2013
DOI: 10.1167/iovs.13-12219
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Onset and Progression of Peripapillary Retinal Nerve Fiber Layer (RNFL) Retardance Changes Occur Earlier Than RNFL Thickness Changes in Experimental Glaucoma

Abstract: The onset of progressive loss of RNFL retardance occurs earlier than the onset of RNFL thinning. Endpoints of progressive loss from baseline also occurred more frequently and earlier for RNFL retardance as compared with RNFLT.

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Cited by 68 publications
(68 citation statements)
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“…In many cases, such RNFL damages can be observed before a visual field loss is detected [95]. The damage leads to a thinning of the RNFL which is associated with a reduced retardation introduced by this layer to a sampling beam, and it has been shown in animal models that the birefringence is reduced at an even earlier stage of the disease [96]. These findings are the basis for the use of polarimetric techniques for glaucoma diagnosis.…”
Section: Imaging and Quantification Of The Retinal Nerve Fiber Layermentioning
confidence: 99%
“…In many cases, such RNFL damages can be observed before a visual field loss is detected [95]. The damage leads to a thinning of the RNFL which is associated with a reduced retardation introduced by this layer to a sampling beam, and it has been shown in animal models that the birefringence is reduced at an even earlier stage of the disease [96]. These findings are the basis for the use of polarimetric techniques for glaucoma diagnosis.…”
Section: Imaging and Quantification Of The Retinal Nerve Fiber Layermentioning
confidence: 99%
“…Since the RNFL is damaged in glaucoma-the second leading cause of blindness worldwide [132]-and since RNFL birefringence is connected to layer integrity [133,134], the polarization properties of the RNFL were investigated as potential diagnostic markers for glaucoma. PS-OCT based assessment of the RNFL's birefringent properties might be particularly interesting since it was shown that polarization changes in experimental glaucoma can be observed earlier than RNFL thickness changes [135]. Peripapillary RNFL thickness is currently a key OCT parameter for glaucoma diagnostics in state-of-the-art clinical routine [136].…”
Section: Ps-oct In the Eyementioning
confidence: 99%
“…Exemplary PS-OCT fundus images mapping reflectivity and RNFL retardation in a human eye are shown in Figure 5. Also in preclinical research, PS-OCT was used to investigate the birefringence properties of the RNFL and their relation to the intraocular pressure, which is an important parameter for glaucoma, in animals [135,[146][147][148]. Aside from measuring their birefringence, PS-OCT was also demonstrated for tracing nerve fiber bundles in the RNFL [149].…”
Section: Ps-oct In the Eyementioning
confidence: 99%
“…The normal RNFL is birefringent due to the ordered structural array of cytoskeletal proteins within its axons. Fortune and colleagues recently demonstrated that loss of RNFL retardance can occur earlier than RNFL thinning (Fortune et al, 2013a). Forty-one rhesus macaques with experimental glaucoma had longitudinal SDOCT and SLP measurements of cpRNFL thickness and cpRNFL retardance.…”
Section: What Is the Earliest Detectable Change?mentioning
confidence: 99%