Normative values for retinal parameters in a Ghanaian clinical population at risk for glaucoma

Background: There is rarity of normative data on retinal parameters associated with glaucoma in Ghanaians. Aim: This study aimed to provide normative data on retinal parameters associated with glaucoma in an at-risk Ghanaian clinical population. Setting: The study was conducted at the Eye Clinic o...

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Main Authors: Doreen Nelson-Ayifah, Khathutshelo P. Mashige, Alvin J. Munsamy
Format: Article
Language:English
Published: AOSIS 2024-11-01
Series:African Vision and Eye Health
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Online Access:https://avehjournal.org/index.php/aveh/article/view/951
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author Doreen Nelson-Ayifah
Khathutshelo P. Mashige
Alvin J. Munsamy
author_facet Doreen Nelson-Ayifah
Khathutshelo P. Mashige
Alvin J. Munsamy
author_sort Doreen Nelson-Ayifah
collection DOAJ
description Background: There is rarity of normative data on retinal parameters associated with glaucoma in Ghanaians. Aim: This study aimed to provide normative data on retinal parameters associated with glaucoma in an at-risk Ghanaian clinical population. Setting: The study was conducted at the Eye Clinic of the Komfo Anokye Teaching Hospital, Ghana. Methods: Ophthalmic data were obtained from 338 eyes of 116 males and 222 females (mean age: 61.86 ± 9.54 years, range: 45–89 years). The participants underwent eye examinations including visual acuity measurement using the Snellen chart at 6 m, auto-refraction using the Retinomax K+ Screen Hand-Held Autorefractor Keratometer, Goldmann applanation tonometry, slit-lamp biomicroscopy, fundus examination using a 90D Volks lens, and optical coherence tomography (OCT) using the Zeiss Cirrus HD OCT (Carl Zeiss Meditec, Dublin, CA, United States). Height and weight of participants were measured using a measuring tape and a weighing scale, respectively. Results: Mean ± standard deviation values for retinal parameters were: global peripapillary retinal nerve fibre layer (ppRNFL) = 96.11 ± 9.87 µm, global macula ganglion cell complex (mGCC) = 80.91 ± 5.61 µm, optic disc area = 2.05 ± 0.39 mm2, rim area = 1.52 ± 0.27 mm2, cup volume = 0.13 ± 0.12 mm3, average cup to disc ratio (ACDR) = 0.47 ± 0.15 and vertical cup to disc ratio (VCDR) = 0.44 ± 0.14. Conclusion: Thicker ppRNFL and mGCC may delay diagnosis of pre-perimetric glaucoma in Ghanaians, while larger ACDR and VCDR measurements may lead to glaucoma misdiagnosis. Contribution: This study established normative values for retinal parameters associated with glaucoma in Ghanaians.
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spelling doaj-art-d40203d06ecd491dbdc481b103c07fc32024-12-03T11:13:43ZengAOSISAfrican Vision and Eye Health2413-31832410-15162024-11-01831e1e910.4102/aveh.v83i1.951610Normative values for retinal parameters in a Ghanaian clinical population at risk for glaucomaDoreen Nelson-Ayifah0Khathutshelo P. Mashige1Alvin J. Munsamy2Discipline of Optometry, School of Health Sciences, University of KwaZulu-Natal, Durban, South Africa; and Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, KumasiDiscipline of Optometry, School of Health Sciences, University of KwaZulu-Natal, DurbanDiscipline of Optometry, School of Health Sciences, University of KwaZulu-Natal, DurbanBackground: There is rarity of normative data on retinal parameters associated with glaucoma in Ghanaians. Aim: This study aimed to provide normative data on retinal parameters associated with glaucoma in an at-risk Ghanaian clinical population. Setting: The study was conducted at the Eye Clinic of the Komfo Anokye Teaching Hospital, Ghana. Methods: Ophthalmic data were obtained from 338 eyes of 116 males and 222 females (mean age: 61.86 ± 9.54 years, range: 45–89 years). The participants underwent eye examinations including visual acuity measurement using the Snellen chart at 6 m, auto-refraction using the Retinomax K+ Screen Hand-Held Autorefractor Keratometer, Goldmann applanation tonometry, slit-lamp biomicroscopy, fundus examination using a 90D Volks lens, and optical coherence tomography (OCT) using the Zeiss Cirrus HD OCT (Carl Zeiss Meditec, Dublin, CA, United States). Height and weight of participants were measured using a measuring tape and a weighing scale, respectively. Results: Mean ± standard deviation values for retinal parameters were: global peripapillary retinal nerve fibre layer (ppRNFL) = 96.11 ± 9.87 µm, global macula ganglion cell complex (mGCC) = 80.91 ± 5.61 µm, optic disc area = 2.05 ± 0.39 mm2, rim area = 1.52 ± 0.27 mm2, cup volume = 0.13 ± 0.12 mm3, average cup to disc ratio (ACDR) = 0.47 ± 0.15 and vertical cup to disc ratio (VCDR) = 0.44 ± 0.14. Conclusion: Thicker ppRNFL and mGCC may delay diagnosis of pre-perimetric glaucoma in Ghanaians, while larger ACDR and VCDR measurements may lead to glaucoma misdiagnosis. Contribution: This study established normative values for retinal parameters associated with glaucoma in Ghanaians.https://avehjournal.org/index.php/aveh/article/view/951glaucomaafricansnormative databaseghanaretinaoptic nerve
spellingShingle Doreen Nelson-Ayifah
Khathutshelo P. Mashige
Alvin J. Munsamy
Normative values for retinal parameters in a Ghanaian clinical population at risk for glaucoma
African Vision and Eye Health
glaucoma
africans
normative database
ghana
retina
optic nerve
title Normative values for retinal parameters in a Ghanaian clinical population at risk for glaucoma
title_full Normative values for retinal parameters in a Ghanaian clinical population at risk for glaucoma
title_fullStr Normative values for retinal parameters in a Ghanaian clinical population at risk for glaucoma
title_full_unstemmed Normative values for retinal parameters in a Ghanaian clinical population at risk for glaucoma
title_short Normative values for retinal parameters in a Ghanaian clinical population at risk for glaucoma
title_sort normative values for retinal parameters in a ghanaian clinical population at risk for glaucoma
topic glaucoma
africans
normative database
ghana
retina
optic nerve
url https://avehjournal.org/index.php/aveh/article/view/951
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AT khathutshelopmashige normativevaluesforretinalparametersinaghanaianclinicalpopulationatriskforglaucoma
AT alvinjmunsamy normativevaluesforretinalparametersinaghanaianclinicalpopulationatriskforglaucoma