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Scholars Journal of Applied Medical Sciences | Volume-5 | Issue-02
Clinical Study on Retinal Nerve Fiber Layer Thickness Assessed on OCT in Relation to Myopia
Dr. Jahan Iqbal Ahmed, Dr. Dipak Bhuyan, Dr. Ananta Shankar
Published: Feb. 27, 2017 | 100 77
DOI: 10.36347/sjams.2017.v05i02.050
Pages: 553-560
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Abstract
Myopia is the commonest refractive error prevalent among all age group. Present study was conducted among 100 myopic patients to evaluate the co-relation of retinal nerve fiber layer (RNFL) with different degrees of myopia. Patients were enrolled in the study after obtaining written informed consent and fulfilling the inclusion criteria. Selected patients were subjected to general ocular examination which includes visual acuity test, slit lamp biomicroscopy, intraocular pressure assessment and fundus examination .For recording axial lengths, A-scan biometry was performed. Thereafter stratus optical coherence tomography with fast RNFL scan protocol was used to measure the RNFL thickness. The print out scan reports were recorded and analysed in relation to myopia. Demographic pattern of myopia was also studied. Myopia was noted to be prevalent in maximum in the age group between 21-25 years with equal gender distribution. As the degree of myopia increased, the axial length of eyes was also found to be increased. Average RNFL thickness was noted to be decreased with increase in the dioptric power of the eyes. Superior and Inferior RNFL thickness also showed decreased thickness with increase in the degree of myopia. OCT imaging is an excellent, effective and sensitive device to assess the RNFL thickness in relation to myopia and guides in early detection of retinal degenerative changes and glaucoma associated with myopia. The newer ongoing studies world wide would provide us more information in this aspect in future.