Scanning laser topography and scanning laser polarimetry: comparing both imaging methods at same distances from the optic nerve head. 2012

Stephan Kremmer, and Marcus Keienburg, and Gerasimos Anastassiou, and Maurice Schallenberg, and Klaus-Peter Steuhl, and J Michael Selbach
Eye Hospital, Evangelisches Krankenhaus Gelsenkirchen, Munckelstr. 27, D-45879 Gelsenkirchen, Germany.

OBJECTIVE To compare the performance of scanning laser topography (SLT) and scanning laser polarimetry (SLP) on the rim of the optic nerve head and its surrounding area and thereby to evaluate whether these imaging technologies are influenced by other factors beyond the thickness of the retinal nerve fiber layer (RNFL). METHODS A total of 154 eyes from 5 different groups were examined: young healthy subjects (YNorm), old healthy subjects (ONorm), patients with normal tension glaucoma (NTG), patients with open-angle glaucoma and early glaucomatous damage (OAGE) and patients with open-angle glaucoma and advanced glaucomatous damage (OAGA). SLT and SLP measurements were taken. Four concentric circles were superimposed on each of the images: the first one measuring at the rim of the optic nerve head (1.0 ONHD), the next measuring at 1.25 optic nerve head diameters (ONHD), at 1.5 ONHD and at 1.75 ONHD. The aligned images were analyzed using GDx/NFA software. RESULTS Both methods showed peaks of RNFL thickness in the superior and inferior segments of the ONH. The maximum thickness, registered by the SLT device was at the ONH rim where the SLP device tended to measure the lowest values. SLT measurements at the ONH were influenced by other tissues besides the RNFL like blood vessels and glial tissues. SLT and SLP were most strongly correlated at distances of 1.25 and 1.5 ONHD. CONCLUSIONS While both imaging technologies are valuable tools in detecting glaucoma, measurements at the ONH rim should be interpreted critically since both methods might provide misleading results. For the assessment of the retinal nerve fiber layer we would like to recommend for both imaging technologies, SLT and SLP, measurements in 1.25 and 1.5 ONHD distance of the rim of the optic nerve head.

UI MeSH Term Description Entries

Related Publications

Stephan Kremmer, and Marcus Keienburg, and Gerasimos Anastassiou, and Maurice Schallenberg, and Klaus-Peter Steuhl, and J Michael Selbach
January 2001, International ophthalmology,
Stephan Kremmer, and Marcus Keienburg, and Gerasimos Anastassiou, and Maurice Schallenberg, and Klaus-Peter Steuhl, and J Michael Selbach
April 2003, Archives of ophthalmology (Chicago, Ill. : 1960),
Stephan Kremmer, and Marcus Keienburg, and Gerasimos Anastassiou, and Maurice Schallenberg, and Klaus-Peter Steuhl, and J Michael Selbach
October 1996, American journal of ophthalmology,
Stephan Kremmer, and Marcus Keienburg, and Gerasimos Anastassiou, and Maurice Schallenberg, and Klaus-Peter Steuhl, and J Michael Selbach
August 1997, The British journal of ophthalmology,
Stephan Kremmer, and Marcus Keienburg, and Gerasimos Anastassiou, and Maurice Schallenberg, and Klaus-Peter Steuhl, and J Michael Selbach
June 1994, Ophthalmology,
Stephan Kremmer, and Marcus Keienburg, and Gerasimos Anastassiou, and Maurice Schallenberg, and Klaus-Peter Steuhl, and J Michael Selbach
April 1999, Acta ophthalmologica Scandinavica,
Stephan Kremmer, and Marcus Keienburg, and Gerasimos Anastassiou, and Maurice Schallenberg, and Klaus-Peter Steuhl, and J Michael Selbach
April 2012, Investigative ophthalmology & visual science,
Stephan Kremmer, and Marcus Keienburg, and Gerasimos Anastassiou, and Maurice Schallenberg, and Klaus-Peter Steuhl, and J Michael Selbach
October 2002, Optics express,
Stephan Kremmer, and Marcus Keienburg, and Gerasimos Anastassiou, and Maurice Schallenberg, and Klaus-Peter Steuhl, and J Michael Selbach
January 2010, Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye,
Stephan Kremmer, and Marcus Keienburg, and Gerasimos Anastassiou, and Maurice Schallenberg, and Klaus-Peter Steuhl, and J Michael Selbach
September 2010, Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society,
Copied contents to your clipboard!