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Volume 146, Issue 4, Pages 561-566 (October 2008)


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Assessing the Relationship Between Central Corneal Thickness and Retinal Nerve Fiber Layer Thickness in Healthy Subjects

Tarkan Mumcuoglu, Kelly A. Townsend, Gadi Wollstein, Hiroshi Ishikawa, Richard A. Bilonick, Kyung Rim Sung, Larry Kagemann, Joel S. SchumanCorresponding Author Informationemail address, Advanced Imaging in Glaucoma Study Group

Accepted 28 May 2008. published online 28 July 2008.

Purpose

To determine the relationship between central corneal thickness (CCT) and retinal nerve fiber layer (RNFL) thickness obtained by scanning laser polarimetry (GDx-VCC; Carl Zeiss Meditec, Dublin, California, USA), confocal scanning laser ophthalmoscopy (HRT II; Heidelberg Engineering, Heidelberg, Germany), and optical coherence tomography (Stratus OCT; Carl Zeiss Meditec).

Design

Multicenter clinical trial, retrospective cross-sectional study.

Methods

One hundred and nine healthy subjects from the Advanced Imaging in Glaucoma Study were enrolled in this study. All subjects had a standard clinical examination, including visual field (VF) and good-quality scans from all three imaging devices. CCT was measured using an ultrasonic pachymeter. A linear mixed-effects model was used to assess the relationship between RNFL thickness and CCT, accounting for clustering of eyes within subjects, testing site, ethnicity, family history of glaucoma, axial length intraocular pressure, and VF global indices.

Results

For OCT and GDx, there was a slight nonstatistically significant positive relationship between CCT and RNFL thickness. For HRT, there was a slight nonstatistically significant negative relationship between CCT and RNFL thickness. Relationships for each device were found to differ between sites.

Conclusions

CCT was not statistically significantly related to RNFL thickness in healthy eyes.

UPMC Eye Center, Ophthalmology and Visual Science Research Center, Eye and Ear Institute, Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania

Corresponding Author InformationInquiries to Joel S. Schuman, UPMC Eye Center, Department of Ophthalmology, University of Pittsburgh School of Medicine, 203 Lothrop Street, Eye and Ear Institute, Suite 816, Pittsburgh, PA 15213

PII: S0002-9394(08)00424-8

doi:10.1016/j.ajo.2008.05.038


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