Normative Values of Retinal Nerve Fibre Layer Thickness and Optic Nerve Head Parameters and Their Association with Visual Function in an African Population

Purpose. To determine normative values of retinal nerve fibre layer thickness (RNFL) and optic nerve head (ONH) parameters and their association with routine clinical tests such as refractive error (RE), stereoacuity (SA), and contrast sensitivity (CS) in an African population. Methods. In a cross-s...

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Main Authors: Stephen Ocansey, Emmanuel Kwasi Abu, Andrew Owusu-Ansah, Shadrack Mensah, John Oduro-Boateng, Rene Abalo Kojo, Samuel Kyei, Samuel Bert Boadi-Kusi, Obed Amoah-Smith, Enyam Komla Amewuho Morny, Charles Darko-Takyi, Carl Halladay Abraham, Benjamin Appiah Nyamekye, Alex Azuka Ilechie
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2020/7150673
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author Stephen Ocansey
Emmanuel Kwasi Abu
Andrew Owusu-Ansah
Shadrack Mensah
John Oduro-Boateng
Rene Abalo Kojo
Samuel Kyei
Samuel Bert Boadi-Kusi
Obed Amoah-Smith
Enyam Komla Amewuho Morny
Charles Darko-Takyi
Carl Halladay Abraham
Benjamin Appiah Nyamekye
Alex Azuka Ilechie
author_facet Stephen Ocansey
Emmanuel Kwasi Abu
Andrew Owusu-Ansah
Shadrack Mensah
John Oduro-Boateng
Rene Abalo Kojo
Samuel Kyei
Samuel Bert Boadi-Kusi
Obed Amoah-Smith
Enyam Komla Amewuho Morny
Charles Darko-Takyi
Carl Halladay Abraham
Benjamin Appiah Nyamekye
Alex Azuka Ilechie
author_sort Stephen Ocansey
collection DOAJ
description Purpose. To determine normative values of retinal nerve fibre layer thickness (RNFL) and optic nerve head (ONH) parameters and their association with routine clinical tests such as refractive error (RE), stereoacuity (SA), and contrast sensitivity (CS) in an African population. Methods. In a cross-sectional observational study, 100 normal subjects aged 20 to 78 years were evaluated using the Cirrus HD-OCT 5000 and matched with 200 glaucoma patients. Results. Average (±SD) RNFL thickness for normal subjects was found to be 102.37 ± 7.45 (range, 82–119 microns) compared with 90.74 ± 14.50 found for glaucoma subjects. Females had higher average RNFL values (104.84 ± 6.90) compared with males (99.80 ± 7.18). Significant associations were calculated between quadrant RNFL thickness and SA, SE, and CS (all p<0.05). The mean cup to disc ratio (CDR) was 0.49 ± 0.12, and mean optic disc area (DA) was 2.08 mm2 ± 0.40. Smaller DA was recorded for participants aged 60+ years (1.86 ± 0.25), followed by 40–59 age group (2.01 ± 0.41) and then 20–39 age group (2.19 ± 0.41). Significant associations were calculated between SA and ONH parameters, except rim area (all p<0.01), and RE was significantly associated with DA and average CDR (all p<0.05). Conclusion. RNFL thickness in healthy black Ghanaian population was significantly higher than that reported in other races. The values and associations reported in this study can inform clinical decision on the normal variation in RNFL and optic disc parameters.
