Anterior and posterior segment measurements in healthy French bulldogs: normative data by optical coherence tomography
A
RenatoL.Carvalho2
FábioLuizC.
da
Brito2,3✉
Email
MariaFernandaX.Rocha3
EricC.Ledbetter4
JéssicaN.Voitena2
FabianoMontiani-Ferreira1
1¹Graduate Program in Veterinary SciencesFederal University of ParanáParanáBrazil
2postgraduate course in veterinary ophthalmologyQualittas CollegeSão PauloBrazil
3CEOVETPernambucoBrazil
4Department of Clinical Sciences, College of Veterinary MedicineCornell UniversityIthacaNew YorkUSA
Renato L. Carvalho 1,2, Fábio Luiz da C. Brito2,3, Maria Fernanda X. Rocha3, Eric C. Ledbetter4, Jéssica N. Voitena2, Fabiano Montiani-Ferreira1
¹Graduate Program in Veterinary Sciences, Federal University of Paraná, Paraná, Brazil;
2Qualittas College, postgraduate course in veterinary ophthalmology, São Paulo, Brazil and 3CEOVET, Pernambuco, Brazil;
4Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA
*Corresponding author: Fábio Luiz da C. Brito, flcbrito@gmail.com
Abstract
A
The objective of this study was to establish reference values for optical coherence tomography (OCT) assessment of anterior and posterior segment ocular structures in healthy French Bulldogs. A total of 18 French Bulldogs (34 eyes), including both males and females, were evaluated. All dogs underwent a complete ophthalmic examination and were confirmed to be free of abnormalities in both anterior and posterior segment anatomical structures. The analysis of anterior segment structures included central corneal thickness (CCT), corneal epithelial thickness (CET), and iridocorneal angle (ICA). Analysis of posterior segment structures included thickness measurements of the total retina (TR), inner retina (IR), outer retina (OR), and ganglion cell complex (GCC). OCT images were obtained using the Optovue iVue SD-OCT device. For statistical analysis, data normality was assessed using the D’Agostino-Pearson test. Paired Student’s t-tests and Mann–Whitney U test were applied with the significance level set at 5% (p < 0.05). The mean ± standard deviation for CCT, CET, ICA, TR, and GCC were 561.97 ± 45.26 µm, 78.88 ± 8.77 µm, 55.68 ± 9.88 µm, 187.70 ± 23.90 µm, and 72.38 ± 9.52 µm, respectively. Pearson's correlation analysis revealed a statistically significant negative correlation between age and ganglion cell complex (GCC) thickness (r = − 0.39, p = 0.024). This finding suggests that GCC thickness progressively decreases with age. These values reported here may serve as reference standards for the evaluation of ocular surface integrity, iridocorneal angle, and retinal structures in French Bulldogs.
Keywords:
cornea
French Bulldog
iridocorneal angle
optical coherence tomography
retina
1. Introduction
Optical coherence tomography (OCT) is a non-invasive imaging technique that uses light to capture high-resolution, cross-sectional images of internal biological structures. In ophthalmology, OCT enables in vivo visualization and quantitative assessment of microstructural features of ocular tissues, including the retina and anterior segment, with micrometer-scale resolution, thereby enhancing diagnostic accuracy and monitoring of ocular diseases (Grieve et al. 2004; Ang et al. 2018).
The clinical interpretation of findings obtained through OCT fundamentally relies on comparison with reference values previously established in healthy individuals, organized into normative databases (NDBs). NDBs are generated from the analysis of clinically normal populations, stratified by variables such as age, sex, and breed. Their purpose is to define the anatomical upper and lower limits for various measured ocular structures (e.g., retina, optic nerve, cornea, and iridocorneal angle) (Leung et al. 2005). This allows for the identification of deviations that serve as benchmarks for comparison in both clinical and research assessments. Consequently, OCT enables the examiner to detect subtle and early changes associated with several ophthalmic diseases, such as glaucoma and optic neuropathies (Hood and Raza 2014).
Although the use of OCT in veterinary ophthalmology has grown considerably in recent years, there remains a lack of robust and broadly validated normative databases for different animal species and breeds (STROM et al. 2016), particularly for brachycephalic dogs, which exhibit unique anatomical conformations. Limited studies have been performed to establish reference values for parameters such as central corneal thickness (CCT and CET), iridocorneal angle (ICA), and retinal layers in various canine breeds to enable early disease detection and standardization of clinical and experimental evaluations (Almazan et al. 2013; Wang and Wu 2013; Alario and Pirie 2014; Strom et al. 2016; Occelli et al. 2020).
OCT was initially developed for the assessment of posterior segment structures (Tadrous 2000). In recent years, however, studies using lens adaptations for anterior segment imaging have expanded the application of OCT to include the cornea and anterior segment, demonstrating high repeatability and reproducibility (Alario and Pirie 2013; Alario and Pirie 2014). Anterior segment assessment via OCT has been used to establish reference values for corneal and iridocorneal angle structures in animals (Alario and Pirie 2013; Almazan et al. 2013). Additionally, spectral-domain optical coherence tomography (SD-OCT) has been employed to analyze healthy and diseased corneas in both dogs and cats (Famose 2014).
