Journal List > J Korean Ophthalmol Soc > v.56(5) > 1010277

Choi, Han, and Kee: Axial Length Correlation to Lamina Cribrosa Thickness, Prelaminar Tissue Thickness, and Anterior Laminar Displacement

초록

Purpose:

In this study we determined the correlation of axial length to lamina cribrosa thickness (LCT), prelaminar tissue thickness (PT), and anterior laminar displacement (ALD) in young healthy eyes.

Methods:

The optic discs of 60 eyes from 30 young healthy subjects with myopia were scanned using enhanced-depth imaging spectral-domain optical coherence tomography (Spectralis OCT, Heidelberg Engineering, Heidelberg, Germany). The LCT, PT, and ALD were measured at the superior midperipheral, middle, and inferior midperipheral of the optic nerve head, respectively. A linear mixed-effects model was used to determine the relationship between the axial length and the LCT, axial length and PT as well as axial length and ALD.

Results:

The mean, superior midperipheral, and middle LCT were not significantly correlated with axial length. Conversely, the inferior midperipheral LCT was negatively correlated with axial length ( p = 0.019, β = -7.34). There was no significant association between axial length and PT. Mean ALD was negatively correlated with axial length ( p = 0.022, β = -17.17).

Conclusions:

In the present study, the inferior midperipheral LCT and mean ALD were negatively correlated with axial length, but PT showed no significant association with axial length.

References

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Figure 1.
En face (A-1, B-1, C-1) and B-scan images at superior midperipheral (A-2), middle (B-2), inferior midperipheral (C-2) level of optic nerve head (white line: line connecting Bruch’s membrane opening, yellow dot line: anterior and posterior margin of lamina cribrosa, yellow line: thickness of lamina cribrosa, red line: thickness of prelaminar tissue, blue line: amount of lamina cribrosa displacement).
jkos-56-745f1.tif
Figure 2.
Relationships of lamina cribrosa thickness (A), prelaminar tissue thickness (B), and lamina cribrosa displacement (C) with axial length depends on locations in optic nerve head (1 = superior midperipheral, 2 = middle, 3 = inferior midperipheral, 4 = mean). p = relationship of axial length and LCT, PT and ALD by linear mixed effect model. β = regression coefficient; SE = standard error; AXL = axial length; sup = superior midperipheral; mid = middle; inf = inferior midperipheral; LCT = lamina cribrosa thickness; ALD = anterior laminar displacement; PT = prelaminar tissue thickness.
jkos-56-745f2.tif
Table 1.
Baseline characteristics of study group
  Data
Sex (M:F) 10:20
Age (years) 26.66 ± 9.8 (18-58)
Best corrective visual acuity 20/20
IOP at the time of disc scanning (mm Hg) 17.4 ± 2.8 (12-21)
Axial length (mm) 25.99 ± 1.31 (23.73-29.75)
Central corneal thickness (μ m) 541.29 ± 33.05 (479-600)
Spherical equivalent (diopter) -5.13 ± 2.27 (-1.75~-10.5)

Values are presented as mean ± SD unless otherwise indicated.

IOP = intraocular pressure.

Table 2.
Measurements of the thickness of lamina cribrosa, prelamina tissue, and anterior laminar displacement depends at each locations in optic disc head
  Range (μ m)
Lamina cribrosa thickness  
  Superior midperipheral 246.76 ± 38.14 (170-406)
  Middle 266.59 ± 59.60 (195-519)
  Inferior midperipheral 251.53 ± 50.34 (168-446)
  Mean 254.96 ± 39.54 (188-407)
Prelaminar tissue thickness  
  Superior midperipheral 162.47 ± 91.14 (51-453)
  Middle 142.21 ± 70.94 (50-421)
  Inferior midperipheral 160.88 ± 77.76 (58-431)
  Mean 155.19 ± 73.28 (59-406)
Anterior laminar displacement  
  Superior midperipheral 355.71 ± 131.02 (125-792)
  Middle 337.78 ± 109.34 (201-704)
  Inferior midperipheral 328.00 ± 111.71 (118-696)
  Mean 340.50 ± 112.28 (153-712)

Values are presented as mean ± SD (range) (μ m).

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