American Journal of Ophthalmology
Volume 142, Issue 3 , Pages 375-380 , September 2006

Measurements of Optic Disk Size With HRT II, Stratus OCT, and Funduscopy Are Not Interchangeable

  • Yaniv Barkana, MD

      Affiliations

    • Department of Ophthalmology, The New York Eye and Ear Infirmary, New York, New York
    • ,
  • Noga Harizman, MD

      Affiliations

    • Department of Ophthalmology, The New York Eye and Ear Infirmary, New York, New York
    • ,
  • Yariv Gerber, PhD

      Affiliations

    • Division of Cardiovascular Diseases, Mayo Clinic and Foundation, Rochester, Minnesota
    • ,
  • Jeffrey M. Liebmann, MD

      Affiliations

    • Department of Ophthalmology, Manhattan Eye, Ear, and Throat Hospital, New York, New York
    • Department of Ophthalmology, New York University Medical Center, New York, New York
    • ,
  • Robert Ritch, MD

      Affiliations

    • Department of Ophthalmology, The New York Eye and Ear Infirmary, New York, New York
    • Department of Ophthalmology, New York Medical College, Valhalla, New York
    • Corresponding Author InformationInquiries to Robert Ritch, MD, Professor and Chief, Glaucoma Service, Department of Ophthalmology, The New York Eye and Ear Infirmary, 310 East 14th Street, New York, NY 10003

,Accepted 28 March 2006.

