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Optical coherence tomography can be used to assess glaucomatous optic nerve damage in most eyes with high myopia

Journal of Glaucoma Oct 07, 2020

Zemborain ZZ, Jarukasetphon R, Tsamis E, et al. - Experts aspired to explore whether glaucomatous damage can be accurately diagnosed in most high myopes through an assessment of the optical coherence tomography (OCT) results. Out of 60 glaucoma patients or suspects, referred for OCT scans and evaluation, 100 eyes had corrected spherical refractive errors worse than −6 D and/or axial lengths ≥ 26.5 mm. Using the OCT information, the OCT specialist accurately identified 97 of the 100 eyes. The inner circle scan alone was sufficient in 63% of the cases. Additional scans were requested for the rest. There is ample information in the OCT scans for most eyes with high myopia to allow for accurate diagnosis of GON. The optimal use of the OCT, however, will depend upon training to read OCT scans, which involves taking into consideration myopia related OCT artifacts and segmentation errors, as well as PPA, ERM, PIRD, and TD.

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