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Curbside Consultation in Neuro-Ophthalmology

Clinical Science

Retinal Nerve Fiber Layer Thickness After a Single Attack of Primary Acute Angle-Closure Glaucoma Measured With Optical Coherence Tomography

Ophthalmic Surgery, Lasers and Imaging   Vol. 41   No. 1   January/February 2010
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Ian Y. H. Wong, MRCSEd(Oph); Nancy S. Y. Yuen, FHKAM(Oph) and Clement W. N. Chan, FHKAM(Oph)

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BACKGROUND AND OBJECTIVE

After a single unilateral acute primary angle-closure glaucoma attack, retinal nerve fiber layer (RNFL) may be thinned. The current study measured the RNFL thickness using optical coherence tomography in eyes with normal visual fields after recovery from a single attack of acute primary angle-closure glaucoma.

PATIENTS AND METHODS

Twenty-one patients and age-matched control subjects underwent optical coherence tomography scanning after recovery from a single unilateral acute primary angle-closure glaucoma attack. Data from the affected eyes, normal fellow eyes, and control subjects were compared.

RESULTS

Average RNFL thickness was 91.3 ± 16.4 µm in the affected eyes, 100.1 ± 16.4 µm in the fellow eyes, and 100.2 ± 16.7 µm in the control eyes. Significant thinning was present in the affected eyes compared to the fellow eyes (P = .001) and the control eyes (P = .04).

CONCLUSION

RNFL thickness was found to be significantly thinner in the eyes with angle-closure glaucoma.

[Ophthalmic Surg Lasers Imaging 2010;41:96-99.]

AUTHORS

From the Department of Ophthalmology, Tung Wah Eastern Hospital, Causeway Bay, Hong Kong.

Accepted for publication March 23, 2009.

Presented in part at the 7th International Symposium of Ophthalmology, December 8-9, 2007, Hong Kong.

The authors have no financial or proprietary interest in the materials presented herein.

Address correspondence to Ian Y. H. Wong, MRCSEd(Oph), Department of Ophthalmology, Tung Wah Eastern Hospital, Causeway Bay, Hong Kong.

doi: 10.3928/15428877-20091230-17

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