Assessment of the optic nerve head parameters using Heidelberg retinal tomography III in preterm children.

<h4>Background</h4>Variations in optic nerve head morphology and abnormal retinal vascular pattern have been described in preterm children using digital image analysis of fundus photograph, optical coherence tomograph and serial funduscopy. We aimed to compare the optic nerve head parame...

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Autores principales:	Salem Alshaarawi, Ismail Shatriah, Embong Zunaina, Wan Hazabbah Wan Hitam
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/4493bfae913b44febe3e67ea0b72068d
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spelling	oai:doaj.org-article:4493bfae913b44febe3e67ea0b72068d2021-11-18T08:32:40ZAssessment of the optic nerve head parameters using Heidelberg retinal tomography III in preterm children.1932-620310.1371/journal.pone.0088056https://doaj.org/article/4493bfae913b44febe3e67ea0b72068d2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24551076/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Variations in optic nerve head morphology and abnormal retinal vascular pattern have been described in preterm children using digital image analysis of fundus photograph, optical coherence tomograph and serial funduscopy. We aimed to compare the optic nerve head parameters in preterm and term Malay children using Heidelberg Retinal Tomograph III.<h4>Design</h4>A cross sectional study.<h4>Methodology/principal findings</h4>Thirty-two preterm Malay children who were born at up to 32 weeks postconception, and 32 term Malay children aged 8-16 years old were recruited into this cross sectional study, which was conducted in the Hospital Universiti Sains Malaysia, Malaysia from January to December 2011. Their optic nerves were scanned and analyzed using a Heidelberg Retinal Tomography (HRT) III (Heidelberg Engineering, Germany). Preterm children showed an increased rim volume (SD) (0.56 (0.26) vs 0.44 (0.18) mm(3), respectively), smaller cup shape (SD) (0.18 (0.07) vs 0.25 (0.06) mm, respectively), increased height variation contour (SD) (0.44 (0.14) vs 0.35 (0.08) mm, respectively), and increased cup depth (SD) (0.24 (0.11) vs 0.17 (0.05) mm(3), respectively) when compared to their normal peers (p<0.05). There were no significant differences in the mean disc area, cup area, cup to disc ratio or rim area between the preterm and term children (p>0.05) in our study.<h4>Conclusions/significance</h4>Preterm children exhibit different characteristics of optic nerve head parameters with HRT III analysis. Increased cup depth in preterm children suggests a need for close observation and monitoring. It may raise suspicion of pediatric glaucoma when proper documentation of intraocular pressure and clinical funduscopy are unsuccessful in uncooperative children.Salem AlshaarawiIsmail ShatriahEmbong ZunainaWan Hazabbah Wan HitamPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 2, p e88056 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Salem Alshaarawi Ismail Shatriah Embong Zunaina Wan Hazabbah Wan Hitam Assessment of the optic nerve head parameters using Heidelberg retinal tomography III in preterm children.
description	<h4>Background</h4>Variations in optic nerve head morphology and abnormal retinal vascular pattern have been described in preterm children using digital image analysis of fundus photograph, optical coherence tomograph and serial funduscopy. We aimed to compare the optic nerve head parameters in preterm and term Malay children using Heidelberg Retinal Tomograph III.<h4>Design</h4>A cross sectional study.<h4>Methodology/principal findings</h4>Thirty-two preterm Malay children who were born at up to 32 weeks postconception, and 32 term Malay children aged 8-16 years old were recruited into this cross sectional study, which was conducted in the Hospital Universiti Sains Malaysia, Malaysia from January to December 2011. Their optic nerves were scanned and analyzed using a Heidelberg Retinal Tomography (HRT) III (Heidelberg Engineering, Germany). Preterm children showed an increased rim volume (SD) (0.56 (0.26) vs 0.44 (0.18) mm(3), respectively), smaller cup shape (SD) (0.18 (0.07) vs 0.25 (0.06) mm, respectively), increased height variation contour (SD) (0.44 (0.14) vs 0.35 (0.08) mm, respectively), and increased cup depth (SD) (0.24 (0.11) vs 0.17 (0.05) mm(3), respectively) when compared to their normal peers (p<0.05). There were no significant differences in the mean disc area, cup area, cup to disc ratio or rim area between the preterm and term children (p>0.05) in our study.<h4>Conclusions/significance</h4>Preterm children exhibit different characteristics of optic nerve head parameters with HRT III analysis. Increased cup depth in preterm children suggests a need for close observation and monitoring. It may raise suspicion of pediatric glaucoma when proper documentation of intraocular pressure and clinical funduscopy are unsuccessful in uncooperative children.
format	article
author	Salem Alshaarawi Ismail Shatriah Embong Zunaina Wan Hazabbah Wan Hitam
author_facet	Salem Alshaarawi Ismail Shatriah Embong Zunaina Wan Hazabbah Wan Hitam
author_sort	Salem Alshaarawi
title	Assessment of the optic nerve head parameters using Heidelberg retinal tomography III in preterm children.
title_short	Assessment of the optic nerve head parameters using Heidelberg retinal tomography III in preterm children.
title_full	Assessment of the optic nerve head parameters using Heidelberg retinal tomography III in preterm children.
title_fullStr	Assessment of the optic nerve head parameters using Heidelberg retinal tomography III in preterm children.
title_full_unstemmed	Assessment of the optic nerve head parameters using Heidelberg retinal tomography III in preterm children.
title_sort	assessment of the optic nerve head parameters using heidelberg retinal tomography iii in preterm children.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/4493bfae913b44febe3e67ea0b72068d
work_keys_str_mv	AT salemalshaarawi assessmentoftheopticnerveheadparametersusingheidelbergretinaltomographyiiiinpretermchildren AT ismailshatriah assessmentoftheopticnerveheadparametersusingheidelbergretinaltomographyiiiinpretermchildren AT embongzunaina assessmentoftheopticnerveheadparametersusingheidelbergretinaltomographyiiiinpretermchildren AT wanhazabbahwanhitam assessmentoftheopticnerveheadparametersusingheidelbergretinaltomographyiiiinpretermchildren
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Assessment of the optic nerve head parameters using Heidelberg retinal tomography III in preterm children.

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