As previously noted (Tadrous 2000), OCT technology was first applied to evaluate the posterior segment of the eye. In veterinary ophthalmology, a study on healthy canine eyes was conducted to provide normative in vivo data on the thickness of different retinal layers and the optic nerve using SD-OCT (Hernandez-Merino et al. 2011). Although OCT is a technology capable of accurately identifying changes in ocular structures, its interpretation requires a normative database for comparison with values obtained during examination. These databases are therefore essential not only for clinical practice but also for the development and validation of scientific research in veterinary ophthalmology. Thus, the aim of the present study was to obtain preliminary normative data for anterior and posterior segment ocular structures in French Bulldogs using OCT.
2. Material and Methods
A
The present study was approved by the Ethics Committee on Animal Use (MASKED), in compliance with all regulations and ethical standards regarding animal welfare. All dog owners signed informed consent forms to participate in the study. Additionally, the study adhered to the Guidelines for Ethical Research in Veterinary Ophthalmology (GERVO).
The study included eighteen French Bulldogs (nine females and nine males), aged between five months and seven years, all privately owned by clients. The dogs were evaluated in May 2024 at the (MASKED). All animals underwent a complete ocular examination under controlled lighting and temperature conditions, including slit-lamp biomicroscopy (MASKED), retinal imaging with the (MASKED) fundus camera, Schirmer Tear Test-1 (MASKED), and rebound tonometry (MASKED) to confirm the presence of healthy eyes based on the ophthalmic examination. Animals with any of the following conditions were excluded from the study: corneal edema, pigmentary keratitis, dry eye disease (DED), corneal dystrophy, corneal scarring (leukoma), ocular hypertension, and intraocular diseases.
2.1 Spectral-domain optical coherence tomography
2.2.1 Image Acquisition
All optical coherence tomography (OCT) images were acquired using a spectral-domain OCT device (SD-OCT; iVue, Optovue, Fremont, CA, USA), equipped with a supplemental cornea-anterior segment module (CAM). The system operates at a wavelength of 840 nm within the infrared spectrum, performing 26,000 A-scans per second with an axial resolution of 5 µm.
Image acquisition was performed through a computer interface connected to a laptop. For optimal image quality, scans were obtained when the target structure was positioned between the predefined reference lines provided by the software. To facilitate the examination and avoid interference from the chin rest, the OCT headpiece was rotated. Throughout the procedure, the imaging unit was maintained in a horizontal position. All animals were gently restrained manually without the use of sedation or general anesthesia.
The Scan Quality Index (SQI) was recorded after each imaging session. According to the device software, SQI scores were automatically classified as either “good” or “poor.” Scans classified as “good” were highlighted in green, indicating that ocular structures and layers were well-defined and easily segmented. Scans deemed “poor,” typically due to factors such as ocular pathology or miosis affecting light penetration, were excluded from the analysis. Only scans that met or exceeded the minimum reference values provided by the manufacturer were included for analysis. Image quality was classified according to the SQI thresholds established by the manufacturer. Scans were considered of poor quality and excluded when SQI values were below 40 for retinal mapping, below 32 for ganglion cell complex (GCC) mapping, and below 27 for corneal and iridocorneal angle mapping. All images were acquired and analyzed by the same operator, a board-certified veterinary ophthalmologist.
2.2.2 Central Corneal Thickness and Corneal Epithelium Thickness
To evaluate the corneal scan, the pupil was centered on the alignment reticule within the guidelines of the scan window. In cases where the pupil was not well centered, the scan was repeated. Scans that were not well centered were excluded due to the risk of inaccuracy in thickness measurement. The pachymetry map with the average thickness in each of the 17 sections (including the center) determined at a 6 mm diameter was generated automatically by the software. To accomplish this, eight radial line scans were carried out over a length of 6 mm. The horizontal line was scanned eight times to obtain the average. As for the number of scans, seven lines were taken: 1,024 A-scans per line and one line with 1,024 A-scans × 8, according to the software’s technical description.
The Optovue iVue measuring tool was used to manually measure corneal epithelium thickness (CET). During the OCT examination, the dogs were held by the owner, and the head was kept horizontal. The eyelids were opened with minimal manipulation by the assistant, who also positioned the head in front of the equipment. The cornea was irrigated every 10–20 seconds with a balanced salt solution.
2.2.3 Iridocorneal Angle Analysis
Pupil diameter may influence angle measurements. Therefore, the photopic light intensity (60 W) was standardized for all animals, and the examination room illumination was kept constant to prevent pupillary miosis. Measurements of the temporal iridocorneal angle (at the 9 o’clock position) in the right and left eyes were performed. These positions were chosen primarily due to the better access to the limbal region, considering that in the medial area, the eyelids and the nictitating membrane could interfere with the anterior segment optical coherence tomography (AS-OCT) examination. The ICA was defined by two hyperreflective lines: one extending from the posterior limbus to the angle recess, and the other extending from the plane of the peripheral iris root to the angle recess. After manual localization, the angle was automatically calculated by the OCT software.
