Retinal nerve fiber and optic disc morphology using spectral-domain optical coherence tomography in scleroderma patients



To evaluate the optic nerve head parameters and peripapillary retinal nerve fiber layer using spectral-domain optical coherence tomography (SD-OCT) in a systemic sclerosis (SSc) cohort and age-matched controls to determine whether SSc patients have an increased risk of normal-tension glaucoma (NTG).


We examined 30 patients (3 male, 27 female) with SSc and 28 age- and sex-matched controls. Retinal nerve fiber and optic disc morphology were evaluated using Cirrus SD-OCT.


Optic disc morphology measurements including disc area, rim area, average and vertical cup/disc (C/D) ratio, and cup volume were not significantly different between the study groups. The average and 4-quadrant retinal nerve fiber layer (RNFL) measurements of the C/D >0.3 subgroups were not significantly different in the patients and controls. These values were also similar for the C/D >0.5 subgroups except that the average inferior quadrant RNFL thickness of the right eyes in the patient subgroup was significantly thinner than in the control subgroup (p<0.05).


Our SSc cohort had relatively shorter disease duration but increased prevalence of early glaucomatous damage signs. Our findings indicate that SSc is a risk factor for developing normal-tension glaucoma. Further studies combined with visual field evaluation are necessary to identify the long-term glaucomatous effects of SSc.

Eur J Ophthalmol 2017; 27(3): 281 - 284




Sevinc Sahin-Atik, Feray Koc, Sirin Akin-Sari, Mustafa Ozmen

Article History


Financial support: No financial support was received for this submission.
Conflict of interest: None of the authors has conflict of interest with this submission.

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  •  Department of Ophthalmology, Ataturk Teaching and Research Hospital, Yesilyurt, Izmir - Turkey
  •  Department of Internal Medicine, Bigadic Public Hospital, Balikesir - Turkey
  •  Department of Internal Medicine, Division of Rheumatology, Ataturk Teaching and Research Hospital, Yesilyurt, Izmir - Turkey

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