PMID- 29045333 OWN - NLM STAT- MEDLINE DCOM- 20171226 LR - 20181202 IS - 1536-481X (Electronic) IS - 1057-0829 (Linking) VI - 26 IP - 12 DP - 2017 Dec TI - Relationship Between Optic Nerve Head Drusen Volume and Structural and Functional Optic Nerve Damage. PG - 1095-1100 LID - 10.1097/IJG.0000000000000783 [doi] AB - PURPOSE: The purpose of this study is to assess the relationships between optic nerve head drusen (ONHD) volume, retinal nerve fiber layer (RNFL) thickness and visual field (VF) loss. METHODS: Patients with ONHD and no other ocular or systemic conditions that can affect RNFL or VF were enrolled. Serial enhanced depth imaging (EDI) optical coherence tomography (OCT) B-scans of the optic nerve head (interval between scans, ~30 mum) were obtained from each participant. ONHD volume was calculated for each eye by delineating the ONHD masses in each OCT B-scan using 3-dimensional reconstruction software. RESULTS: A total of 47 eyes (28 patients) with ONHD were included (mean age, 57+/-16 y). ONHD volume varied considerably [0.265+/-0.227 (range, 0.005 to 0.855)] mm. Linear and quadratic regression analyses demonstrated that ONHD volume is significantly associated with both global average RNFL thickness (linear R=0.531, quadratic R=0.557; P<0.001) and VF mean deviation (linear R=0.519, quadratic R=0.522; P<0.001). ONHD were most prevalent in the nasal quadrant (46 eyes, 98%), followed by superior, inferior and temporal quadrants [35 (74%), 30 (64%), and 16 (34%) eyes respectively]. The proportion of eyes with OCT RNFL defects (81%; 38/47 eyes) was significantly greater than that with VF defects (60%; 28/47 eyes) (P<0.001). RNFL defects were detected in 10 of the 19 eyes with no VF defects. RNFL defects were detected in all 28 eyes with VF defects. CONCLUSIONS: ONHD volume generally correlates with structural and functional optic nerve damage. FAU - Skaat, Alon AU - Skaat A AD - Moise and Chella Safra Advanced Ocular Imaging Laboratory, Einhorn Clinical Research Center, New York Eye and Ear Infirmary of Mount Sinai. AD - Goldschleger Eye Institute, Sheba Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Muylaert, Stephanie AU - Muylaert S AD - Moise and Chella Safra Advanced Ocular Imaging Laboratory, Einhorn Clinical Research Center, New York Eye and Ear Infirmary of Mount Sinai. FAU - Mogil, Rachel S AU - Mogil RS AD - Department of Ophthalmology, Manhattan Eye, Ear and Throat Hospital. AD - Department of Ophthalmology, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY. FAU - Furlanetto, Rafael L AU - Furlanetto RL AD - Moise and Chella Safra Advanced Ocular Imaging Laboratory, Einhorn Clinical Research Center, New York Eye and Ear Infirmary of Mount Sinai. FAU - Netto, Camila F AU - Netto CF AD - Moise and Chella Safra Advanced Ocular Imaging Laboratory, Einhorn Clinical Research Center, New York Eye and Ear Infirmary of Mount Sinai. FAU - Banik, Rudrani AU - Banik R AD - Moise and Chella Safra Advanced Ocular Imaging Laboratory, Einhorn Clinical Research Center, New York Eye and Ear Infirmary of Mount Sinai. AD - Icahn School of Medicine at Mount Sinai. FAU - Liebmann, Jeffrey M AU - Liebmann JM AD - Bernard and Shirlee Brown Glaucoma Research Laboratory, Harkness Eye Institute, Columbia University Medical Center, New York. FAU - Ritch, Robert AU - Ritch R AD - Moise and Chella Safra Advanced Ocular Imaging Laboratory, Einhorn Clinical Research Center, New York Eye and Ear Infirmary of Mount Sinai. FAU - Park, Sung Chul AU - Park SC AD - Department of Ophthalmology, Manhattan Eye, Ear and Throat Hospital. AD - Department of Ophthalmology, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY. LA - eng PT - Journal Article PL - United States TA - J Glaucoma JT - Journal of glaucoma JID - 9300903 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Female MH - Humans MH - *Imaging, Three-Dimensional MH - Male MH - Middle Aged MH - Optic Disk/*pathology/physiopathology MH - Optic Disk Drusen/*diagnosis/physiopathology MH - Tomography, Optical Coherence/*methods MH - *Visual Acuity MH - Visual Field Tests MH - Visual Fields/*physiology MH - Young Adult EDAT- 2017/10/19 06:00 MHDA- 2017/12/27 06:00 CRDT- 2017/10/19 06:00 PHST- 2017/10/19 06:00 [pubmed] PHST- 2017/12/27 06:00 [medline] PHST- 2017/10/19 06:00 [entrez] AID - 10.1097/IJG.0000000000000783 [doi] PST - ppublish SO - J Glaucoma. 2017 Dec;26(12):1095-1100. doi: 10.1097/IJG.0000000000000783.