Evaluation of the iridocorneal angle was performed through a single-line scan using a speckle reduction process. The scan protocol consisted of 1 × 1,024 (16 averaged scans per single line mapping), and the angle adjustment ranged from 0° to 180°, with 5° increments.
2.2.4 Retinal Map Analysis Presentation
The 6 mm × 6 mm retinal map was displayed using the Early Treatment Diabetic Retinopathy Study (ETDRS) grid with associated values, overlaid on the en face image from the mapping session. The seven central raster scans (each obtained as the average of five scans) were shown (selected mapping) at the top of the report. For retinal evaluation, the Cross Line mode was employed. The thickness map provides three different presentations: Full Retina, Inner Retina, and Outer Retina. Using the software, automatic measurements were performed to obtain the thickness metrics of the selected layers or percentiles relative to the normative database (Total Thickness) and measurements of retinal pigment epithelium (RPE) elevation, either for the full retina or for the inner retina only.
For evaluation purposes, the software applied the following segmentation boundaries:
Full Retina – segmentation from the inner limiting membrane (ILM) to the RPE.
Inner Retina – segmentation from the ILM to the outer boundary of the inner plexiform layer (IPL).
Outer Retina – segmentation from the IPL to the RPE.
The analysis of retinal thickness was performed separately for the total retina, as well as for the inner and outer retinal layers. Each of these layers was further subdivided into five anatomical regions: central, nasal, temporal, superior, and inferior. All images were acquired as close as possible to the area centralis.
2.2.5 Nerve Fiber – GCC
The ganglion cell complex (GCC) of the retina encompasses three distinct retinal layers:
(1) the retinal nerve fiber layer (RNFL), which consists of the axons of ganglion cells;
(2) the ganglion cell layer (GCL), composed of the ganglion cell bodies; and
(3) the inner plexiform layer (IPL), which contains the dendrites of the ganglion cells.
GCC thickness was specifically assessed in the superior and inferior quadrants, as well as for interocular differences. The RTVue device directly measures the thickness of these three layers and provides a percentile-based analysis compared to an extensive normative database. The color categorization of each pixel represents the percentile relative to the thickness distribution at that specific location. Results are presented as color-coded percentile categories, referenced against normative distribution, to assist in clinical interpretation. All images were acquired as close as possible to the area centralis.
2.3 Statistical Analysis
For statistical analysis, the normality of the data was assessed using the D’Agostino-Pearson test. For variables with a normal distribution, the results were expressed as mean ± standard deviation (SD), accompanied by the 95% confidence interval (CI). Sample size adequacy was confirmed using a simplified calculation based on the formula n = (Z ⋅ σ / E)², where Z = 1.96 for a 95% confidence level, σ = 45 µm (estimated standard deviation from previous studies), and E = 15 µm (desired margin of error). This yielded a minimum required sample size of 34 eyes, confirming that the number of eyes evaluated was sufficient to estimate central corneal thickness with the desired precision. In addition to descriptive analysis, inferential statistics were applied to explore potential variability in ocular parameters. Paired t-tests were used to compare measurements between right and left eyes.
To assess morphometric ocular differences between genders, the following OCT parameters were analyzed: CCT, CET, ICA, central retina thickness, and GCC. Individuals were grouped according to gender (male or female), and missing values were excluded. All variables were expressed in micrometers, except ICA, which was expressed in degrees. Normality of distribution was assessed using the Shapiro–Wilk test. For normally distributed variables, comparisons between sexes were performed using the Student’s t-test for independent samples with Welch’s correction. For GCC, which did not exhibit a normal distribution, the non-parametric Mann–Whitney U test was applied.
Additionally, Pearson’s correlation was used to assess the relationship between age and the morphometric parameters. A simple linear regression was performed for the variable most correlated with age, aiming to identify trends related to tissue development or degeneration.
The significance level was set at 5% (p < 0.05). All analyses were performed using Python (v3.11), with the pandas and scipy.stats libraries and MedCalc 23.1.7 (MedCalc Software Ltd., Ostend, Belgium).
3. Results
3.1 General Analysis
No statistically significant differences in any of the evaluated ocular structures were observed between the right and left eyes (p > 0.05). Consequently, the average of both eyes for each dog was calculated and used for subsequent analyses.
For the evaluation of central corneal thickness (CCT), two eyes were excluded due to corneal melanosis and corneal stromal scarring (CSS) that prevented accurate measurement of central corneal pachymetry.
The final sample included nine females and nine males, aged between 5 and 85 months (mean ± SD = 37.06 ± 22.35 months). The evaluated parameters included CCT, CET, ICA, total retina (TR), inner retina (IR), outer retina (OR), and ganglion cell complex (GCC).
