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Optic nerve head quantification in idiopathic intracranial hypertension by spectral domain OCT

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Item Type:Article
Title:Optic nerve head quantification in idiopathic intracranial hypertension by spectral domain OCT
Creators Name:Kaufhold, F. and Kadas, E.M. and Schmidt, C. and Kunte, H. and Hoffmann, J. and Zimmermann, H. and Oberwahrenbrock, T. and Harms, L. and Polthier, K. and Brandt, A.U. and Paul, F.
Abstract:OBJECTIVE: To evaluate 3D spectral domain optical coherence tomography (SDOCT) volume scans as a tool for quantification of optic nerve head (ONH) volume as a potential marker for treatment effectiveness and disease progression in idiopathic intracranial hypertension (IIH). DESIGN AND PATIENTS: Cross-sectional pilot trial comparing 19 IIH patients and controls matched for gender, age and body mass index. Each participant underwent SDOCT. A custom segmentation algorithm was developed to quantify ONH volume (ONHV) and height (ONHH) in 3D volume scans. RESULTS: Whereas peripapillary retinal nerve fiber layer thickness did not show differences between controls and IIH patients, the newly developed 3D parameters ONHV and ONHH were able to discriminate between controls, treated and untreated patients. Both ONHV and ONHH measures were related to levels of intracranial pressure (ICP). CONCLUSION: Our findings suggest 3D ONH measures as assessed by SDOCT as potential diagnostic and progression markers in IIH and other disorders with increased ICP. SDOCT may promise a fast and easy diagnostic alternative to repeated lumbar punctures and could therefore ease monitoring of treatment or disease progression.
Keywords:Cohort Studies, Cross-Sectional Studies, Disease Progression, Three-Dimensional Imaging, Intraocular Pressure, Nerve Fibers, Optic Disk, Optical Coherence Tomography, Pilot Projects, Pseudotumor Cerebri
Source:PLoS ONE
Publisher:Public Library of Science
Page Range:e36965
Date:15 May 2012
Official Publication:https://doi.org/10.1371/journal.pone.0036965
PubMed:View item in PubMed

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