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spelling doaj-art-80583336535a40a2bd45434632f90ce22025-08-20T03:35:14ZengWileyJournal of Ophthalmology2090-004X2090-00582020-01-01202010.1155/2020/71506737150673Normative Values of Retinal Nerve Fibre Layer Thickness and Optic Nerve Head Parameters and Their Association with Visual Function in an African PopulationStephen Ocansey0Emmanuel Kwasi Abu1Andrew Owusu-Ansah2Shadrack Mensah3John Oduro-Boateng4Rene Abalo Kojo5Samuel Kyei6Samuel Bert Boadi-Kusi7Obed Amoah-Smith8Enyam Komla Amewuho Morny9Charles Darko-Takyi10Carl Halladay Abraham11Benjamin Appiah Nyamekye12Alex Azuka Ilechie13Department of Optometry, School of Allied Health Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, GhanaDepartment of Optometry, School of Allied Health Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, GhanaDepartment of Optometry, School of Allied Health Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, GhanaEye Unit, Nsawam Government Hospital, Nsawam, Eastern Region, GhanaEmmanuel Eye Medical Centre, Adamfio Link East Legon, Accra, GhanaEmmanuel Eye Medical Centre, Adamfio Link East Legon, Accra, GhanaDepartment of Optometry, School of Allied Health Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, GhanaDepartment of Optometry, School of Allied Health Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, GhanaEye Unit, Directorate of University Health Services, University of Cape Coast Hospital, Cape Coast, GhanaDepartment of Optometry, School of Allied Health Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, GhanaDepartment of Optometry, School of Allied Health Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, GhanaDepartment of Optometry, School of Allied Health Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, GhanaEmmanuel Eye Medical Centre, Adamfio Link East Legon, Accra, GhanaDepartment of Optometry, School of Allied Health Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, GhanaPurpose. To determine normative values of retinal nerve fibre layer thickness (RNFL) and optic nerve head (ONH) parameters and their association with routine clinical tests such as refractive error (RE), stereoacuity (SA), and contrast sensitivity (CS) in an African population. Methods. In a cross-sectional observational study, 100 normal subjects aged 20 to 78 years were evaluated using the Cirrus HD-OCT 5000 and matched with 200 glaucoma patients. Results. Average (±SD) RNFL thickness for normal subjects was found to be 102.37 ± 7.45 (range, 82–119 microns) compared with 90.74 ± 14.50 found for glaucoma subjects. Females had higher average RNFL values (104.84 ± 6.90) compared with males (99.80 ± 7.18). Significant associations were calculated between quadrant RNFL thickness and SA, SE, and CS (all p<0.05). The mean cup to disc ratio (CDR) was 0.49 ± 0.12, and mean optic disc area (DA) was 2.08 mm2 ± 0.40. Smaller DA was recorded for participants aged 60+ years (1.86 ± 0.25), followed by 40–59 age group (2.01 ± 0.41) and then 20–39 age group (2.19 ± 0.41). Significant associations were calculated between SA and ONH parameters, except rim area (all p<0.01), and RE was significantly associated with DA and average CDR (all p<0.05). Conclusion. RNFL thickness in healthy black Ghanaian population was significantly higher than that reported in other races. The values and associations reported in this study can inform clinical decision on the normal variation in RNFL and optic disc parameters.http://dx.doi.org/10.1155/2020/7150673
spellingShingle Stephen Ocansey
Emmanuel Kwasi Abu
Andrew Owusu-Ansah
Shadrack Mensah
John Oduro-Boateng
Rene Abalo Kojo
Samuel Kyei
Samuel Bert Boadi-Kusi
Obed Amoah-Smith
Enyam Komla Amewuho Morny
Charles Darko-Takyi
Carl Halladay Abraham
Benjamin Appiah Nyamekye
Alex Azuka Ilechie
Normative Values of Retinal Nerve Fibre Layer Thickness and Optic Nerve Head Parameters and Their Association with Visual Function in an African Population
Journal of Ophthalmology
title Normative Values of Retinal Nerve Fibre Layer Thickness and Optic Nerve Head Parameters and Their Association with Visual Function in an African Population
title_full Normative Values of Retinal Nerve Fibre Layer Thickness and Optic Nerve Head Parameters and Their Association with Visual Function in an African Population
title_fullStr Normative Values of Retinal Nerve Fibre Layer Thickness and Optic Nerve Head Parameters and Their Association with Visual Function in an African Population
title_full_unstemmed Normative Values of Retinal Nerve Fibre Layer Thickness and Optic Nerve Head Parameters and Their Association with Visual Function in an African Population
title_short Normative Values of Retinal Nerve Fibre Layer Thickness and Optic Nerve Head Parameters and Their Association with Visual Function in an African Population
title_sort normative values of retinal nerve fibre layer thickness and optic nerve head parameters and their association with visual function in an african population
url http://dx.doi.org/10.1155/2020/7150673
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