Assessment of the effect of age on macular layer thickness in a healthy Chinese cohort using spectral-domain optical coherence tomography

BMC Ophthalmol. 2018 Jul 11;18(1):169. doi: 10.1186/s12886-018-0842-y.

Abstract

Background: To determine the effect of age on the thickness of individual retinal and choroidal vascular layers in the macula in an ophthalmologically healthy Chinese cohort by using spectral-domain optical coherence tomography (SD-OCT).

Methods: In all, 525 health eyes of 525 subjects were examined with SD-OCT. The instrument automatically obtained the regional retinal thickness of 8 layers. Subfoveal choroidal vascular layers' thickness was measured using enhanced depth imaging mode. The correlation of age with layer thickness measurements was determined.

Results: No age-associated variation was found on retinal thickness (RT) in the fovea; however, the foveal thickness of outer nuclear layer (ONL), retinal pigment epithelium (RPE) and vascular sublayers of the choroid decreased significantly with aging in this area (P < 0.05, respectively). Significant age-related reduction was seen in RT in the pericentral and peripheral rings (P < 0.05, respectively). The significant variation in thinning of the ganglion cell layer, inner plexiform layer, and ONL with aging is thought to be the main determinant of these results (P < 0.05, respectively). On the contrary, the RPE layout showed age-related thickening (P < 0.05, respectively) in the pericentral and peripheral regions.

Conclusions: The thickness of individual layers of the macula may be determinants of the age-related variations observed in the ophthalmologically healthy Chinese cohort, as assessed by SD-OCT examination.

Keywords: Aging; Choroid; Layer thickness; Macula; Retina; SD-OCT.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Aging*
  • China
  • Choroid / blood supply*
  • Choroid / diagnostic imaging
  • Female
  • Healthy Volunteers
  • Humans
  • Macula Lutea / diagnostic imaging*
  • Male
  • Middle Aged
  • Prospective Studies
  • Retinal Pigment Epithelium / diagnostic imaging*
  • Tomography, Optical Coherence / methods*
  • Young Adult