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2015 ; 56
(4
): 2254-68
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gab.com Text
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Evaluation of a Method for Estimating Retinal Ganglion Cell Counts Using Visual
Fields and Optical Coherence Tomography
#MMPMID25604684
Raza AS
; Hood DC
Invest Ophthalmol Vis Sci
2015[Apr]; 56
(4
): 2254-68
PMID25604684
show ga
PURPOSE: To evaluate the accuracy and generalizability of a published model that
derives estimates of retinal ganglion cell (RGC) counts and relates structural
and functional changes due to glaucoma. METHODS: Both the Harwerth et al.
nonlinear model (H-NLM) and the Hood and Kardon linear model (HK-LM) were applied
to an independent dataset of frequency-domain optical coherence tomography and
visual fields, consisting of 48 eyes of 48 healthy controls, 100 eyes of 77
glaucoma patients and suspects, and 18 eyes of 14 nonarteritic anterior ischemic
optic neuropathy (ION) patients with severe vision loss. Using the coefficient of
determination R2, the models were compared while keeping constant the topographic
maps, specifically a map by Garway-Heath et al. and a separate map by Harwerth et
al., which relate sensitivity test stimulus locations to corresponding regions
around the optic disc. Additionally, simulations were used to evaluate the
assumptions of the H-NLM. RESULTS: Although the predictions of the HK-LM with the
anatomically-derived Garway-Heath et al. map were reasonably good (R2 =
0.31-0.64), the predictions of the H-NLM were poor (R2 < 0) regardless of the map
used. Furthermore, simulations of the H-NLM yielded results that differed
substantially from RGC estimates based on histology from human subjects. Finally,
the value-added of factors increasing the relative complexity of the H-NLM, such
as assumptions regarding age- and stage-dependent corrections to structural
measures, was unclear. CONCLUSIONS: Several of the assumptions underlying the
H-NLM should be revisited. Studies and models relying on the RGC estimates of the
H-NLM should be interpreted with caution.