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Inner macular layer thickness by spectral domain optical coherence tomography in children and adults: a hospital-based study
  1. Yung Ju Yoo1,
  2. Jeong-Min Hwang2,
  3. Hee Kyung Yang2
  1. 1 Department of Ophthalmology, Kangwon National University Hospital, Kangwon National University Graduate School of Medicine, Chuncheon, South Korea
  2. 2 Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea
  1. Correspondence to Dr Hee Kyung Yang, Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do, South Korea; nan282{at}


Purpose To establish the normative ranges of macular ganglion cell layer (mGCL) and macular inner plexiform layer (mIPL) thickness using Spectralis spectral domain optical coherence tomography (SD-OCT) (Heidelberg Engineering, Inc., Heidelberg, Germany) in both Korean children and adults, and to determine factors associated with mGCL and mIPL thickness.

Methods We conducted a retrospective, observational study of 573 healthy subjects (5–70 years old) who underwent comprehensive ophthalmic examinations in a single institution. Each inner retinal layer thickness was measured using SD-OCT and automatic segmentation software. Cross-sectional analysis was used to evaluate the effect of gender, age and ocular parameters on mGCL and mIPL thickness. Normative ranges of mGCL and mIPL thickness according to age, gender and factors associated with mGCL and mIPL thickness were measured.

Results The mean mGCL and mIPL thickness were 40.6±2.8 and 33.8±2.0 µm, respectively. Determinants of inner sector mGCL thickness were circumpapillary retinal nerve fibre layer (cpRNFL) thickness (β=1.172, p<0.001), age (β=−0.019, p=0.021) and male gender (β=1.452, p<0.001). Determinants of inner sector mIPL thickness were cpRNFL (β=0.952, p<0.001) and male gender (β=1.163, p<0.001). The inner sector mGCL and mIPL thickness increased significantly with age in children (β=0.174, p=0.009 and β=0.115, p=0.013), and then decreased in adults (β=−0.070, p<0.001 and β=−0.024, p=0.032). In the case of outer sectors, mGCL and mIPL thickness were not significantly related to age and gender.

Conclusions This study ensured a normative range of the mGCL and mIPL thickness using Spectralis OCT. Gender, age and cpRNFL thickness significantly correlated with mGCL and mIPL thickness. This information should be considered in the interpretation of SD-OCT data.

  • imaging
  • retina
  • optic nerve
  • diagnostic tests/investigation

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  • YJY and J-MH contributed equally.

  • Contributors YJY: data collection, data analysis and interpretation, drafting the article. JMH: data analysis and interpretation, critical revision of the article. HKY: design of the work, critical revision and final approval of the article to be published.

  • Funding This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIP) (No 2017R1A2B4011450).

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Ethics approval The Institutional Review Board of Seoul National University Bundang Hospital approved the study, which was conducted in accordance with the tenets of the Declaration of Helsinki.

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

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