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

<h4>Purpose</h4>To measure the optic disc rotation around the vertical and horizontal disc axis and to evaluate associations with general and ocular parameters.<h4>Design</h4>Population-based study.<h4>Methods</h4>In the Beijing Eye Study, 3468 participants (mean...

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Main Authors: Yuan Yuan Fan, Jost B Jonas, Ya Xing Wang, Chang Xi Chen, Wen Bin Wei
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0175749&type=printable
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author Yuan Yuan Fan
Jost B Jonas
Ya Xing Wang
Chang Xi Chen
Wen Bin Wei
author_facet Yuan Yuan Fan
Jost B Jonas
Ya Xing Wang
Chang Xi Chen
Wen Bin Wei
author_sort Yuan Yuan Fan
collection DOAJ
description <h4>Purpose</h4>To measure the optic disc rotation around the vertical and horizontal disc axis and to evaluate associations with general and ocular parameters.<h4>Design</h4>Population-based study.<h4>Methods</h4>In the Beijing Eye Study, 3468 participants (mean age:64.6±9.8 years; range:50-93 years) underwent an ophthalmological examination which included spectral-domain optical coherence tomography (OCT) with enhanced depth imaging. Using the OCT images, we determined the amount of the rotation of the optic disc (defined as Bruch´s membrane opening (BMO)) around the vertical axis and horizontal axis.<h4>Results</h4>Optic disc rotation measurements were available for 3037 (87.6%) individuals. In multivariate analysis, larger optic disc rotation around the vertical axis (range:-4.90° to 41.0°) was associated (regression coefficient r:0.27) with high axial myopia (axial length ≥26.5 mm) (P<0.001;standardized regression coefficient beta beta:0.09), longer disc-fovea distance (P = 0.001;beta:0.09) and wider parapapillary beta/gamma zone (P<0.001;beta0.12). Larger optic disc rotation around the horizontal axis (range:-7.10° to 26.4°) was associated (r:0.32) with high axial myopia (P = 0.001;beta:0.08), larger optic disc-fovea angle (P<0.001;beta:0.13), thinner superior nasal retinal nerve fiber layer (RNFL) thickness (P<0.001;beta:-0.19) and thicker inferior nasal RNFL thickness (P<0.001;beta:0.17).<h4>Conclusions</h4>Vertical optic disc rotation was associated with highly myopic axial elongation, increased disc-fovea distance and development or enlargement of parapapillary, Bruch´s membrane free, gamma zone, while macular Bruch´s membrane length is not affected. Horizontal optic disc rotation was associated with inferior dislocation of the fovea, in addition to a thinner superior nasal RNFL and thicker inferior nasal RNFL. The latter association may be taken into account in the interpretation of RNFL thickness profiles.
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spelling doaj-art-740dc3265f3f4ebf8202093eca03d7492025-01-17T05:32:08ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01125e017574910.1371/journal.pone.0175749Horizontal and vertical optic disc rotation. The Beijing Eye Study.Yuan Yuan FanJost B JonasYa Xing WangChang Xi ChenWen Bin Wei<h4>Purpose</h4>To measure the optic disc rotation around the vertical and horizontal disc axis and to evaluate associations with general and ocular parameters.<h4>Design</h4>Population-based study.<h4>Methods</h4>In the Beijing Eye Study, 3468 participants (mean age:64.6±9.8 years; range:50-93 years) underwent an ophthalmological examination which included spectral-domain optical coherence tomography (OCT) with enhanced depth imaging. Using the OCT images, we determined the amount of the rotation of the optic disc (defined as Bruch´s membrane opening (BMO)) around the vertical axis and horizontal axis.<h4>Results</h4>Optic disc rotation measurements were available for 3037 (87.6%) individuals. In multivariate analysis, larger optic disc rotation around the vertical axis (range:-4.90° to 41.0°) was associated (regression coefficient r:0.27) with high axial myopia (axial length ≥26.5 mm) (P<0.001;standardized regression coefficient beta beta:0.09), longer disc-fovea distance (P = 0.001;beta:0.09) and wider parapapillary beta/gamma zone (P<0.001;beta0.12). Larger optic disc rotation around the horizontal axis (range:-7.10° to 26.4°) was associated (r:0.32) with high axial myopia (P = 0.001;beta:0.08), larger optic disc-fovea angle (P<0.001;beta:0.13), thinner superior nasal retinal nerve fiber layer (RNFL) thickness (P<0.001;beta:-0.19) and thicker inferior nasal RNFL thickness (P<0.001;beta:0.17).<h4>Conclusions</h4>Vertical optic disc rotation was associated with highly myopic axial elongation, increased disc-fovea distance and development or enlargement of parapapillary, Bruch´s membrane free, gamma zone, while macular Bruch´s membrane length is not affected. Horizontal optic disc rotation was associated with inferior dislocation of the fovea, in addition to a thinner superior nasal RNFL and thicker inferior nasal RNFL. The latter association may be taken into account in the interpretation of RNFL thickness profiles.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0175749&type=printable
spellingShingle Yuan Yuan Fan
Jost B Jonas
Ya Xing Wang
Chang Xi Chen
Wen Bin Wei
Horizontal and vertical optic disc rotation. The Beijing Eye Study.
PLoS ONE
title Horizontal and vertical optic disc rotation. The Beijing Eye Study.
title_full Horizontal and vertical optic disc rotation. The Beijing Eye Study.
title_fullStr Horizontal and vertical optic disc rotation. The Beijing Eye Study.
title_full_unstemmed Horizontal and vertical optic disc rotation. The Beijing Eye Study.
title_short Horizontal and vertical optic disc rotation. The Beijing Eye Study.
title_sort horizontal and vertical optic disc rotation the beijing eye study
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0175749&type=printable
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AT yaxingwang horizontalandverticalopticdiscrotationthebeijingeyestudy
AT changxichen horizontalandverticalopticdiscrotationthebeijingeyestudy
AT wenbinwei horizontalandverticalopticdiscrotationthebeijingeyestudy