Initially, the CCT showed a normal distribution (p = 0.885). The reported mean was 561.97 ± 45.26 µm, with a 95% confidence interval (CI) ranging from 546.18 to 577.76 µm. The pachymetric analysis automatically generated by the software is shown in Fig. 1A. Regarding CET, a normal distribution was also observed (p = 0.564), with a mean value of 78.88 ± 8.77 µm (95% CI = 75.82–81.94 µm). The measurement was performed manually by placing two points on the hyper-reflective lines that delineate the corneal epithelium, as shown in Fig. 1B. ICA also exhibited a normal distribution (p = 0.068), with a mean of 55.68 ± 9.88° (95% CI = 52.24–59.14°). The ICA value was automatically calculated after placement of the reference lines, as previously described and shown in Fig. 1C.
Fig. 1
Representative images obtained using spectral-domain optical coherence tomography (SD-OCT; iVue, Optovue, Fremont, CA, USA) from a French Bulldog. A) OCT image of the left cornea from dog 1, showing no pathological changes and a central corneal thickness (CCT) of 535 µm on the corneal pachymetry evaluation map using the software. B) OCT interface image of the cornea from dog 10, with no pathological changes and a corneal epithelium thickness of 81 µm, obtained through manual measurement and corneal pachymetry evaluation map using the software. C) OCT interface image from dog 8, displaying an iridocorneal angle measurement of 54.28°, delineated by two lines (Descemet’s membrane and the anterior surface of the iris), starting at the iris root.
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Pearson correlation analysis showed weak and non-significant associations between age and CCT (r = 0.27), CET (r = 0.20) and ICA (r = − 0.23), indicating no strong age-related trends in the evaluated parameters.
Retinal thickness analysis revealed a normal distribution for some parameters, for which mean ± SD values were used. For parameters with non-normal distributions, median and interquartile range (IQR) were applied. The obtained values are listed in Table 1.
Table 1
Descriptive statistics of retinal thickness (µm) in different anatomical regions of the canine retina.
Region
Distribution
p-value
Mean
SD
95% CI (Mean)
95% CI (Median)
Median
IQR
Min
Max
Total Retina – Central
Normal
p = 0.673
187.70
23.90
179.22–196.17
     
Total Retina – Nasal
Abnormal
p < 0.0001
-
-
-
180.82–207.00
192.00
48.50
122.00
455.00
Total Retina – Superior
Normal
p = 0.990
186.09
29.99
175.46–196.73
     
Total Retina – Temporal
Abnormal
p = 0.001
-
-
-
185.23–205.59
195.00
25.75
132.00
308.00
Total Retina – Inferior
Abnormal
p < 0.0001
-
-
-
185.00–201.53
193.00
23.50
62.00
238.00
Outer Retina – Central
Abnormal
p = 0.011
-
-
-
133.41–144.77
137.00
14.50
74.00
186.00
Outer Retina – Nasal
Abnormal
p < 0.0001
-
-
-
133.82–151.59
139.00
28.75
70.00
321.00
Outer Retina – Superior
Normal
p = 0.115
135.58
23.37
127.29–143.86
     
Outer Retina – Temporal
Abnormal
p = 0.003
-
-
-
138.41–147.00
141.00
10.50
87.00
226.00
Outer Retina – Inferior
Abnormal
p < 0.0001
-
-
-
133.41–142.18
138.00
14.75
21.00
181.00
Inner Retina – Central
Normal
p = 0.154
50.67
8.32
47.72–53.62
     
Inner Retina – Nasal
Abnormal
p < 0.0001
-
-
-
45.41–58.59
52.00
20.25
37.00
135.00
Inner Retina – Superior
Normal
p = 0.062
50.24
11.47
46.17–54.31
     
Inner Retina – Temporal
Abnormal
p = 0.020
-
-
-
47.23–58.00
52.00
13.25
38.00
82.00
Inner Retina – Inferior
Normal
p = 0.242
55.36
10.66
51.59–59.14
     
Abbreviations: SD: Standard Deviation, CI: Confidence Interval ,IQR: Interquartile Range, Cells marked with “—” indicate values not reported due to non-normal distribution or missing measures of central tendency.
Table 2
Ganglion cell complex (GCC) thickness in French Bulldog assessed using SD-OCT: total, superior, inferior, and interocular difference (mean ± SD, in µm)
Parameter
Distribution
P-value
Mean
SD
95% CI of the Mean
GCC Total
Normal
p = 0.285
72.38
9.52
68.94–75.81
 
GCC Interocular Difference
Normal
p = 0.764
3.16
13.39
–7.98–1.66
 
GCC Inferior
Normal
p = 0.455
74.00
12.47
69.50–78.50
 
GCC Superior
Normal
p = 0.232
70.84
10.61
67.02–74.67
 
Abbreviations: Data are presented as mean ± standard deviation (SD), with 95% confidence intervals (CI). Interocular difference refers to the absolute difference in GCC thickness between the right and left eyes.
