, Open-Angle/*diagnosis MH - Humans MH - Intraocular Pressure MH - Male MH - Middle Aged MH - Nerve Fibers/*pathology MH - Optic Disk/*pathology MH - Optic Nerve Diseases/*diagnosis MH - Retinal Ganglion Cells/*pathology MH - Sensitivity and Specificity MH - Time Factors MH - Tomography, Optical Coherence/*instrumentation/methods MH - Tonometry, Ocular MH - Visual Field Tests MH - Visual Fields MH - Young Adult EDAT- 2013/02/05 06:00 MHDA- 2014/12/15 06:00 CRDT- 2013/02/05 06:00 PHST- 2013/02/05 06:00 [entrez] PHST- 2013/02/05 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] AID - 10.1097/IJG.0b013e3182741cc4 [doi] PST - ppublish SO - J Glaucoma. 2014 Jun-Jul;23(5):299-306. doi: 10.1097/IJG.0b013e3182741cc4.