PMID- 26973051 OWN - NLM STAT- MEDLINE DCOM- 20170427 LR - 20180628 IS - 1879-1891 (Electronic) IS - 0002-9394 (Linking) VI - 165 DP - 2016 May TI - Spectral-Domain Optical Coherence Tomography-Derived Characteristics of Bruch Membrane Opening in a Young Adult Australian Population. PG - 154-63 LID - S0002-9394(16)30100-3 [pii] LID - 10.1016/j.ajo.2016.03.008 [doi] AB - PURPOSE: To characterize and quantify Bruch membrane opening (BMO)-based optic nerve head (ONH) parameters in a large, young and healthy, predominantly white population. DESIGN: Cross-sectional study and reliability analysis. METHODS: The ONH of 1344 predominantly white subjects were imaged with spectral-domain optical coherence tomography (SD-OCT). A customized script, coded in Matlab, was used to manually segment and measure multiple BMO-based parameters of the ONH. Measurements were compared to those obtained with confocal scanning laser ophthalmoscopy (Heidelberg Retina Tomograph; HRT). Regression analysis was performed to assess the relationship between BMO parameters and other ocular and demographic variables. RESULTS: Mean BMO disc and neuroretinal rim (NRR) areas ranged from 0.94 to 4.06 mm(2) (mean 1.77 +/- 0.38 mm(2)) and 0.94 to 3.99 mm(2) (mean 1.56 +/- 0.31 mm(2)), respectively. When compared to the equivalent HRT measurements, SD-OCT-derived measures differed significantly for all comparable ONH parameters (P < .001). The limits of agreement computed from Bland-Altman plots comparing SD-OCT and HRT measurements showed suboptimal agreement between the techniques. Linear regression analysis demonstrated an effect of ethnicity, axial length, and refractive error on BMO-based parameters. CONCLUSIONS: We have quantified BMO-based parameters in a large cohort of young adults using SD-OCT. These data will be informative in constructing normative profiles for clinical and research purposes in glaucoma diagnosis and management. CI - Copyright (c) 2016 Elsevier Inc. All rights reserved. FAU - Sanfilippo, Paul Gerard AU - Sanfilippo PG AD - Centre for Ophthalmology and Visual Science, University of Western Australia, Lions Eye Institute, Perth, Australia; Centre for Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, East Melbourne, Australia. Electronic address: prseye@gmail.com. FAU - Huynh, Emily AU - Huynh E AD - Centre for Ophthalmology and Visual Science, University of Western Australia, Lions Eye Institute, Perth, Australia. FAU - Yazar, Seyhan AU - Yazar S AD - Centre for Ophthalmology and Visual Science, University of Western Australia, Lions Eye Institute, Perth, Australia. FAU - Hewitt, Alex William AU - Hewitt AW AD - Centre for Ophthalmology and Visual Science, University of Western Australia, Lions Eye Institute, Perth, Australia; Centre for Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, East Melbourne, Australia; School of Medicine, Menzies Research Institute Tasmania, University of Tasmania, Hobart, Tasmania, Australia. FAU - Mackey, David Anthony AU - Mackey DA AD - Centre for Ophthalmology and Visual Science, University of Western Australia, Lions Eye Institute, Perth, Australia; Centre for Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, East Melbourne, Australia; School of Medicine, Menzies Research Institute Tasmania, University of Tasmania, Hobart, Tasmania, Australia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160310 PL - United States TA - Am J Ophthalmol JT - American journal of ophthalmology JID - 0370500 SB - IM CIN - Am J Ophthalmol. 2017 Feb;174:179. PMID: 27916202 CIN - Am J Ophthalmol. 2017 Feb;174:178-179. PMID: 27919401 MH - Adolescent MH - Australia MH - Bruch Membrane/*anatomy & histology/diagnostic imaging MH - Cross-Sectional Studies MH - Female MH - Humans MH - Intraocular Pressure/physiology MH - Male MH - Nerve Fibers MH - Observer Variation MH - Ophthalmoscopy/methods MH - Optic Disk/*anatomy & histology/diagnostic imaging MH - Prospective Studies MH - Reference Values MH - Reproducibility of Results MH - Retinal Ganglion Cells/cytology MH - *Tomography, Optical Coherence MH - Visual Acuity/physiology MH - Young Adult EDAT- 2016/03/15 06:00 MHDA- 2017/04/28 06:00 CRDT- 2016/03/15 06:00 PHST- 2015/12/08 00:00 [received] PHST- 2016/03/03 00:00 [revised] PHST- 2016/03/04 00:00 [accepted] PHST- 2016/03/15 06:00 [entrez] PHST- 2016/03/15 06:00 [pubmed] PHST- 2017/04/28 06:00 [medline] AID - S0002-9394(16)30100-3 [pii] AID - 10.1016/j.ajo.2016.03.008 [doi] PST - ppublish SO - Am J Ophthalmol. 2016 May;165:154-63. doi: 10.1016/j.ajo.2016.03.008. Epub 2016 Mar 10.