PMID- 23541535 OWN - NLM STAT- MEDLINE DCOM- 20131030 LR - 20130415 IS - 1773-0597 (Electronic) IS - 0181-5512 (Linking) VI - 36 IP - 4 DP - 2013 Apr TI - [Analysis of macular ganglion cell complex (GCC) with spectral-domain optical coherence tomography (SD-OCT) in glaucoma]. PG - 299-309 LID - S0181-5512(13)00058-2 [pii] LID - 10.1016/j.jfo.2013.01.005 [doi] AB - Early detection of ganglion cell loss is possible with new algorithms for the assessment of the Macular Ganglion Cell Complex (GCC) by SD-OCT. The various data acquisition protocols used by the various versions of software, as well as their accuracy and reproducibility, must be taken into account. Current results show similar ability to detect glaucoma as compared to Retinal Nerve Fiber Layer thickness (RNFL), with some limitations, possible artifacts, and interpretation pitfalls which must be taken into account. The role of the significance map and of various indices (Focal Loss Volume, Global Loss Volume, GCIPL minimum...); data obtained in the setting of various clinical entities (tilted disc, peripapillary atrophy, large and small optic discs, high myopia...); and detection of progression, especially in advanced glaucoma, underline the role of macular GCC analysis as a complementary method to peripapillary RNFL thickness. The diagnostic precision and better reproducibility of these new software protocols offer new perspectives in the detection and management of progression in various stages of the management of glaucomatous optic neuropathy. CI - Copyright (c) 2013 Elsevier Masson SAS. All rights reserved. FAU - Renard, J-P AU - Renard JP AD - Service d'ophtalmologie, hopital du Val-de-Grace, 74, boulevard de Port royal, 75005 Paris, France. pr_renard@yahoo.fr FAU - Fenolland, J-R AU - Fenolland JR FAU - El Chehab, H AU - El Chehab H FAU - Francoz, M AU - Francoz M FAU - Marill, A-M AU - Marill AM FAU - Messaoudi, R AU - Messaoudi R FAU - Delbarre, M AU - Delbarre M FAU - Marechal, M AU - Marechal M FAU - Michel, S AU - Michel S FAU - Giraud, J-M AU - Giraud JM LA - fre PT - English Abstract PT - Journal Article PT - Review TT - Analyse du complexe cellulaire ganglionnaire maculaire (GCC) en tomographie par coherence optique (SD-OCT) dans le glaucome. DEP - 20130329 PL - France TA - J Fr Ophtalmol JT - Journal francais d'ophtalmologie JID - 7804128 SB - IM MH - Disease Progression MH - Fluorescein Angiography MH - Glaucoma/complications/*pathology MH - Humans MH - Macula Lutea/*pathology MH - Myopia/complications/pathology MH - Retinal Ganglion Cells/*pathology MH - Sensitivity and Specificity MH - *Tomography, Optical Coherence/methods EDAT- 2013/04/02 06:00 MHDA- 2013/10/31 06:00 CRDT- 2013/04/02 06:00 PHST- 2013/01/14 00:00 [received] PHST- 2013/01/29 00:00 [accepted] PHST- 2013/04/02 06:00 [entrez] PHST- 2013/04/02 06:00 [pubmed] PHST- 2013/10/31 06:00 [medline] AID - S0181-5512(13)00058-2 [pii] AID - 10.1016/j.jfo.2013.01.005 [doi] PST - ppublish SO - J Fr Ophtalmol. 2013 Apr;36(4):299-309. doi: 10.1016/j.jfo.2013.01.005. Epub 2013 Mar 29.