Time domain and spectral domain OCT may lack acceptable agreement in measurements
Eur J Ophthalmol. 2011;21(5):566-572
Time domain and spectral domain optical coherence tomography may correlate well without demonstrating acceptable agreement between their measurements, suggesting that the devices cannot be used interchangeably, a study found.
In this prospective analysis, 123 eyes were scanned using Stratus TD-OCT (Carl Zeiss Meditec) and Cirrus SD-OCT model 4000 (Carl Zeiss Meditec). Sixty-eight of these eyes were without disease, 32 were glaucoma suspects, and 23 had glaucoma.
Average retinal nerve fiber layer thickness measurements were thinner on the SD-OCT device, comparatively, for normal subjects and glaucoma suspects (P < .001) but thicker in glaucoma patients; however, this difference was not statistically significant.
Good correlation was shown between the measurements in all three groups, although it was weaker in glaucoma patients.
Notably, measurements in the nasal quadrant in patients with glaucoma did not correlate, an occurrence that may be explained by the nasal quadrant being less commonly affected in early and moderate glaucoma, the study authors said.