The mean total GCC thickness was 72.38 ± 9.52 µm, with 95% CI = 68.94–75.81 µm. No statistically significant differences were observed between the eyes, as indicated by a low interocular difference (–3.16 ± 13.39 µm; 95% CI = − 7.98 to 1.66 µm; p = 0.764). For the regional analysis, the inferior GCC presented a mean thickness of 74.00 ± 12.47 µm (95% CI = 69.50–78.50 µm), while the superior GCC showed a slightly lower mean value of 70.84 ± 10.61 µm (95% CI = 67.02–74.67 µm). All parameters followed a normal distribution, and no statistically significant differences were detected between the superior and inferior regions (p > 0.05). These findings suggest a symmetrical and homogeneous distribution of GCC thickness in the evaluated sample.
3.2 Comparative Morphometric Analysis by Sex and Age Based on OCT Data
The final sample included 34 eyes, equally divided between males and females. Table 3 presents the mean values for each morphometric parameter organized by sex, along with the statistical test used and the corresponding p-values.
Table 3
Comparison of ocular measurements (in µm) between female (F) and male (M) French Bulldogs.
Parameter
Mean (F)
Mean (M)
Test used
p-value
CCT
556.6
567.5
t de Student
0.513
CET
77.1
81.2
t de Student
0.194
ICA
56.3
55.5
t de Student
0.832
Retina Central
48.6
52.9
t de Student
0.146
GC
59.4
57.1
Mann–Whitney
0.589
Abbreviations: Central corneal thickness (CCT), central epithelial thickness (CET), iridocorneal angle (ICA), central retinal thickness (Retina Central), and ganglion cell complex (GCC) thickness. Data were analyzed using the Student’s t-test or the Mann–Whitney test. No statistically significant differences were found between sexes (p > 0.05 for all comparisons).
Although no statistically significant differences were found between genders, some numerical trends were observed. For instance, males showed slightly higher values for total corneal thickness (567.5 µm vs. 556.6 µm in females), CET (81.2 µm vs. 77.1 µm in females), and central retina thickness (52.9 µm vs. 48.6 µm in females).
3.3 Correlation with Age and Linear Regression
Pearson’s correlation analysis revealed a statistically significant negative correlation between age and GCC thickness (r = − 0.39, p = 0.024). This finding suggests that GCC thickness progressively decreases with age.
A simple linear regression confirmed this trend, with the following equation:
GCC = 73.10–0.42 × Age (months)
This model was statistically significant (p < 0.05), indicating that GCC thickness decreases by approximately 0.42 µm for each month of age. The regression plot is shown in Fig. 4.
Table 1. Descriptive statistics of retinal thickness (µm) in different anatomical regions of the canine retina.
Abbreviations:
SD:Standard Deviation
CI
Confidence Interval
IQR
Interquartile Range
Cells marked with “—” indicate values not reported due to non-normal distribution or missing measures of central tendency.
Total retinal thickness was assessed in multiple anatomical regions of the canine retina (Fig. 2). The average total retinal thickness was similar between the central (187.70 µm) and dorsal (186.09 µm) regions, with only minor variations detected.
A
In contrast, higher values were observed in the nasal (139.00 µm; IQR = 48.50 µm) and temporal (141.00 µm; IQR = 10.50 µm) regions, suggesting relevant regional thickness differences.
A
Fig. 2
Representative images obtained using spectral-domain optical coherence tomography (SD-OCT; iVue, Optovue, Fremont, CA, USA) from a French Bulldog. A and B) 6 × 6 mm retinal maps displayed with the ETDRS grid and associated values, overlaid on the En face image of the mapped region, alongside the corresponding segmentation map highlighting the superior (S), inferior (I), nasal (N), and temporal (T) quadrants. C) Central raster scans (seven in total), each representing the average of five acquisitions, with selection of the evaluated retinal region. D) SD-OCT image selected raster scan used for morphological analysis.
Regarding the outer retinal layers, the highest mean thickness was observed in the dorsal outer region (135.58 ± 23.37 µm), while lower values were found in the central outer and ventral outer regions, both approximately 133 µm. The temporal outer region showed intermediate values with a narrow confidence interval (138.41–147.00 µm), indicating reduced data dispersion. For the inner retina, the highest mean thickness was found in the ventral inner region (55.36 ± 10.66 µm), whereas lower values were recorded in the central inner (50.67 ± 8.32 µm) and dorsal inner (50.24 ± 11.47 µm) regions.
When the ganglion cell complex (GCC) was assessed (Fig. 3), all evaluated sectors exhibited a normal distribution; therefore, mean ± SD values were used, as presented in Table 2.
A
Fig. 3
Representative images obtained using spectral-domain optical coherence tomography (SD-OCT; iVue, Optovue, Fremont, CA, USA) from a French Bulldog. A) En face image of the area centralis selected for evaluation. B) Pachymetry map of the ganglion cell complex (GCC) layer. C) Cross-sectional SD-OCT image showing the ganglion cell complex, including the retinal nerve fiber layer (RNFL), ganglion cell layer (GCL), and inner plexiform layer (IPL).
