학술논문

Evaluation of the long-term variability of macular OCT/OCTA and visual field parameters
Document Type
article
Source
British Journal of Ophthalmology. 108(2)
Subject
Biomedical and Clinical Sciences
Ophthalmology and Optometry
Aging
Clinical Research
Eye Disease and Disorders of Vision
Neurodegenerative
Eye
Aged
Humans
Fluorescein Angiography
Glaucoma
Glaucoma
Open-Angle
Intraocular Pressure
Nerve Fibers
Optic Disk
Retinal Ganglion Cells
Retinal Vessels
Tomography
Optical Coherence
Visual Field Tests
Visual Fields
Clinical Sciences
Opthalmology and Optometry
Public Health and Health Services
Ophthalmology & Optometry
Clinical sciences
Ophthalmology and optometry
Language
Abstract
Background/aimsTo assess the long-term variability of macular optical coherence tomography (OCT)/OCT angiography (OCTA) and visual field (VF) parameters.MethodsHealthy and glaucoma eyes with ≥1-year follow-up were included. 24-2 VF and macular OCT/OCTA parameters, including VF mean deviation (MD), whole-image vessel density (wiVD) and ganglion cell complex thickness (wiGCC) were analysed. Intraclass correlation coefficient (ICC), root mean squared error (RMSE), within-subject test-retest SD (Sw) and test-retest variability were calculated for stable eye cohort (max follow-up=1.5 years). Rates of change and RMSE were evaluated in the extended cohort including all eyes (unlimited follow-up).ResultsFrom a total of 230 eyes (150 participants; age=67.7 years), 86 eyes (37%, 62 participants) were stable. In stable eyes, OCT parameters showed the highest mean (95%) ICC (wiGCC=0.99 (0.99, 0.99)), followed by VF (VF MD=0.91 (0.88, 0.93)) and OCTA (wiVD=0.82 (0.75, 0.87)). RMSE and Sw for VF MD were 0.92 dB and 0.81 dB, respectively, for wiVD were 1.64% and 1.48%, respectively, and for wiGCC, 0.91 µm and 0.78 µm, respectively. The long-term test-rest variability of VF MD, wiVD and wiGCC was 2.2 dB, 4.1% and 2.2 µm, respectively. In the extended cohort (mean follow-up=3.0 years), all parameters had significant rates of change (p