PMID- 33239762 OWN - NLM STAT- MEDLINE DCOM- 20211025 LR - 20230202 IS - 1476-5454 (Electronic) IS - 0950-222X (Print) IS - 0950-222X (Linking) VI - 35 IP - 10 DP - 2021 Oct TI - Retinal and circumpapillary nerve fiber layer thickness and associated factors in children. PG - 2802-2811 LID - 10.1038/s41433-020-01313-z [doi] AB - OBJECTIVE: To evaluate the distribution of macula and circumpapillary retina nerve fiber layer (cpRNFL) thickness and other associated factors among grade-1 primary school children in Lhasa using spectral-domain optical coherence tomography (SD-OCT). METHODOLOGY: OCT assessment was conducted on 1856 grade-1 students from 7 primary schools in Lhasa, Tibet following a successful random stratified sampling of the students. Each child underwent comprehensive general and ocular examinations as well as an SD-OCT detection (12 x 9 mm, 3D wide scan mode, Topcon 3D OCT-1) to assess the thickness of the macula, ganglion cell-inner plexiform layer (GCIPL), ganglion cell complex (GCC), and cpRNFL. Multivariate and correlation analyses were performed to evaluate the association of the demographic and ocular variables. RESULTS: The average age of the 1762 (94.43%) students who underwent OCT assessment was 6.83 +/- 0.46 years. Among them, 984 (53.02%) were boys. The number of students who had macular, cpRNFL, and optic disc scans completed and with adequate image quality were 1412 (82.2%), 1277 (74.4%), and 1243 (72.4%), respectively. The average macula full retinal thickness (FRT), GCIPL, GCC, and cpRNFL thickness of the students was 279.19 +/- 10.61 mum, 76.41 +/- 4.70 mum, 108.15 +/- 6.15 mum, and 112.33 +/- 13.5 mum, respectively. Multivariate regression and correlation analysis further revealed that boys and girls had significant differences in their average cpRNFL thickness. Moreover, GCC and GCIPL thickness was negatively correlated with IOP but positively correlated with the body mass index. The thickness of all the layers of the macula and cpRNFL were positively correlated with spherical equivalent. Further to this, the average macular FRT, GCIPL, and GCC thicknesses were positively correlated with cpRNFL global thickness. CONCLUSION: This study describes the normal distribution of macular retina, cpRNFL, and optic disc parameters in grade-1 Tibetan children in Lhasa. It contributes to the establishment of a normative ophthalmology database of Tibetan children, and advances the ability of OCT in ophthalmic disorder diagnosis during long-term monitoring in plateau. CI - (c) 2020. The Author(s), under exclusive licence to The Royal College of Ophthalmologists. FAU - Yao, Yao AU - Yao Y AUID- ORCID: 0000-0001-7947-2833 AD - Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology & Visual Sciences, Beijing, China. FAU - Fu, Jing AU - Fu J AUID- ORCID: 0000-0002-2939-9479 AD - Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology & Visual Sciences, Beijing, China. fu_jing@126.com. FAU - Li, Lei AU - Li L AD - Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology & Visual Sciences, Beijing, China. FAU - Chen, Weiwei AU - Chen W AD - Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology & Visual Sciences, Beijing, China. AD - Beijing Institute of Ophthalmology, Beijing, China. FAU - Meng, Zhaojun AU - Meng Z AD - Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology & Visual Sciences, Beijing, China. FAU - Su, Han AU - Su H AUID- ORCID: 0000-0003-3981-4143 AD - Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology & Visual Sciences, Beijing, China. FAU - Dai, Wei AU - Dai W AD - Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology & Visual Sciences, Beijing, China. LA - eng PT - Journal Article DEP - 20201125 PL - England TA - Eye (Lond) JT - Eye (London, England) JID - 8703986 SB - IM MH - Child MH - Cross-Sectional Studies MH - Female MH - Humans MH - *Macula Lutea/diagnostic imaging MH - Male MH - Nerve Fibers MH - *Optic Disk/diagnostic imaging MH - Retina/diagnostic imaging MH - Retinal Ganglion Cells MH - Tomography, Optical Coherence PMC - PMC8452704 COIS- The authors declare that they have no conflict of interest. EDAT- 2020/11/27 06:00 MHDA- 2021/10/26 06:00 PMCR- 2022/10/01 CRDT- 2020/11/26 05:42 PHST- 2020/04/27 00:00 [received] PHST- 2020/11/09 00:00 [accepted] PHST- 2020/11/03 00:00 [revised] PHST- 2020/11/27 06:00 [pubmed] PHST- 2021/10/26 06:00 [medline] PHST- 2020/11/26 05:42 [entrez] PHST- 2022/10/01 00:00 [pmc-release] AID - 10.1038/s41433-020-01313-z [pii] AID - 1313 [pii] AID - 10.1038/s41433-020-01313-z [doi] PST - ppublish SO - Eye (Lond). 2021 Oct;35(10):2802-2811. doi: 10.1038/s41433-020-01313-z. Epub 2020 Nov 25.