A
Fig. 4
Linear regression analysis of ganglion cell complex (GCC) thickness as a function of age (in months) in French Bulldogs. A significant negative correlation was observed between age and GCC thickness (red line; p < 0.05), with the 95% confidence interval shown in pink. Each yellow dot represents an individual measurement.
4. Discussion
Spectral-domain optical coherence tomography (SD-OCT) has emerged as a noninvasive and highly accurate diagnostic tool for acquiring high-resolution cross-sectional images of the retina (Cubuk et al. 2016). Technological advancements have also enabled the acquisition of detailed images of other ocular structures, including both the anterior and posterior segments. In our study, all SD-OCT images were of high quality regardless of the specific dog’s cornea, angle, and retina evaluated, and the procedure was well tolerated by the dogs.
OCT assessment can be performed both quantitatively and qualitatively. For quantitative analysis, normative databases (NDBs) are used to compare the acquired images with reference values. In human ophthalmology, various ethnic groups have been studied to provide more accurate data for interpreting OCT results (Cubuk et al. 2016; Antar et al. 2019). In veterinary ophthalmology, although the use of OCT has advanced in both research (Alario and Pirie 2013) and clinical practice (Famose 2014), additional data are needed to establish NDBs for different species and breeds.
When considering breed-specific NDBs in veterinary ophthalmology, available data are scarce. Central corneal thickness (CCT) and CET have been evaluated in healthy dogs by comparing ultrasonographic pachymetry with OCT measurements (Alario and Pirie 2014; Strom et al. 2016). The mean CCT for all eyes examined via SD-OCT was 587.7 ± 32.44 µm, and no significant difference in CCT was found based on the age or sex of the animal (Alario and Pirie 2014). In another study (Strom et al. 2016), CCT was assessed in Beagle dogs using time-domain (TD-OCT) and Fourier-domain OCT (FD-OCT). The mean CCT measured by TD-OCT in 152 eyes of Beagle dogs was 594.81 ± 33.02 µm. No significant effect was observed for the eye evaluated (p = 0.820); however, a significant sex-related effect was identified (p = 0.034), with intact males (600.16 ± 32.84 µm) exhibiting significantly greater CCT compared to intact females (580.32 ± 29.24 µm). Across all TD-OCT data, CCT significantly increased with age (p < 0.001). When comparing the two OCT modalities, TD-OCT yielded significantly higher CCT values than FD-OCT (p < 0.001) (Strom et al. 2016). In a study group of eight dogs, the average corneal thickness was 535 µm (range 500–620 µm) (Famose 2014). In our study, the mean CCT was 561.97 ± 45.26 µm, which is slightly lower than values previously reported in the literature (Famose 2014). Moreover, although no statistically significant difference was observed between sexes (p = 0.513), contrasting with findings reported in Beagles (Strom et al. 2016), there was a trend toward higher total corneal thickness values in males. These differences are clinically relevant, particularly in the context of corneal ulcerative lesions in brachycephalic breeds, which are predisposed to both ulcerative and non-ulcerative keratopathies.
Regarding corneal epithelium thickness (CET), data available in the literature are scarce. One study evaluated different regions of the corneal epithelium in Beagle dogs using FD-OCT; values obtained for all locations differed significantly, with the central corneal, superior paraxial, and superior perilimbal epithelial thicknesses measured at 52.38 ± 7.27, 56.96 ± 6.47, and 69.06 ± 8.84 µm, respectively (Strom et al. 2016). In another study evaluating healthy dogs and cats, the average measured epithelial thickness was 55 µm in dogs (range 50–60 µm) and 60 µm in cats (range 55–65 µm) (Famose 2014). An in vitro study conducted in rabbits using digitally recorded OCT images obtained limbal and CET measurements for 12 corneas. The limbal epithelial thickness (37.6 ± 1.4 µm) was significantly less than the central thickness (45.8 ± 2.2 µm; p < 0.001) (Reiser et al. 2005). In contrast, the mean value of CET in the brachycephalic group was 58.7 ± 6.3 µm, while in the non-brachycephalic group it was 55.4 ± 5.2 µm; there were no significant differences between groups (Jeong et al. 2023). In our study, the mean CCT was 561.97 ± 45.26 µm, slightly lower than previously reported values (Reiser et al. 2005; Strom et al. 2016; Famose 2014). Although no statistically significant difference was observed between genders (p = 0.513), in contrast to data for Beagles (Strom et al. 2016), there was a tendency toward slightly higher total corneal thickness in males. These findings are particularly relevant when assessing corneal ulcerative lesions in brachycephalic breeds, given their higher predisposition to both ulcerative and non-ulcerative keratopathies.
