Evaluation of the Diagnostic Capability of Spectralis SD-OCT 8 x 8 Posterior Pole Software with the Grid Tilted at 7 Degrees and Horizontalized in Glaucoma

Background: The goal was to evaluate the diagnostic capability of different parameters obtained with the posterior pole (PP) software in Spectralis SD-OCT with the 8 x 8 grid tilted at 7 degrees and horizontalized in glaucomatous eyes. Methods: A total of 299 eyes were included, comprising 136 healt...

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Detalles Bibliográficos
Autores: Alvarez-Sarrion, A, Garcia-Medina, JJ, Palazon-Cabanes, A, Pinazo-Duran, MD, Del-Rio-Vellosillo, M
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p16942
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/16942
Access Level:acceso abierto
Palabra clave:glaucoma
posterior pole
macula
thickness
layer
segmentation
map
8 x 8
sensitivity
specificity
Descripción
Sumario:Background: The goal was to evaluate the diagnostic capability of different parameters obtained with the posterior pole (PP) software in Spectralis SD-OCT with the 8 x 8 grid tilted at 7 degrees and horizontalized in glaucomatous eyes. Methods: A total of 299 eyes were included, comprising 136 healthy eyes and 163 with primary open-angle glaucoma (POAG). The following segmentations were evaluated: complete retina, retinal nerve fiber layer (RNFL), ganglion cell layer (GCL), GCL and inner plexiform layer (GCLIPL), ganglion cell complex (GCC), outer plexiform layer and outer nuclear layer (OPLONL), inner retinal layer (IRL), and outer retinal layer (ORL). Different patterns of macular damage were represented using heatmaps for each studied layer, where the areas under the curve (AUROC) values and a retinal thickness cutoff point were defined to discriminate POAG patients. Results: There was not any difference in the diagnostic capability for detecting glaucoma between the grid tilted at 7 degrees and horizontalized. The macular segmentations that offer the highest diagnostic ability in glaucoma discrimination were, in the following order, RNFL (AUROC = 0.796), GCC (AUROC = 0.785), GCL (AUROC = 0.784), GCLIPL (AUROC = 0.770), IRL (AUROC = 0.755), and the complete retina (AUROC = 0.752). In contrast, ORL and OPLONL do not appear to be helpful for discriminating POAG. Conclusions: Some results of PP software may be useful for discriminating POAG.