Comparison of optic disc topography in the cases with graves disease and healthy controls

J Glaucoma. 2012 Dec;21(9):586-9. doi: 10.1097/IJG.0b013e31822e8c4f.

Abstract

Purpose: To compare the optic nerve head topographic parameters of the cases with Graves disease (GD), and the age and sex-matched control group, by using Heidelberg retinal tomography III.

Materials and methods: We evaluated both eyes of 65 patients with GD and 54 age and sex-matched controls. For statistical analysis, Mann-Whitney U test and independent sample t test were used. Statistical significance was set as P < 0.05.

Results: The study group consisted of 22 male (33.8%) and 43 female (66.2%) GD cases with a mean age of 40.3 ± 11.9 years and the control group consisted of 26 male (48.1%) and 28 female (51.9%) healthy controls with a mean age of 36.9 ± 7.6 years. The differences between the age and sexes of the groups were not statistically significant (P = 0.07 and P = 0.11, respectively). The mean intraocular pressure of the study group was 14.6 ± 2.9 mm Hg (range, 8 to 20 mm Hg), whereas in the control group, it was 13.4 ± 2.1 mm Hg (range, 10 to 19 mm Hg). The difference between the intraocular pressures was statistically significant (P = 0.01). The mean retinal nerve fiber layer (RNFL) thickness (0.31 ± 0.08 mm) and the mean RNFL cross-sectional area (1.5 ± 0.43 mm) of the control group were greater than the mean RNFL thickness (0.25 ± 0.06 mm) and the mean RNFL cross-sectional area (1.30 ± 0.32 mm) of the study group (P = 0.02, P = 0.03 respectively).

Conclusions: This result suggests that patients with GD may have thinner RNFL than healthy controls.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Female
  • Graves Disease / diagnosis*
  • Humans
  • Intraocular Pressure
  • Male
  • Middle Aged
  • Nerve Fibers / pathology*
  • Optic Disk / pathology*
  • Optic Nerve Diseases / diagnosis*
  • Retinal Ganglion Cells / pathology*
  • Tomography
  • Tonometry, Ocular
  • Visual Acuity / physiology
  • Young Adult