Regarding CET, published data remain limited. In our study, CET was higher (78.88 ± 8.77 µm) than previously reported (Reiser et al. 2005; Strom et al. 2016; Famose 2014). Although CCT appears thinner in French Bulldogs compared to other breeds, the corneal epithelium is thicker, which may represent a breed-specific trait. Previous studies reported CET values of 58.7 ± 6.3 µm in brachycephalic dogs, lower than those observed in the present study (Jeong et al. 2023). This discrepancy may be attributed to the lack of breed standardization among brachycephalic dogs or the manual measurement of epithelial thickness by different observers. Recently, a study in brachycephalic dogs with dry eye disease (DED) found significantly higher CET values in DED patients (122.24 ± 53.96 µm) compared to healthy dogs (75.46 ± 11.27 µm; p < 0.001) (Brito et al. 2025). These results highlight the importance of evaluating CET in both healthy dogs and those with DED. Detailed morphological analysis of the normal corneal epithelium using OCT provides essential insights into the pathophysiological processes affecting the ocular surface and allows more accurate interpretation of epithelial changes in diseased corneas.
For iridocorneal angle (ICA) assessment, additional diagnostic tools such as high-resolution ultrasound or ultrasound biomicroscopy (UBM) are often required to visualize the entire ciliary cleft (Kim et al. 2023). In one study using SD-OCT in dogs of various breeds, the mean ICA was 31.4 ± 6.4° (range: 20.8–52.3°) at the first measurement and 31.0 ± 5.7° (range: 16.2–47.4°) at the second, with different observers (Shim et al. 2022). In Beagle dogs, ICA values obtained with the Visante® OCT were reported as 42 ± 4° (Almazan et al. 2013). In our study, ICA values were higher (55.68 ± 9.88°), suggesting either a breed-specific anatomical characteristic or differences related to the imaging equipment used. Although gonioscopy is widely recognized as the gold standard for ICA assessment in both humans (Kato et al. 2006) and animals (Ekesten and Narfström 1991), OCT-based values may serve as normative database parameters for French Bulldogs and aid in the future evaluation of glaucoma. Regarding ICA in dogs using OCT, it is important to note that the canine anterior chamber is anatomically deeper than that of humans, which limits the visualization of the true angle recess. This anatomical feature often prevents complete delineation of the ICA structures, particularly the scleral spur and trabecular meshwork, in adult animals. Consequently, accurate measurement of the ICA by OCT is feasible mainly in young dogs, in which reduced ocular dimensions and less pronounced iris curvature allow improved optical access to the angle region.
OCT has increasingly become a valuable tool for assessing the retina and optic nerve in veterinary ophthalmology, offering high-resolution, non-invasive imaging of these structures. Recent efforts have focused on establishing normative data for retinal evaluation in animals (Hernandez-Merino et al. 2011) as well as identifying retinal abnormalities using OCT (Braga-Sá et al. 2018). In one study, whole retinal thickness in the superior temporal region (corresponding to the area centralis) was 198.7 ± 9.6 µm, while the inferior temporal region measured 164.4 ± 6.4 µm; the difference was statistically significant (p < 0.0001, paired t-test) (Hernandez-Merino et al. 2011). In another study evaluating diabetic dogs, total retinal thickness in the non-diabetic control group ranged from 203 µm to 238 µm (Braga-Sá et al. 2018).
Retinal thickness was also assessed in female Beagles at different life stages—puppies, adults, and elderly—with measurements taken in the dorsal, medial, ventral, and lateral quadrants at concentric distances from 1 mm to 6 mm from the area centralis. In adult dogs, average total retinal thickness values ranged from 234 µm to 175 µm (dorsal), 203 µm to 166 µm (medial), 170 µm to 132 µm (ventral), and 202 µm to 191 µm (lateral) (Ofri and Ekesten 2020). In the same study, outer retinal thickness revealed regional variation: dorsal (78 ± 8 µm to 70 ± 9 µm), medial (77 ± 7 µm to 67 ± 8 µm), ventral (69 ± 6 µm to 59 ± 5 µm), and lateral (81 ± 6 µm to 75 ± 7 µm). In our study, the mean total retinal thickness in the central region was 187.70 ± 23.90 µm (95% CI: 179.22–196.17 µm). In the nasal, temporal, and inferior regions, median values were 192.0 µm, 195.0 µm, and 193.0 µm, respectively. The dorsal region had a mean of 186.09 ± 29.99 µm, consistent with previously reported data (Hernandez-Merino et al. 2011; Braga-Sá et al. 2018; Ofri and Ekesten 2020). Such concordance reinforces that the measurements obtained reflect normal anatomical variability among canine breeds rather than methodological or instrumental bias. Therefore, the data presented here contribute to expanding normative reference values for retinal thickness in dogs, particularly brachycephalic breeds, within the expected physiological range previously described for healthy canines.
For outer retinal thickness, the highest mean value was observed in the superior external region (135.58 ± 23.37 µm), while the lowest mean values were recorded in the central and inferior external regions (both approximately 133 µm). Our results were higher than those reported in Beagle dogs (Ofri and Ekesten 2020), likely due to methodological differences. In our study, measurements were performed automatically by the OCT software, reducing measurement error and reinforcing the need for standardized NDBs by species and device. These findings support the existence of regional retinal thickness variations in dogs, which must be considered when using OCT in clinical evaluations, particularly in comparative studies and retinal disease diagnostics.
