Abstract

Purpose To evaluate the effects of age and sex on the photoreceptor outer segment (PROS) length in healthy eyes, using spectral-domain optical coherence tomography (SD-OCT). Methods A total of 97 eyes of 97 healthy participants (spherical equivalent < ±1 diopters [D]) were scanned with SD-OCT. The patients were divided into 3 groups by age: group 1 (0–20 years), group 2 (21–40 years), and group 3 (41–60 years). The PROS length was defined as the distance from the inner surface of IS/OS (inner segment/outer segment) band to the inner surface of retinal pigment epithelium (RPE). Results The mean PROS length was 52.01 ± 3.79 μm in females and 53.41 ± 3.37 μm in males (p = 0.061). The mean PROS length of the different groups was 53.70 ± 3.18 μm (0–20 years), 52.14 ± 3.64 μm (21–40 years), and 52.20 ± 3.95 μm (41–60 years) (p = 0.155; ANOVA test). Multiple linear regression analysis revealed a −0.039 μm decline in PROS length per year (p = 0.074) and a −1.408 μm decline in females (p = 0.055). Conclusion The difference in PROS length was not statistically significant neither for age nor for gender; females tended to have a lower PROS length than males, and PROS length was slightly higher in the first two decades of life.

Highlights

  • The human fovea is the center of photoreceptor topography that lies on the visual axis

  • Cone outer segments differ from rods by connecting to the plasma membrane, which means being open to extracellular space [3]

  • Adaptive optics is available for imaging cone density, whereas spectral-domain optical coherence tomography (SD-OCT) is a useful method in imaging cone architecture [4]

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Summary

Introduction

The human fovea is the center of photoreceptor topography that lies on the visual axis It occupies only about 0.02% of the retina; it contributes to the visual function the most [1]. This feature makes the fovea distinguished because of the dense cone cells and the absence of the rod cells in this area. These photoreceptors are morphologically specialized cells that have two apical compartments, the inner segment and the outer segment [2]. The PROS is located in between IS/OS and RPE

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