Intrasession reproducibility of RNFL thickness measurements using SD-OCT in eyes with keratoconus

Ophthalmic Surg Lasers Imaging. 2012 Nov-Dec;43(6 Suppl):S83-9. doi: 10.3928/15428877-20121001-04.

Abstract

Background and objective: To evaluate the intrasession reproducibility of the peripapillary retinal nerve fiber layer (RNFL) thickness measurements obtained by spectral-domain optical coherence tomography (SD-OCT) in eyes with keratoconus and normal eyes.

Patients and methods: Peripapillary RNFL thickness measurements with SD-OCT were repeated three times during the same visit using the eye tracker and retest function in one eye of each participant. Reproducibility was evaluated using within-subject standard deviation (Sw), coefficient of variation (CV), and intraclass correlation coefficient (ICC).

Results: For the overall global RNFL thickness, the values of the three parameters were Sw (± 1.96 standard error) 1.43 ± 0.24, CV 1.28%, ICC (95% confidence interval) 0.969 (range: 0.947-0.983) in control eyes and Sw (± 1.96 standard error) from 1.41 ± 0.26 to 1.57 ± 0.34, CV from 1.18% to 1.37%, and ICC (95% confidence interval) from 0.951 (range: 0.909-0.976) to 0.977 (range: 0.938-0.993) in eyes with keratoconus.

Conclusion: Measurement of peripapillary RNFL thickness by SD-OCT shows a good intrasession reproducibility in eyes with keratoconus.

MeSH terms

  • Adult
  • Analysis of Variance
  • Female
  • Humans
  • Keratoconus / diagnosis*
  • Male
  • Nerve Fibers / pathology*
  • Reproducibility of Results
  • Retinal Ganglion Cells / pathology*
  • Tomography, Optical Coherence / methods
  • Tomography, Optical Coherence / standards*