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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2019  |  Volume : 26  |  Issue : 3  |  Page : 123-126

Has spectral-domain optical coherence tomography retinal nerve fiber layer assessment become the method of choice for glaucoma evaluation in clinical practice?

1 Department of Ophthalmology, Alluri Sitaramaraju Academy of Medical Sciences, Eluru, Andhra Pradesh, India
2 Department of Ophthalmology, Father Muller's Medical College, Mangalore, Karnataka, India
3 Department of Ophthalmology, Kasturba Medical College, Manipal, Karnataka, India

Correspondence Address:
Dr. Sarita Gonsalves
Department of Ophthalmology, Father Muller's Medical College, Mangalore, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/meajo.MEAJO_62_18

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AIM: The aim of the study was to assess the role of spectral-domain optical coherence tomography (SD-OCT) as a method of choice for early glaucoma diagnosis in glaucoma suspects. DESIGN: This was a retrospective cross-sectional study. MATERIALS AND METHODS: After a comprehensive ophthalmic examination and visual field analysis, 20 patients were included in each of the three groups: Normal group, possible glaucoma, definitive glaucoma, respectively. The optic nerve head (ONH) and peripapillary retinal nerve fiber layer parameters of participants were analyzed using SD-OCT optic disc cube protocol scans. Data was analyzed using one-way analysis of variance test. RESULTS: ONH RNFL defects in possible glaucoma patients were frequently found in superior, inferior, and temporal quadrants. CONCLUSION: Diagnostic capability of SD-OCT parameters for detection of structural changes in the ONH and retinal nerve fiber layer differed in three groups significantly. Hence, using SD-OCT has become an imperative and quick way of timely diagnosis of glaucoma in private practice.

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