PMID- 25015351 OWN - NLM STAT- MEDLINE DCOM- 20140926 LR - 20220311 IS - 1552-5783 (Electronic) IS - 0146-0404 (Linking) VI - 55 IP - 7 DP - 2014 Jul 11 TI - The detection of macular analysis by SD-OCT for optic chiasmal compression neuropathy and nasotemporal overlap. PG - 4667-72 LID - 10.1167/iovs.14-14766 [doi] AB - PURPOSE: To assess the diagnostic performance of the macular parameters detected by spectral-domain optical coherence tomography (SD-OCT) in band atrophy (BA) eyes. METHODS: Forty-nine BA eyes with permanent temporal hemianopia and 89 normal eyes were enrolled. Any patients who had nasal visual field loss were excluded. Each participant was imaged by three-dimensional (3D) OCT-2000, and 10 x 10 grids in the macula were automatically allocated. The thickness of the macular retinal nerve fiber layer (mRNFL), ganglion cell layer (GCL)+ (GCL+inner plexiform layer [IPL]), and GCL++ (RNFL+GCL+IPL) in both nasal and temporal hemiretina was calculated and compared between the BA and normal eyes. The areas under the receiver operating characteristic curves (AUCs) in these parameters were compared between the nasal hemiretina and the temporal hemiretina. RESULTS: All the parameters in the BA eyes were significantly thinner than those in the normal eyes. The AUCs for the mRNFL, GCL+, and GCL++ thickness in the nasal hemiretina were 0.890, 0.988, and 0.981, respectively. The parameters in the nasal hemiretina showed significantly higher AUCs than those parameters in the temporal hemiretina. In the temporal hemiretina, the damaged grids in the mRNFL were located in the arcuate areas in each hemifield. CONCLUSIONS: The inner macular parameters in the nasal hemiretina exhibited high diagnostic abilities to detect BA. The GCL+ was more affected than mRNFL. The characteristic pattern of mRNFL and GCL+ thinning was implicated in the anatomical architecture regarding the nasotemporal overlap of the crossed and uncrossed fibers around the fovea. (www.umin.ac.jp/ctr number, UMIN000006900.). CI - Copyright 2014 The Association for Research in Vision and Ophthalmology, Inc. FAU - Akashi, Azusa AU - Akashi A AD - Division of Ophthalmology, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. FAU - Kanamori, Akiyasu AU - Kanamori A AD - Division of Ophthalmology, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. FAU - Ueda, Kaori AU - Ueda K AD - Division of Ophthalmology, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. FAU - Matsumoto, Yoshiko AU - Matsumoto Y AD - Division of Ophthalmology, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. FAU - Yamada, Yuko AU - Yamada Y AD - Division of Ophthalmology, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. FAU - Nakamura, Makoto AU - Nakamura M AD - Division of Ophthalmology, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. LA - eng SI - JPRN/UMIN000006900 PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140711 PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 SB - IM MH - Adenoma/pathology MH - Adult MH - Aged MH - Area Under Curve MH - Central Nervous System Cysts/*pathology MH - Craniopharyngioma/pathology MH - Diagnostic Techniques, Ophthalmological MH - Female MH - Hemianopsia/diagnosis MH - Humans MH - Male MH - Middle Aged MH - Nerve Compression Syndromes/*diagnosis MH - Nerve Fibers/*pathology MH - Optic Chiasm/*pathology MH - Pituitary Neoplasms/*pathology MH - ROC Curve MH - Retinal Diseases/diagnosis MH - Retinal Ganglion Cells/*pathology MH - *Tomography, Optical Coherence OTO - NOTNLM OT - band atrophy OT - chiasmal compression OT - ganglion cell layer OT - optical coherence tomography OT - retinal nerve fiber layer EDAT- 2014/07/13 06:00 MHDA- 2014/09/27 06:00 CRDT- 2014/07/13 06:00 PHST- 2014/07/13 06:00 [entrez] PHST- 2014/07/13 06:00 [pubmed] PHST- 2014/09/27 06:00 [medline] AID - iovs.14-14766 [pii] AID - 10.1167/iovs.14-14766 [doi] PST - epublish SO - Invest Ophthalmol Vis Sci. 2014 Jul 11;55(7):4667-72. doi: 10.1167/iovs.14-14766.