PMID- 30783031 OWN - NLM STAT- MEDLINE DCOM- 20190704 LR - 20190704 IS - 1423-0259 (Electronic) IS - 0030-3747 (Linking) VI - 62 IP - 1 DP - 2019 TI - Measurement of Structural Parameters of the Lamina Cribrosa in Primary Open-Angle Glaucoma and Chronic Primary Angle-Closure Glaucoma by Optical Coherence Tomography and Its Correlations with Ocular Parameters. PG - 36-45 LID - 10.1159/000496558 [doi] AB - PURPOSE: To measure lamina cribrosa thickness (LCT) and anterior lamina cribrosa surface depth (ALCSD) in primary open-angle glaucoma (POAG), chronic primary angle-closure glaucoma (CPACG), and control patients using spectral-domain optical coherence tomography (SD-OCT) and examine its association with relevant ocular parameters. METHODS: In this cross-sectional study, 61 healthy volunteers (61 eyes), 65 POAG patients (65 eyes), and 55 CPACG patients (55 eyes) were recruited to obtain radial B-scans of the optic nerve head by way of enhanced depth imaging using Heidelberg SD-OCT. The obtained LCT and ALCSD were compared among the control, POAG, and CPACG groups. In addition, we evaluated the relationships of mean lamina cribrosa (LC) parameters with visual field (VF) mean deviation (MD), retinal nerve fiber layer (RNFL) thickness, intraocular pressure (IOP), and axial length. RESULTS: The mean LCT of CPACG eyes was greater than that of POAG eyes (p = 0.003), but less than that of normal eyes (p < 0.001). The mean ALCSD of POAG and CPACG eyes was greater than that of normal control eyes (both p < 0.001). However, the mean ALCSD showed no significant difference between the POAG and CPACG groups (p = 0.073). Among all eyes, lower MD and thinner RNFL thickness were associated with a deeper and thinner LC (all p < 0.001). CONCLUSION: LCT is thinner in POAG compared to CPACG eyes. This is compatible with less deformation and compression of the LC in CPACG eyes, implying that the mechanisms of glaucomatous damage are different between POAG and CPACG eyes. Furthermore, VF MD and RNFL thickness were related to LCT and ALCSD in all patients. CI - (c) 2019 S. Karger AG, Basel. FAU - Hao, Linlin AU - Hao L AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China. AD - Department of Ophthalmology, The Second Hospital of Shandong University, Jinan, China. FAU - Xiao, Hui AU - Xiao H AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China. FAU - Gao, Xue AU - Gao X AD - Department of Ophthalmology, The Second Hospital of Shandong University, Jinan, China. FAU - Xu, Xiaoyu AU - Xu X AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China. FAU - Liu, Xing AU - Liu X AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China, drliuxing@163.com. LA - eng PT - Journal Article DEP - 20190215 PL - Switzerland TA - Ophthalmic Res JT - Ophthalmic research JID - 0267442 SB - IM MH - Adult MH - Aged MH - Axial Length, Eye/pathology MH - Case-Control Studies MH - Cross-Sectional Studies MH - Female MH - Glaucoma, Angle-Closure/*pathology/physiopathology MH - Glaucoma, Open-Angle/*pathology/physiopathology MH - Humans MH - Intraocular Pressure/physiology MH - Male MH - Middle Aged MH - Nerve Fibers/pathology MH - Optic Disk/diagnostic imaging/*pathology MH - Retinal Ganglion Cells/pathology MH - Tomography, Optical Coherence/methods MH - Visual Fields/physiology OTO - NOTNLM OT - Chronic primary angle-closure glaucoma OT - Lamina cribrosa OT - Primary open-angle glaucoma OT - Spectral-domain optical coherence tomography EDAT- 2019/02/21 06:00 MHDA- 2019/07/05 06:00 CRDT- 2019/02/21 06:00 PHST- 2018/08/22 00:00 [received] PHST- 2018/12/28 00:00 [accepted] PHST- 2019/02/21 06:00 [pubmed] PHST- 2019/07/05 06:00 [medline] PHST- 2019/02/21 06:00 [entrez] AID - 000496558 [pii] AID - 10.1159/000496558 [doi] PST - ppublish SO - Ophthalmic Res. 2019;62(1):36-45. doi: 10.1159/000496558. Epub 2019 Feb 15.