PMID- 23448566 OWN - NLM STAT- MEDLINE DCOM- 20130704 LR - 20130301 IS - 1744-5205 (Electronic) IS - 0882-0538 (Linking) VI - 28 IP - 2 DP - 2013 Mar TI - Retinal nerve fiber layer thickness in children <18 years by spectral-domain optical coherence tomography. PG - 97-102 LID - 10.3109/08820538.2012.760626 [doi] AB - OBJECTIVES: To establish a normative database for retinal nerve fiber layer (RNFL) thickness in children<18 years by spectral-domain optical coherence tomography (SD-OCT). METHODS: Children <18 years, who were consecutively enrolled from July-August 2011 in this cross-sectional hospital study, underwent Cirrus SD-OCT. Recorded demographics and clinical characteristics included age, sex, axial length, spherical equivalent, intraocular pressure (by Perkins tonometry) and cup disc ratio. The RNFL thickness full circle (RNFL-FC), superior, (RNFL-S), inferior (RNFL-I), temporal (RNFL-T), and nasal (RNFL-N) and the influence of clinical and demographic factors on the RNFL thickness were assessed using linear regression analysis. RESULTS: 148 eyes of 74 children were analyzed (females: males = 37: 37) with a mean age of 10 +/- 3.4 years (range 4-17 years) and a mean spherical equivalent of -0.6 +/- 1.2 dioptres. The mean RNFL-FC was 94 +/- 10.9 and 93 +/- 10.6 microm in the right and left eyes, respectively, with maximum thickness found in the superior quadrant. The RNFL-FC and RNFL-S decreased by 1.9 microm for every 1 dioptre increase in myopic shift, p < 0.001, and by 1.9 microm for every mm increase in axial length, p < 0.001. There was no effect of age on RNFL thickness in females or males. CONCLUSIONS: The RNFL thickness in children was influenced most by axial length and refractive error while it was independent of age. The normative data from this study could serve as reference for further studies on pediatric glaucoma using newer imaging devices. FAU - Rao, Aparna AU - Rao A AD - Glaucoma Services, LV Prasad Eye Institute, Patia, Bhubaneswar, Orissa, India. vinodini10375@yahoo.com FAU - Sahoo, Bhaktiprada AU - Sahoo B FAU - Kumar, Mukesh AU - Kumar M FAU - Varshney, Gopal AU - Varshney G FAU - Kumar, Ramesh AU - Kumar R LA - eng PT - Journal Article PL - England TA - Semin Ophthalmol JT - Seminars in ophthalmology JID - 8610759 SB - IM MH - Adolescent MH - Aging/*physiology MH - Axial Length, Eye/anatomy & histology MH - Child MH - Child, Preschool MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - *Nerve Fibers MH - Optic Nerve/*anatomy & histology MH - Reference Values MH - Retinal Ganglion Cells/*cytology MH - Tomography, Optical Coherence EDAT- 2013/03/02 06:00 MHDA- 2013/07/05 06:00 CRDT- 2013/03/02 06:00 PHST- 2013/03/02 06:00 [entrez] PHST- 2013/03/02 06:00 [pubmed] PHST- 2013/07/05 06:00 [medline] AID - 10.3109/08820538.2012.760626 [doi] PST - ppublish SO - Semin Ophthalmol. 2013 Mar;28(2):97-102. doi: 10.3109/08820538.2012.760626.