PMID- 29290187 OWN - NLM STAT- MEDLINE DCOM- 20180604 LR - 20180604 IS - 1681-7168 (Electronic) IS - 1022-386X (Linking) VI - 28 IP - 1 DP - 2018 Jan TI - Peripapillary Retinal Nerve Fiber Layer (RNFL) Thickness Measurements by Topcon SD-OCT in Myopic Patients. PG - 26-30 LID - 10.29271/jcpsp.2018.01.26 [doi] AB - OBJECTIVE: To evaluate the effect of low-to-moderate myopia on peripapillary retinal nerve fiber layer (RNFL) thickness measured by Topcon SD optical coherence tomography (OCT). STUDY DESIGN: Cross-sectional study. PLACE AND DURATION OF STUDY: Ophthalmology Department, Shifa Foundation Falahee Clinic, over a period of one year starting from June 2015. METHODOLOGY: A total of 43 eyes of 43 patients, having mild to moderate myopic refractive error, were enrolled in the study. Refractive error/spherical equivalent was calculated. RNFL thickness was obtained from all four peripapillary quadrants: temporal, superior, nasal, and inferior; and 12 sub-quadrants using Topcon SD OCT. Pearson correlation coefficients (r) were calculated to evaluate relationships between the RNFL thickness and spherical equivalent (SE) before and after adjustment for ocular magnification. RESULTS: The study included 51.2% females and 48.8% males. Mean age was 30.9 +/-6.45 years. Mean axial length was 24.25 +/-0.91 mm. Mean SE was -3.25 +/-1.93 DS. Mean of average RNFL thickness (with Littmann's correction) was 97.28 +/-8.15 microm. Correlation analysis among all subjects showed that the average, mean nasal quadrant, upper nasal, and inferonasal sub-quadrant RNFL thickness had positive correlation with spherical equivalent (r = 0.31, p = 0.045).However, correction of the magnification effect by applying Littmann formula eliminated this effect. CONCLUSION: In low-to-moderate myopia, RNFL measurements vary with refractive error of the eye. Since ocular magnification significantly affects the RNFL measurement, it should be considered in diagnosing glaucoma. FAU - Akhtar, Nadia AU - Akhtar N AD - Department of Ophthalmology, Federal General Hospital, Islamabad. FAU - Kausar, Ayisha AU - Kausar A AD - Department of Ophthalmology, Shifa International Hospital, Islamabad. FAU - Afzal, Farooq AU - Afzal F AD - Department of Ophthalmology, Shifa International Hospital, Islamabad. FAU - Ali, Syed Khalid AU - Ali SK AD - Department of Ophthalmology, Shifa International Hospital, Islamabad. FAU - Hamid, Nida AU - Hamid N AD - Department of Ophthalmology, Shifa International Hospital, Islamabad. LA - eng PT - Journal Article PL - Pakistan TA - J Coll Physicians Surg Pak JT - Journal of the College of Physicians and Surgeons--Pakistan : JCPSP JID - 9606447 SB - IM MH - Adult MH - Cross-Sectional Studies MH - Female MH - Glaucoma/*pathology MH - Humans MH - Male MH - Middle Aged MH - Myopia/*complications MH - Nerve Fibers/*pathology MH - Refractive Errors MH - Retinal Ganglion Cells/*pathology MH - Tomography, Optical Coherence/*methods MH - Visual Acuity MH - Young Adult EDAT- 2018/01/02 06:00 MHDA- 2018/06/05 06:00 CRDT- 2018/01/02 06:00 PHST- 2017/07/12 00:00 [received] PHST- 2017/11/13 00:00 [accepted] PHST- 2018/01/02 06:00 [entrez] PHST- 2018/01/02 06:00 [pubmed] PHST- 2018/06/05 06:00 [medline] AID - 040579197 [pii] AID - 10.29271/jcpsp.2018.01.26 [doi] PST - ppublish SO - J Coll Physicians Surg Pak. 2018 Jan;28(1):26-30. doi: 10.29271/jcpsp.2018.01.26.