Correlación entre el grosor de las capas internas de la retina y el defecto medio del campo visual en pacientes con glaucoma congénito primario

  1. M. Nieves-Moreno 12
  2. S. García-Caride 12
  3. L. Morales-Fernandez 12
  4. J.M. Martínez-de-la-Casa 12
  5. F. Sáenz-Francés 12
  6. R. Sánchez-Jean 12
  7. E. Santos-Bueso 12
  8. J. García-Feijoo 12
  1. 1 Hospital Clínico San Carlos de Madrid
    info

    Hospital Clínico San Carlos de Madrid

    Madrid, España

    ROR https://ror.org/04d0ybj29

  2. 2 Instituto de Investigación Sanitaria del Hospital Clínico San Carlos
    info

    Instituto de Investigación Sanitaria del Hospital Clínico San Carlos

    Madrid, España

    ROR https://ror.org/014v12a39

Aldizkaria:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Argitalpen urtea: 2019

Alea: 94

Zenbakia: 11

Orrialdeak: 536-539

Mota: Artikulua

DOI: 10.1016/J.OFTAL.2019.07.010 DIALNET GOOGLE SCHOLAR

Beste argitalpen batzuk: Archivos de la Sociedad Española de Oftalmologia

Laburpena

Purpose To analyse the association between the thickness of the circumpapillary retinal nerve fibre layer (cpRNFL) and the thickness of the inner macular layers with the mean deviation of the visual field (MD) in children with primary congenital glaucoma (PCG). Material and methods A total of 41 children with PGC were included in the study. They all had a complete ophthalmological examination, including visual acuity, intraocular pressure, funduscopy, Octopus™ visual field, as well as circumpapillar and macular spectral domain optical coherence tomography (SD-OCT). SD-OCT with automated segmentation was used to measure the thicknesses and volumes of the macular retinal nerve fibre layer (mRNFL), ganglion cell layer (GCL), and inner plexiform layer. Results The mean age was 11.2 ± 3.86 years, and the mean MD was 8.85 ± 6.76 dB. The visual field was classified as normal in 46% of the patients, and 20% of the patients had a concentrical restriction of the visual field. A positive correlation was found between between the cup-to-disc ratio and the MD, r = 0.51 (P=.004). The correlation between the MD and the cpRNFL was r = -0.63 (P<.001), and r = –0.69 (P<.001) with the GCL. Conclusions Inner macular layers thickness and cpRNFL thickness show a good correlation with the mean deviation of the visual field in children with primary congenital glaucoma.