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Uveitis as a Confounding Factor in Retinal Nerve Fiber Layer Analysis Using Optical Coherence Tomography.

Hayati Yilmaz1, Mehmet Talay Koylu2, Bağım Ayçin Çakır2

  • 1Department of Ophthalmology, Health Sciences University, Umraniye Training and Research Hospital, Istanbul, Turkey.

Ocular Immunology and Inflammation
|September 18, 2020
PubMed
Summary

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Retinal nerve fiber layer thickness (RNFLT) is higher in uveitis patients, especially with active or posterior uveitis. This finding is crucial for accurate glaucoma detection in uveitic eyes.

Area of Science:

  • Ophthalmology
  • Immunology

Background:

  • Uveitis can affect ocular structures, potentially impacting the optic nerve.
  • Accurate assessment of retinal nerve fiber layer thickness (RNFLT) is vital for glaucoma diagnosis.

Purpose of the Study:

  • To investigate RNFLT in uveitic eyes.
  • To explore associations between RNFLT and uveitis activity, etiology, and location.

Main Methods:

  • Retrospective analysis of 76 uveitis patients and 76 controls.
  • Generalized linear models used to analyze RNFLT associations.

Main Results:

  • RNFLT was significantly higher in uveitis patients compared to controls.
  • Active uveitis correlated with thicker RNFL than quiescent uveitis.
Keywords:
Uveitisglaucomaoptical coherence tomographyretinal nerve fiber layer

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  • Anterior uveitis associated with thinner RNFL; posterior uveitis and Behçet's disease with thickening.

    • Conclusions:

    • Active, posterior, and Behçet's disease-associated uveitis are significant confounders in RNFLT analysis.
    • These factors can complicate glaucoma detection in uveitic eyes.