Factors Affecting ISNT Rule Satisfaction in Normal and Glaucomatous Eyes
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To determine the factors that influence the satisfaction of the ‘ISNT rule’ (neural rim width: inferior ≥superior ≥ nasal ≥ temporal) in normal and glaucomatous eyes. Methods: The medical records of patients that visited Boramae Medical Center, Seoul, Korea, were reviewed. Each group of normal and glaucomatous eyes was divided into subgroups based on whether or not theysatisfied the ISNT rule. ISNT rule assessment was performed by measuring the rim width with stereoscopicoptic disc photographs using ImageJ software. Logistic regression analysis was performed to determine thefactors that affect ISNT rule satisfaction. Results: Seventy-seven normal eyes and 97 glaucomatous eyes were included in the study. The ISNT rule wasintact in 59 (76.6%) of the normal eyes and was violated in 71 (73.2%) of the glaucomatous eyes. Logistic regressionanalysis revealed a significant influence of axial length in violation of the ISNT rule in the normal eyegroup, while the mean deviation value was a significant factor for violation of the ISNT rule in the glaucomatouseye group. Conclusions: The ISNT rule should be cautiously applied when evaluating normal eyes with long axial lengths. In addition, the ISNT rule might not be as effective for detecting early glaucoma.
Abstract
To determine the factors that influence the satisfaction of the ‘ISNT rule’ (neural rim width: inferior ≥superior ≥ nasal ≥ temporal) in normal and glaucomatous eyes. Methods: The medical records of patients that visited Boramae Medical Center, Seoul, Korea, were reviewed. Each group of normal and glaucomatous eyes was divided into subgroups based on whether or not theysatisfied the ISNT rule. ISNT rule assessment was performed by measuring the rim width with stereoscopicoptic disc photographs using ImageJ software. Logistic regression analysis was performed to determine thefactors that affect ISNT rule satisfaction. Results: Seventy-seven normal eyes and 97 glaucomatous eyes were included in the study. The ISNT rule wasintact in 59 (76.6%) of the normal eyes and was violated in 71 (73.2%) of the glaucomatous eyes. Logistic regressionanalysis revealed a significant influence of axial length in violation of the ISNT rule in the normal eyegroup, while the mean deviation value was a significant factor for violation of the ISNT rule in the glaucomatouseye group. Conclusions: The ISNT rule should be cautiously applied when evaluating normal eyes with long axial lengths. In addition, the ISNT rule might not be as effective for detecting early glaucoma.
참고문헌 (19)
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