References 

  1. Sommer A , Pollack I , Maumenee AE . Optic disk parameters and onset of glaucomatous field loss. I. Methods and progressive changes in disk morphology . Arch Ophthalmol . 1979;97:1444–4448
  2. Pederson JE , Anderson DR . The mode of progressive disk cupping in ocular hypertension and glaucoma . Arch Ophthalmol . 1980;98:490–495
  3. Kass MA , Heuer DK , Higginbotham EJ , et al.   The Ocular Hypertension Treatment Study (a randomized trial determines that topical ocular hypotensive medication delays or prevents the onset of primary open-angle glaucoma) . Arch Ophthalmol . 2002;120:701–713
  4. Zangwill LM , Weinreb RN , Beiser JA , et al.   Baseline topographic optic disk measurements are associated with the development of primary open-angle glaucoma (the Confocal Scanning Laser Ophthalmoscopy Ancillary Study to the Ocular Hypertension Treatment Study) . Arch Ophthalmol . 2005;123:1188–1197
  5. Bowd C , Zangwill LM , Medeiros FA , et al.   Confocal scanning laser ophthalmoscopy classifiers and stereophotograph evaluation for prediction of visual field abnormalities in glaucoma-suspect eyes . Invest Ophthalmol Vis Sci . 2004;45:2255–2262
  6. Zangwill LM , Weinreb RN , Berry CC , et al.   Racial differences in optic disk topography (baseline results from the confocal scanning laser ophthalmoscopy ancillary study to the ocular hypertension treatment study) . Arch Ophthalmol . 2004;122:22–28
  7. Jonas JB , Gusek GC , Naumann GO . Optic disk, cup and neuroretinal rim size, configuration and correlations in normal eyes . Invest Ophthalmol Vis Sci . 1988;29:1151–1158
  8. Jonas JB , Zach FM , Gusek GC , Naumann GO . Pseudoglaucomatous physiologic large cups . Am J Ophthalmol . 1989;107:137–144
  9. Britton RJ , Drance SM , Schulzer M , Douglas GR , Mawson DK . The area of the neuroretinal rim of the optic nerve in normal eyes . Am J Ophthalmol . 1987;103:497–504
  10. Wollstein G , Garway-Heath DF , Hitchings RA . Identification of early glaucoma cases with the scanning laser ophthalmoscope . Ophthalmology . 1998;105:1557–1563
  11. Vernon SA , Hawker MJ , Ainsworth G , Hillman JG , Macnab HK , Dua HS . Laser scanning tomography of the optic nerve head in a normal elderly population (the Bridlington eye assessment project) . Invest Ophthalmol Vis Sci . 2005;46:2823–2828
  12. Wollstein G , Garway-Heath DF , Fontana L , Hitchings RA . Identifying early glaucomatous changes. Comparison between expert clinical assessment of optic disk photographs and confocal scanning ophthalmoscopy . Ophthalmology . 2000;107:2272–2277
  13. Girkin CA , McGwin G , Long C , DeLeon-Ortega J , Graf CM , Everett AW . Subjective and objective optic nerve assessment in African-Americans and Caucasians . Invest Ophthalmol Vis Sci . 2004;45:2272–2278
  14. Jonas JB , Budde WM , Panda-Jonas S . Ophthalmoscopic evaluation of the optic nerve head . Surv Ophthalmol . 1999;43:293–320
  15. Lim CS , O’Brien C , Bolton NM . A simple clinical method to measure the optic disk size in glaucoma . J Glaucoma . 1996;5:241–245
  16. Ruben S . Estimation of optic disk size using indirect biomicroscopy . Br J Ophthalmol . 1994;78:363–364
  17. Barr DB , Weir CR , Purdie AT . An appraisal of the disk-macula distance to disk diameter ratio in the assessment of optic disk size . Ophthalmol Physiol Opt . 1999;19:365–375
  18. Mok KH , Lee VW . Disk-to-macula distance to disk-diameter ratio for optic disk size estimation . J Glaucoma . 2002;11:392–395
  19. Coleman AL , Haller JA , Quigley HA . Determination of the real size of fundus objects from fundus photographs . J Glaucoma . 1996;5:433–435
  20. Panuescu LA , Schuman JS , Price LL , et al.   Reproducibility of nerve fiber thickness, macular thickness, and optic nerve head measurements using Stratus OCT . Invest Ophthalmol Vis Sci . 2004;45:1716–1724
  21. Rohrschneider K , Burk RO , Kruse FE , Volcker HE . Reproducibility of the optic nerve head topography with a new laser tomographic scanning device . Ophthalmology . 1994;101:1044–1049
  22. Chauhan BC , LeBlanc RP , McCormick TA , Rogers JB . Test-retest variability of topographic measurements with confocal scanning laser tomography in patients with glaucoma and control subjects . Am J Ophthalmol . 1994;118:9–15
  23. Janknecht P , Funk J . Optic nerve head analyzer and Heidelberg Retina Tomograph (accuracy and reproducibility of topographic measurements in a model eye and in volunteers) . Br J Ophthalmol . 1994;78:760–768
  24. Lichter PR . Variability of expert observers in evaluating the optic disk . Trans Am Ophthalmol Soc . 1976;74:532–572
  25. Iliev ME , Meyenberg A , Garweg JG . Morphometric assessment of normal, suspect and glaucomatous optic disks with Stratus OCT and HRT II . Eye 2005 . 2005; Epub date: September 23
  26. Schuman JS , Wollstein G , Farra T , et al.   Comparison of optic nerve head measurements obtained by optical coherence tomography and confocal scanning laser ophthalmoscopy . Am J Ophthalmol . 2003;135:504–512
  27. Ikram MK , Borger PH , Assink JJ , Jonas JB , Hofman A , de Jong PT . Comparing ophthalmoscopy, slide viewing, and semiautomated systems in optic disk morphometry . Ophthalmology . 2002;109:486–493
  28. Hoffmann EM , Bowd C , Medeiros FA , et al.   Agreement among three optical imaging methods for the assessment of optic disk topography . Ophthalmology . 2005;112:2149–2156
  29. Bland JM , Altman DG . Statistical methods for assessing agreement between two methods of clinical measurement . Lancet . 1986;1:307–310
  30. Jonas JB , Papastathopoulos K . Ophthalmoscopic measurement of the optic disk . Ophthalmology . 1995;102:1102–1106
  31. Landis JR , Koch GG . The measurement of observer agreement for categorical data . Biometrics . 1977;33:159–174
  32. Savini G , Zanini M , Carelli V , Sadun AA , Ross-Cisneros FN , Barboni P . Correlation between retinal nerve fibre layer thickness and optic nerve head size (an optical coherence tomography study) . Br J Ophthalmol . 2005;89:489–492
  33. Laemmer R , Horn FK , Viestenz A , Juenemann AG , Mardin CY . Influence of optic disk size on parameters of retinal nerve fiber analysis with laser scanning polarimetry . Graefes Arch Clin Exp Ophthalmol . 2005;
  34. Cesana BM . Comparison of measurement methods requires appropriate statistical methodology . Am J Ophthalmol . 2004;137:787–788
  35. Jayasundera T , Danesh-Meyer HV , Donaldson M , Gamble G . Agreement between stereoscopic photographs, clinical assessment, Heidelberg retina tomograph and digital stereoscopic optic disk camera in estimating vertical cup:disk ratio . Clin Exp Ophthalmol . 2005;33:259–263
  36. Sung VC , Bhan A , Vernon SA . Agreement in assessing optic disks with a digital stereoscopic optic disk camera (Discam) and Heidelberg retina tomograph . Br J Ophthalmol . 2002;86:196–202
  37. Correnti AJ , Wollstein G , Price LL , Schuman JS . Comparison of optic nerve head assessment with a digital stereoscopic camera (discam), scanning laser ophthalmoscopy, and stereo photography . Ophthalmology . 2003;110:1499–1505
  38. Zangwill L , Shakiba S , Caprioli J , Weinreb RN . Agreement between clinicians and a confocal scanning laser ophthalmoscope in estimating cup/disk ratios . Am J Ophthalmol . 1995;119:415–421

 Supported in part by the Corinne Graber Research Fund of the New York Glaucoma Research Institute and the American Physicians Fellowship for Medicine in Israel.

PII: S0002-9394(06)00486-7

doi: 10.1016/j.ajo.2006.03.065

American Journal of Ophthalmology
Volume 142, Issue 3 , Pages 375-380 , September 2006

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