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Macular retinal layer thickness in childhood.

Scott A Read1, Michael J Collins, Stephen J Vincent

  • 1Contact Lens and Visual Optics Laboratory, School of Optometry and Vision Science, Queensland University of Technology, Brisbane, Queensland, Australia.

Retina (Philadelphia, Pa.)
|February 5, 2015
PubMed
Summary

Children

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Retinal Imaging

Background:

  • Normal retinal development in children is crucial for visual acuity.
  • Understanding normative retinal thickness values is essential for diagnosing pediatric eye conditions.

Purpose of the Study:

  • To measure macular retinal thickness and individual retinal layer thickness in healthy children.
  • To investigate age-related changes in retinal thickness using spectral domain optical coherence tomography (SD-OCT).

Main Methods:

  • High-resolution SD-OCT scans were analyzed in 196 children (ages 4-12).
  • Total retinal thickness and 6 distinct retinal layer thicknesses were measured in the central posterior pole.
  • Automated segmentation with manual correction was employed for accurate measurements.

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Main Results:

  • Mean total retinal thickness in the foveal zone was 255 ± 16 μm.
  • Retinal thickness significantly increased with age (1.8 μm/year), particularly in outer retinal layers (P < 0.01).
  • Significant topographical variations in retinal layer thickness were observed (P < 0.001).

Conclusions:

  • Statistically significant increases in retinal thickness occur during childhood and adolescence.
  • The central fovea's outer retinal layers exhibit the most prominent age-related changes.