J Korean Ophthalmol Soc > Volume 60(9); 2019 > Article
Journal of the Korean Ophthalmological Society 2019;60(9):874-880.
DOI: https://doi.org/10.3341/jkos.2019.60.9.874    Published online September 15, 2019.
Retinal Nerve Fiber Layer and Macular Retinal Ganglion Cell Layer Thicknesses in Healthy Korean Children.
Yeji Kim, Young Hoon Hwang
Myung-Gok Eye Research Institute, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea. brainh@hanmail.net
정상 한국인 소아청소년의 망막신경섬유층 및 황반부 망막신경절세포층 두께
김예지 · 황영훈
건양대학교 의과대학 김안과병원 명곡안연구소
Correspondence:  Young Hoon Hwang,
Email: brainh@hanmail.net
Received: 14 March 2019   • Revised: 21 April 2019   • Accepted: 16 August 2019
Abstract
PURPOSE
To measure the thicknesses of the circumpapillary retinal nerve fiber layer (RNFL) and macular retinal ganglion cell-inner plexiform layer (GCIPL) by optical coherence tomography (OCT) in healthy Korean children and adolescents. METHODS: Circumpapillary RNFL and macular GCIPL thicknesses were measured by OCT in 352 healthy eyes of 352 children and adolescents (child-adolescent group) aged 5–17 years and in 159 healthy eyes of 159 adults (adult group) aged 18-75 years. The difference in RNFL and GCIPL thicknesses between the groups and the effects of age and refractive errors on the measurements were evaluated. RESULTS: The mean age of the children and adults were 9.7 ± 3.6 and 44.7 ± 15.7 years, respectively. The mean of the average RNFL and GCIPL thicknesses were 103.1 ± 9.2 and 85.7 ± 4.6 µm, respectively, in the children group and 97.8 ± 8.2 and 82.9 ± 4.4 µm, respectively, in the adult group. The child-adolescent group had greater RNFL and GCIPL thicknesses compared to the adult group in all areas (p < 0.05) with the exception of the RNFL thickness in the temporal quadrant (p = 0.555). A thinner RNFL and thinner GCIPL were significantly associated with older age and greater myopia (p < 0.001). CONCLUSIONS: The mean RNFL and GCIPL thicknesses measured by OCT in the healthy eyes of children and adolescents were 103.1 and 85.7 µm, respectively. Children and adolescents had a thicker RNFL and GCIPL compared to adults.
Key Words: Age;Children;Optical coherence tomography;Retinal ganglion cell;Retinal nerve fiber layer


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