PMID- 33971329 OWN - NLM STAT- MEDLINE DCOM- 20210630 LR - 20220531 IS - 1873-1597 (Electronic) IS - 1572-1000 (Linking) VI - 34 DP - 2021 Jun TI - Comparison of ganglion cell-inner plexiform layer thickness in exfoliative glaucoma and primary open-angle glaucoma. PG - 102335 LID - S1572-1000(21)00161-7 [pii] LID - 10.1016/j.pdpdt.2021.102335 [doi] AB - PURPOSE: To determine and compare the thickness of the ganglion cell-inner plexiform layer (GCIPL), the thickness of the retina nerve fiber layer (RNFL), and the parameters of the optic nerve head (ONH) in exfoliative glaucoma (XFG), primary open-angle glaucoma (POAG), and control eyes using optical coherence tomography (OCT). METHODS: The study was a retrospective observational cross-sectional study of 43 eyes of patients with XFG, 44 eyes of patients with POAG, and 37 eyes of healthy participants. Visual acuity, intraocular pressure, central corneal thickness, rim-area, disc-area, average cup/disc ratio, vertical cup/disc ratio, cup volume, average RNFL thickness, and GCIPL (average, minimum, superior, superotemporal, superonasal, inferior, inferotemporal, and inferonasal) thicknesses were determined. RESULTS: RNFL thicknesses were similar in the XFG and POAG groups (p = 0.065), and both glaucoma groups had significantly thinner RNFLs than the controls (p = 0.002). The XFG group had significantly thinner average and minimum GCIPLs compared to the POAG and control groups (p = 0.027, p < 0.001 for average thickness and p = 0.038, p < 0.001 for minimum thickness, respectively). No significant difference was found in the ONH parameters among the three groups except for rim-area and cup volume (p > 0.05 for all ONH parameters, p < 0.001 for rim-area, and p = 0.003 for cup volume). Mean visual field mean deviation was -11.6 +/- 8.2 dB in the XFG group and -10.4 +/- 9.3 dB in the POAG group (p = 0.453). CONCLUSION: Eyes with XFG were found to have a thinner GCIPL (minimum and average) than eyes with POAG or from healthy controls, although the RNFL measurements were similar to those of eyes with POAG. GCIPL thickness may be a more valuable indicator than RNFL thickness in patients with XFG for early detection of glaucoma and/or for glaucoma progression measurement. There is still some debate in the literature about whether decreases in GCIPL thickness and RNFL thickness (and/or ONH parameter change) are the best indicators for early detection and progress measurement of glaucoma. CI - Copyright (c) 2021 Elsevier B.V. All rights reserved. FAU - Demirtas, Atilim Armagan AU - Demirtas AA AD - Department of Ophthalmology, Health Sciences University, Tepecik Training and Research Hospital, Izmir, Turkey; Department of OphthalmOlogy, Health Sciences University, Kayseri Training and Research Hospital, Kayseri, Turkey. Electronic address: atilimdemirtas77@gmail.com. FAU - Ozkose Cicek, Ayse AU - Ozkose Cicek A AD - Department of OphthalmOlogy, Health Sciences University, Kayseri Training and Research Hospital, Kayseri, Turkey. FAU - Duru, Zeynep AU - Duru Z AD - Department of OphthalmOlogy, Health Sciences University, Kayseri Training and Research Hospital, Kayseri, Turkey. FAU - Ulusoy, Dondu Melek AU - Ulusoy DM AD - Department of OphthalmOlogy, Health Sciences University, Kayseri Training and Research Hospital, Kayseri, Turkey. FAU - Ozsaygili, Cemal AU - Ozsaygili C AD - Department of OphthalmOlogy, Health Sciences University, Kayseri Training and Research Hospital, Kayseri, Turkey. FAU - Duru, Necati AU - Duru N AD - Department of OphthalmOlogy, Health Sciences University, Kayseri Training and Research Hospital, Kayseri, Turkey. LA - eng PT - Journal Article PT - Observational Study DEP - 20210508 PL - Netherlands TA - Photodiagnosis Photodyn Ther JT - Photodiagnosis and photodynamic therapy JID - 101226123 RN - 0 (Photosensitizing Agents) SB - IM MH - Cross-Sectional Studies MH - *Glaucoma MH - *Glaucoma, Open-Angle/diagnosis MH - Humans MH - *Photochemotherapy/methods MH - Photosensitizing Agents MH - Retina MH - Retinal Ganglion Cells MH - Retrospective Studies MH - Tomography, Optical Coherence OTO - NOTNLM OT - Exfoliative glaucoma OT - Ganglion cell-inner plexiform layer thickness OT - Optical coherence tomography OT - Primary open-angle glaucoma OT - Retina nerve fiber layer thickness EDAT- 2021/05/11 06:00 MHDA- 2021/07/01 06:00 CRDT- 2021/05/10 20:15 PHST- 2021/02/07 00:00 [received] PHST- 2021/04/23 00:00 [revised] PHST- 2021/05/03 00:00 [accepted] PHST- 2021/05/11 06:00 [pubmed] PHST- 2021/07/01 06:00 [medline] PHST- 2021/05/10 20:15 [entrez] AID - S1572-1000(21)00161-7 [pii] AID - 10.1016/j.pdpdt.2021.102335 [doi] PST - ppublish SO - Photodiagnosis Photodyn Ther. 2021 Jun;34:102335. doi: 10.1016/j.pdpdt.2021.102335. Epub 2021 May 8.