A PILOT STUDY OF NORMATIVE DATA FOR MACULAR THICKNESS AND VOLUME MEASUREMENTS USING CIRRUS HIGH-DEFINITION OPTICAL COHERENCE TOMOGRAPHY

Purpose: To establish preliminary normative data for macular thickness (MT) and macular volume (MV) by Cirrus high-definition optical coherence tomography (Carl Zeiss Meditec, Dublin, CA). Methods: Retrospective case series of 192 eyes of 192 subjects (age, 20–90 years) without retinal disease or surgery with best-corrected visual acuity ≥20/25, intraocular pressure <21 mmHg, and cup-to-disc ratio ≤0.5 were enrolled. Retinal thicknesses in nine Early Treatment Diabetic Retinopathy Study subfields (including central subfield thickness [CST]), MT, and MV were measured with Cirrus high-definition optical coherence tomography. Effects of age, gender, lens status, and diabetic status on these measurements were analyzed. Results: The mean ±SD CST, MT, and MV were 262.4 ± 22.8 μm, 281.3 ± 14.5 μm, and 10.1 ± 0.6 mm3, respectively. Although CST and age were not associated (P = 0.45), both mean MT and mean MV declined with age (P < 0.0001). Central subfield thickness (P = 0.002), mean MT (P = 0.021), and MV (P = 0.041) were higher in men compared with women. Neither lens status nor diabetic status affected CST, MT, or MV. Conclusion: A pilot study showed that preliminary normative CST, MT, and MV values were obtained by Cirrus high-definition optical coherence tomography. The authors propose that CST ranges from 216.8 μm to 308 μm in normal eyes. Older age and female gender were associated with thinner MT.

[1]  J. Duker,et al.  Imaging of macular diseases with optical coherence tomography. , 1995, Ophthalmology.

[2]  A Yoshida,et al.  RETINAL THICKNESS MEASUREMENTS WITH OPTICAL COHERENCE TOMOGRAPHY AND THE SCANNING RETINAL THICKNESS ANALYZER , 2001, Retina.

[3]  A. Alm,et al.  Macular thickness decreases with age in normal eyes: a study on the macular thickness map protocol in the Stratus OCT , 2008, British Journal of Ophthalmology.

[4]  L. Aiello,et al.  Randomized trial of peribulbar triamcinolone acetonide with and without focal photocoagulation for mild diabetic macular edema: a pilot study. , 2007, Ophthalmology.

[5]  P A Keane,et al.  Accuracy of retinal thickness measurements obtained with Cirrus optical coherence tomography , 2009, British Journal of Ophthalmology.

[6]  Farzin Forooghian,et al.  Evaluation of time domain and spectral domain optical coherence tomography in the measurement of diabetic macular edema. , 2008, Investigative ophthalmology & visual science.

[7]  E Reichel,et al.  Quantitative assessment of macular edema with optical coherence tomography. , 1995, Archives of ophthalmology.

[8]  Claire L Kiernan,et al.  Prospective comparison of cirrus and stratus optical coherence tomography for quantifying retinal thickness. , 2009, American journal of ophthalmology.

[9]  T. Lai,et al.  Intravitreal triamcinolone plus sequential grid laser versus triamcinolone or laser alone for treating diabetic macular edema: six-month outcomes. , 2007, Ophthalmology.

[10]  Osamu Sawada,et al.  Comparison of macular thickness between Cirrus HD-OCT and Stratus OCT. , 2008, Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye.

[11]  A. Cavallerano,et al.  Macular thickness and systemic markers for diabetes in individuals with no or mild diabetic retinopathy , 2008, Clinical & experimental ophthalmology.

[12]  Giovanni Gregori,et al.  Macular thickness measurements in normal eyes using spectral domain optical coherence tomography. , 2007, Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye.

[13]  Ian C. Han,et al.  Comparison of spectral- and time-domain optical coherence tomography for retinal thickness measurements in healthy and diseased eyes. , 2009, American journal of ophthalmology.

[14]  Barry Cense,et al.  Histologic correlation of in vivo optical coherence tomography images of the human retina. , 2006, American journal of ophthalmology.

[15]  Naoyuki Maeda,et al.  Three-dimensional profile of macular retinal thickness in normal Japanese eyes. , 2010, Investigative ophthalmology & visual science.

[16]  C. W. Chan,et al.  Relationship of Gender, Body Mass Index, and Axial Length with Central Retinal Thickness Using Optical Coherence Tomography , 2005, Eye.

[17]  J. Duker,et al.  COMPARISON OF SPECTRAL/FOURIER DOMAIN OPTICAL COHERENCE TOMOGRAPHY INSTRUMENTS FOR ASSESSMENT OF NORMAL MACULAR THICKNESS , 2010, Retina.

[18]  M. Shahidi,et al.  Quantitative thickness measurement of retinal layers imaged by optical coherence tomography. , 2005, American journal of ophthalmology.

[19]  M. V. D. van der Linden,et al.  Influence of cataract on optical coherence tomography image quality and retinal thickness , 2006, British Journal of Ophthalmology.

[20]  Susanne Binder,et al.  Quality of the threshold algorithm in age-related macular degeneration: Stratus versus Cirrus OCT. , 2009, Investigative ophthalmology & visual science.

[21]  A Erginay,et al.  Retinal Thickness in Healthy and Diabetic Subjects Measured Using Optical Coherence Tomography Mapping Software , 2002, European journal of ophthalmology.

[22]  Vikram S Brar,et al.  Normative data for macular thickness by high-definition spectral-domain optical coherence tomography (spectralis). , 2009, American journal of ophthalmology.

[23]  A. Hendrickson,et al.  A qualitative and quantitative analysis of the human fovea during development , 1986, Vision Research.

[24]  Stefan Sacu,et al.  Comparison of retinal thickness measurements and segmentation performance of four different spectral and time domain OCT devices in neovascular age-related macular degeneration , 2009, British Journal of Ophthalmology.

[25]  Lala Ceklic,et al.  Macular thickness measurements in healthy eyes using six different optical coherence tomography instruments. , 2009, Investigative ophthalmology & visual science.

[26]  J. Duker,et al.  Normal macular thickness measurements in healthy eyes using Stratus optical coherence tomography. , 2006, Archives of ophthalmology.