J Korean Ophthalmol Soc > Volume 49(4); 2008 > Article
Journal of the Korean Ophthalmological Society 2008;49(4):611-616.
DOI: https://doi.org/10.3341/jkos.2008.49.4.611    Published online April 15, 2008.
Comparison of Cup-to-disc Ratio Using the Superfield Lens and Optical Coherence Tomography.
Byung Joo Cho
Department of Ophthalmology, Konkuk University School of Medicine, Seoul, Korea. bjcho@kuh.ac.kr
+90디옵터 렌즈와 광간섭단층촬영을 이용한 시신경유두함몰비의 비교
조병주
Department of Ophthalmology, Konkuk University School of Medicine, Seoul, Korea
Abstract
PURPOSE
The author compared the effect of the cup-to-disc ratio using the Volk Superfield lens and optical coherence tomography (OCT) to evaluate its usefulness in glaucoma diagnosis and follow-up. METHODS: One hundred ninety-seven eyes of 100 patients were enrolled: 34 normal, 75 glaucoma suspected, 43 normal tension glaucoma (NTG), 45 primary open angle glaucoma (POAG). Routine ophthalmic examinations, fundus examinations, and cup-to-disc ratio measurement using the Superfield lens after pupil dilatation, visual field test, OCT optic nerve head analysis, and OCT retinal nerve fiber layer analysis were performed. The author compared cup-to-disc ratio using the Superfield lens and OCT in normal, glaucoma suspected, normal tension glaucoma, and primary open angle glaucoma. RESULTS: Using the Superfield lens, the mean cup-to-disc ratio was 0.36+/-0.07 in normal eyes, 0.61+/-0.12 in suspected glaucoma, 0.75+/-0.11 in NTG, 0.70+/-0.17 in POAG. Using OCT, the mean cup-to-disc ratio was 0.58+/-0.13 in normal eyes, 0.69+/-0.12 in suspected glaucoma, 0.80+/-0.10 in NTG, and 0.76+/-0.15 in POAG. In all groups, cup-to-disc ratio using OCT were greater than using the Superfield lens and were statistically significant. CONCLUSIONS: Considering these differences in the clinical assessment of glaucoma, the combined use of the Superfield lens and OCT would be helpful in its diagnosis and follow-up.
Key Words: Cup-to-disc ratio;Normal tension glaucoma;Optical coherence tomography;Primary open angle glaucoma;Superfield


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