2010
DOI: 10.1167/iovs.09-4737
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Effect of Myopia on the Thickness of the Retinal Nerve Fiber Layer Measured by Cirrus HD Optical Coherence Tomography

Abstract: The axial length affected the average RNFL thickness, and myopia affected the RNFL thickness distribution. High myopes are likely to exhibit different RNFL distribution patterns. Since ocular magnification significantly affects the RNFL measurement in such patients, it should be considered in diagnosing glaucoma.

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Cited by 322 publications
(333 citation statements)
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“…Furthermore, rotations of the optic nerve are expected to cause a shift of RNFL entering the optic nerve head. In these eyes, the automatic segmentation protocols used in commercially available OCT machines could not accurately measure the thickness of the RNFL, and therefore highly myopic patients were among the most difficult patients to evaluate for glaucoma 7,72,73 (Figure 5). The pattern of RNFL distribution was altered in high myopes with thinner average, superior, nasal, and inferior but thicker temporal nerve fiber layer thickness and a temporal shift in the superior and inferior peak locations.…”
Section: Optic Nerve Headmentioning
confidence: 99%
See 1 more Smart Citation
“…Furthermore, rotations of the optic nerve are expected to cause a shift of RNFL entering the optic nerve head. In these eyes, the automatic segmentation protocols used in commercially available OCT machines could not accurately measure the thickness of the RNFL, and therefore highly myopic patients were among the most difficult patients to evaluate for glaucoma 7,72,73 (Figure 5). The pattern of RNFL distribution was altered in high myopes with thinner average, superior, nasal, and inferior but thicker temporal nerve fiber layer thickness and a temporal shift in the superior and inferior peak locations.…”
Section: Optic Nerve Headmentioning
confidence: 99%
“…The pattern of RNFL distribution was altered in high myopes with thinner average, superior, nasal, and inferior but thicker temporal nerve fiber layer thickness and a temporal shift in the superior and inferior peak locations. 73 Torsion of the optic disc occurs when it is rotated along the coronal plane, and the direction of rotation is more commonly counterclockwise such that the superior aspect of the long axis is rotated temporally when viewing the right eye. The RNF from the temporal periphery courses around the central macula, converging on the optic canal either superiorly or inferiorly.…”
Section: Optic Nerve Headmentioning
confidence: 99%
“…MS subjects with MME were excluded from our cohort. OCT has also contributed to the study of more traditional ophthalmological conditions such as glaucoma [7][8][9][10] and myopia [11], as well as to retinal vasculature [12,13], and to the exploration of more obliquely related conditions such as Alzheimer's disease (AD) [14][15][16] and diabetes [17,18]. The study of such a wide assortment of pathologies necessitates automated processing, which in the case of macular retinal OCT starts with segmentation of the various retinal cellular layers.…”
Section: Introductionmentioning
confidence: 99%
“…Therefore, exact disc size in an eye with axial length other than 24.46 mm and/or refraction <0 D is different from printout values and manual correction of optic disc measurements is necessary. In order to correct axial length-related ocular magnification, Littmann formula (t=p·q·s), as modified by Bennet and later adopted by Leung et al and Kang et al was applied (12)(13)(14)(15). In this formula, t is actual fundus dimension, s is measurement on OCT, p is magnification factor related to imaging system, and q is magnification factor related to the eye.…”
Section: Methodsmentioning
confidence: 99%