Purpose
In order to assist identification of macular thickness abnormalities by optical coherence tomography (OCT), we use techniques that improve spatial localization across the retina to establish any age-related retinal thickness changes in healthy eyes.
Methods
Retinal thickness was measured in 30 eyes of 30 healthy subjects aged 13–69 years. Using Stratus OCT™ 3, twelve radial scans centered at the foveola were acquired and points between scans were interpolated to create a topographic map of the central 20°. The thickness map was divided into 37 hexagonal regions. A mean retinal thickness for each hexagon was computed. Retinal thickness versus age was evaluated for the entire scanned area, 5 anatomical regions, and within individual hexagons. The retinal nerve fiber layer (RNFL) contribution to total retinal thinning was analyzed in the papillomacular region.
Results
There was a small but significant thinning of the overall macular area with increasing age (2.7 μm/decade; P = 0.027). Comparing the 10 youngest subjects (age 13–27) to the 10 oldest (age 51–68), retinal thicknesses in the temporal, superior, inferior and foveal regions were not significantly different. However, the two age groups differed significantly in retinal thickness in the nasal region (P < 0.008). Across all subjects retinal thickness in this region was linearly correlated with age, decreasing by 4.1μm/decade (P < 0.002). Approximately 43% of the retinal thinning in the nasal region was attributed to RNFL loss.
Conclusions
The method of OCT acquisition and analysis used in this study allows for greater spatial localization of change in retinal thickness due to age or pathological processes. Based on the results of this study, the macula thins with increasing age, but does so non-uniformly. The greatest amount of thinning occurs nasal to the fovea. RNFL loss accounts for much, but not all of, the thinning in this area.