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Evaluation of Asymmetricity of Retinal Nerve Fiber Layer and Total Retina in Right and Left Eyes of Normal Subjects Using Extracted Features From Optical Coherence Tomography



Mahmudi T1 ; Kafieh R2 ; Rabbani H3 ; Mehri Dehnavi A2 ; Akhlaghi MR4 ; Arbabian K5 ; Ahmadi M6
Authors
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Authors Affiliations
  1. 1. Department of Bioelectric and Biomedical Engineering, School of Advanced Medical Technology, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. School of Advanced Medical Technology, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. The Medical Image and Signal Processing Research Center, Department of Bioelectric and Biomedical Engineering, School of Advanced Medical Technology, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Department of Opthalmology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Clinic of Diabetes, Feiz Hospital, Isfahan, Iran
  6. 6. Clinic of Ophthalmology, Feiz Hospital, Isfahan, Iran

Source: Journal of Isfahan Medical School Published:2013

Abstract

Background: Early diagnosis of diseases is an important step in their treatment process, but it is difficult due to lack of satisfactorily sensitive imaging devices and difference in the parameters of the subjects. Asymmetry analysis of retinal nerve fiber layer thickness and total retinal thickness can provide a criterion for physicians to accomplish early diagnosis. Methods: Data were collected from 50 normal subjects (aged 35 ± 10 years) by a Topcon model of 3D-OCT 1000. For this purpose, a pipeline of procedures was utilized; segmentation of retinal layers by diffusion map method, scaling operator, automatic localization of the center of macula, and calculation of mean and SD. Findings: The maximum of average RNFL and total retina thickness in right and left eyes is seen in the perifoveal nasal, and the minimum is seen in the fovea. The results demonstrate an overall symmetry between the two eyes (P > 0.05). Tolerance limits in RNFL of normal subjects for 9 sectors (from 1 to 9), respectively, are 1.16 ± 0.99, 2.43 ± 1.57, 3.96 ± 2.08, 1.11 ± 1.09, 2.83 ± 1.66, 3.09 ± 1.39, 4.91 ± 1.79, 0.82 ± 1.25, and 3.31 ± 1.63 µm. Tolerance limits in total retina of normal subjects for 9 sectors, respectively, are 9.84 ± 2.75, 3.60 ± 2.74, 4.82 ± 3.23, 3.33 ± 1.76, 6.51 ± 3.69, 3.23 ± 1.30, 5.96 ± 2.62, 2.79 ± 1.42, 6.72 ± 2.57 µm. Conclusion: Asymmetry analysis can be a criterion for early detection of diseases. In this study asymmetry analysis and tolerance limits were calculated. © 2013, Isfahan University of Medical Sciences(IUMS). All rights reserved.
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