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Assessing Binocular Central Visual Field and Binocular Eye Movements in a Dichoptic Viewing Condition

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Horizontal and vertical optic disc rotation. The Beijing Eye Study.

Yuan Yuan Fan¹, Jost B Jonas^2,3, Ya Xing Wang²

¹Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Key Laboratory of Intraocular Tumor Diagnosis and Treatment, Beijing Ophthalmology and Visual Science Key Laboratory, Beijing, China.

|May 9, 2017

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Optic disc rotation, measured using OCT, is linked to axial myopia and changes in the macula. Vertical rotation correlates with axial elongation, while horizontal rotation is associated with foveal displacement and retinal nerve fiber layer thickness variations.

Area of Science:

Ophthalmology
Medical Imaging
Biometry

Background:

Optic disc rotation is a key anatomical feature.
Understanding its associations can reveal insights into ocular development and disease.
Spectral-domain optical coherence tomography (OCT) provides high-resolution imaging for precise measurements.

Purpose of the Study:

To quantify optic disc rotation around vertical and horizontal axes.
To investigate associations between optic disc rotation and various ocular and general parameters.

Main Methods:

A population-based study involving 3468 participants from the Beijing Eye Study.
Ophthalmological examinations including spectral-domain OCT with enhanced depth imaging.
Determination of optic disc rotation (Bruch's membrane opening) using OCT images.

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Main Results:

Optic disc rotation measurements were obtained for 3037 participants.
Vertical rotation correlated with high axial myopia, longer disc-fovea distance, and wider parapapillary beta/gamma zones.
Horizontal rotation associated with high axial myopia, larger disc-fovea angle, thinner superior nasal RNFL, and thicker inferior nasal RNFL.

Conclusions:

Vertical optic disc rotation is linked to axial elongation and changes in the parapapillary gamma zone.
Horizontal optic disc rotation is associated with inferior foveal dislocation and asymmetric RNFL thickness.
These findings are crucial for interpreting retinal nerve fiber layer thickness profiles in clinical practice.