Lack of association between glaucoma and macular choroidal thickness measured with enhanced depth-imaging optical coherence tomography

Invest Ophthalmol Vis Sci. 2011 May 18;52(6):3430-5. doi: 10.1167/iovs.10-6600.

Abstract

Purpose: To compare choroidal thickness measurements among normal eyes, eyes with normal tension glaucoma (NTG), and those with primary open-angle glaucoma (POAG), and to correlate choroidal thickness with demographic and clinical ocular parameters.

Methods: Choroidal thickness was measured with enhanced depth-imaging (EDI) optical coherence tomography (OCT) in one eye of 38 normal, 20 NTG, and 56 POAG subjects and compared among groups. The mean age was 69.3 ± 13.6 years (60.1 ± 13.4 years for normal subjects and 73.8 ± 11.3 years for glaucoma subjects; P < 0.001). Measurements were made at the fovea and in the temporal and nasal choroid every 0.5 mm up to 3 mm away from the fovea. Univariate and multivariate linear regression analyses were performed to assess the association between choroidal thickness and demographic and ocular parameters.

Results: There were no differences in foveal, temporal, or nasal choroidal thickness between normal, NTG, and POAG subjects (all P > 0.05) after adjusting for age, axial length, and intraocular pressure. Similarly, glaucoma severity groups did not differ from each other in all choroidal thickness measurements (all P > 0.05). Age (β = -1.78; P < 0.001) was the most significant factor associated with subfoveal choroidal thickness in the entire group, followed by axial length (β = -11.8; P = 0.002).

Conclusions: Choroidal thickness does not differ among normal, NTG, and POAG subjects, suggesting a lack of relationship between choroidal thickness and glaucoma based on EDI OCT measurements.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Antihypertensive Agents / therapeutic use
  • Axial Length, Eye
  • Body Weights and Measures
  • Choroid / pathology*
  • Ethnicity
  • Female
  • Filtering Surgery
  • Glaucoma, Open-Angle / diagnosis*
  • Glaucoma, Open-Angle / ethnology
  • Glaucoma, Open-Angle / therapy
  • Humans
  • Intraocular Pressure
  • Low Tension Glaucoma / diagnosis*
  • Low Tension Glaucoma / ethnology
  • Low Tension Glaucoma / therapy
  • Male
  • Middle Aged
  • Sex Factors
  • Tomography, Optical Coherence*
  • Tonometry, Ocular

Substances

  • Antihypertensive Agents