CIRRUS HD-OCT User Manual
2660021169012 Rev. A 2017-12
Appendix
B-21
Comparison to Stratus OCT
3
A study of normal subjects and subjects with glaucoma (N = 130) found that although
there were differences between Stratus and CIRRUS, the Pearson correlation coefficient for
the average RNFL thickness was 0.953, indicating good correlation. However, they also
found a systematic difference between CIRRUS and Stratus RNFL measurements. CIRRUS
measures thicker than Stratus at thinner RNFL values and measures thinner at thicker
(more normal) RNFL values. Measurements from the two systems should not be used
interchangeably.
3. Knight OJ, Chang RT, Feuer WJ, Budenz DL. “Comparison of retinal nerve fiber layer measurements using time domain and
spectral domain optical coherent tomography.” Ophthalmology. 2009 Jul;116(7):1271-7.
Table B-20 Repeatability and Reproducibility of CIRRUS RNFL measurements for seventeen sectors, including the
overall average thickness, four quadrants (temporal, superior, nasal, and inferior), and twelve sectors, labeled by clock
hour, with the 9 o’clock hour most temporal, measured on 32 normal subjects.
Mean
Thickness
(
μ
m)
Repeatability
SD
(
μ
m)
Reproducibility
SD
(
μ
m)
Repeatability
Limit
a
(
μ
m)
Reproducibility
Limit
b
(
μ
m)
Average
93.1
1.33 1.35 3.72 3.78
Temporal
64.6
2.03 2.05 5.68 5.74
Superior
118.8
3.42 3.45 9.58 9.66
Nasal
68.6
2.19 2.24 6.13 6.27
Inferior
123.6
3.01 3.14 8.43 8.79
Clock hour 1
113.6
4.84
5.05
13.55
14.14
Clock hour 2
84.3
4.7
4.74
13.16
13.27
Clock hour 3
56.4
2.43
2.56
6.80
7.17
Clock hour 4
63.0
3.25
3.37
9.10
9.44
Clock hour 5
102.5
4.35
4.37
12.18
12.24
Clock hour 6
133.5
4.93
5.21
13.80
14.59
Clock hour 7
134.7
5
5.01
14.00
14.03
Clock hour 8
66.1
3
3
8.40
8.40
Clock hour 9
53.0
1.71
1.78
4.79
4.98
Clock
hour
10
76.3
3.53 3.53 9.88 9.88
Clock hour 11
125.2
4.75
4.77
13.30
13.36
Clock hour 12
121.6
6.43
6.51
18.00
18.23
a. Repeatability Limit is the upper 95% limit for the difference between repeated results. Per ISO 5725-1 and ISO 5725-6, Repeatability Limit = 2.8 x Repeatability SD.
b. Reproducibility Limit is the upper 95% limit calculated for the difference between results repeated with different operators on different instruments. Each subject was imaged three times
each during three visits on a single instrument (Phase 1) or twice during a single visit on five instruments (Phase 2). Per the ISO quoted in the main text, Reproducibility limit = 2.8 x
Reproducibility
.
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