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Macular imaging by optical coherence tomography in the diagnosis and management of glaucoma
  1. Ko Eun Kim1,
  2. Ki Ho Park2
  1. 1Department of Ophthalmology, Nowon Eulji Medical Center, Eulji University, Seoul, Korea
  2. 2Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea
  1. Correspondence to Dr Ki Ho Park, Department of Ophthalmology, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 03080, South Korea; kihopark{at}snu.ac.kr

Abstract

The macular area is important to the detection of glaucomatous retinal ganglion cell (RGC) damage. Macular thickness complementary to peripapillary retinal nerve fibre layer (RNFL) thickness can well reflect glaucomatous damage, given that the macula contains more than 50% of the RGCs in a multilayered pattern and larger RGC bodies compared with their axons. Thus, macular ganglion cell thickness parameters recently have been considered to be an effective glaucoma-diagnostic tool comparable to RNFL thickness parameters. Furthermore, spectral-domain optical coherence tomography ganglion cell–inner plexiform layer thickness and deviation maps can provide additional information essential for distinguishing glaucomatous changes from other, myopia-associated or macular disease-associated changes. Therefore, our aim with this study was to review the clinical application of macular imaging by optical coherence tomography and to provide essential clinical tips for its use in the diagnosis and management of glaucoma.

  • glaucoma
  • imaging
  • diagnostic tests/investigation

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Footnotes

  • Contributors Design of review: KEK, KHP. Collection and management of data/references: KEK. Interpretation of data: KEK, KHP. Preparation of manuscript: KEK, KHP. Review/approval of manuscript: KHP.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Correction notice This article has been corrected since it published Online First. The reference citation at the end of the Figure 2 caption has been corrected from 8 to 16.

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