Data on inner retinal thickness (IR) in dogs are scarce. A canine study evaluating different retinal regions and age groups showed progressive thinning with increasing age (Occelli et al. 2020). In that study, IR thickness was highest in the area centralis (97.3 ± 10.5 µm to 123.8 ± 7.7 µm) and thinnest in the ventral region (78.7 ± 4.8 µm to 51.7 ± 5.5 µm). In our study, IR thickness values were lower, ranging from 50.24 ± 11.47 µm to 55.36 ± 10.66 µm. This discrepancy may be due to differences in anatomical region assessed, age of the dogs, or automated analysis used.
A study evaluating GCC thickness in dogs showed that GCC thickness varied by region and decreased with age in most retinal areas (Occelli et al. 2020). In the dorsal and temporal regions, values remained relatively stable, ranging from 55.3 ± 1.6 µm to 58.0 ± 6.3 µm (dorsal) and from 67.2 ± 1.4 µm to 77.1 ± 2.5 µm (temporal). The area centralis consistently showed the highest GCC thickness, peaking at 96.3 ± 8.5 µm at four weeks and gradually declining to 72.0–76.7 µm in older dogs. In our study, the mean total GCC thickness was 72.38 ± 9.52 µm (95% CI: 68.94–75.81 µm). These findings corroborate previous reports and support the observation of age-related GCC thinning. We observed an approximate decrease of 0.42 µm in GCC thickness per month of age. Therefore, age should be considered when interpreting GCC measurements in dogs.
A potential limitation of our study was the sample size, as a larger sample would likely provide a more normal data distribution and reduce the influence of outliers. Another limitation was the absence of gonioscopic ICA evaluation and correlation with OCT-derived values. Finally, only a single retinal sector was evaluated; assessing additional regions may yield more precise data regarding retinal thickness. However, the results obtained were statistically robust, indicating that these limitations likely did not affect the validity of the study’s results. Future studies should aim to establish NDBs with larger sample sizes, include age stratification, perform gonioscopy, and evaluate multiple retinal sectors.
In conclusion, this study generated novel normative OCT data for French Bulldogs, which may be valuable for future clinical and experimental evaluation of ocular disorders in this breed. Notably, we observed that French Bulldogs present with thinner CCT and thicker CET compared to other canine breeds. These differences should be considered when evaluating French Bulldogs with corneal diseases. SD-OCT proved to be a useful diagnostic tool for investigating ICA narrowing in normotensive French Bulldogs. Furthermore, our findings highlight regional retinal thickness variation in dogs, which must be taken into account in clinical and comparative retinal assessments. Finally, age should be considered an important factor influencing GCC thickness.
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Author Contribution
R.L.C: collected the data and wrote the manuscript F.L.C.B. conceptualized the idea and reviewed the manuscript M.F.X.R collected the data and wrote the manuscript E.C.L. reviewed the manuscript J.N.V. reviewed the manuscript F.M.F reviewed the manuscript,.conceptualized the idea and the statistical analysis
Declarations
Conflict of interest
The authors state that there is no conflict of interest.
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Funding
None.
Data availability
No datasets were generated or analysed during the current study.
Open Access
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Figure 1.
Representative images obtained using spectral-domain optical coherence tomography (SD-OCT; iVue, Optovue, Fremont, CA, USA) from a French Bulldog. A) OCT image of the left cornea from dog 1, showing no pathological changes and a central corneal thickness (CCT) of 535 µm on the corneal pachymetry evaluation map using the software. B) OCT interface image of the cornea from dog 10, with no pathological changes and a corneal epithelium thickness of 81 µm, obtained through manual measurement and corneal pachymetry evaluation map using the software. C) OCT interface image from dog 8, displaying an iridocorneal angle measurement of 54.28°, delineated by two lines (Descemet’s membrane and the anterior surface of the iris), starting at the iris root.
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Fig. 2
Representative images obtained using spectral-domain optical coherence tomography (SD-OCT; iVue, Optovue, Fremont, CA, USA) from a French Bulldog. A and B) 6 × 6 mm retinal maps displayed with the ETDRS grid and associated values, overlaid on the En face image of the mapped region, alongside the corresponding segmentation map highlighting the superior (S), inferior (I), nasal (N), and temporal (T) quadrants. C) Central raster scans (seven in total), each representing the average of five acquisitions, with selection of the evaluated retinal region. D) SD-OCT image selected raster scan used for morphological analysis.
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Figure 3. Representative images obtained using spectral-domain optical coherence tomography (SD-OCT; iVue, Optovue, Fremont, CA, USA) from a French Bulldog. A) En face image of the area centralis selected for evaluation. B) Pachymetry map of the ganglion cell complex (GCC) layer. C) Cross-sectional SD-OCT image showing the ganglion cell complex, including the retinal nerve fiber layer (RNFL), ganglion cell layer (GCL), and inner plexiform layer (IPL).
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Fig. 4
Linear regression analysis of ganglion cell complex (GCC) thickness as a function of age (in months) in French Bulldogs. A significant negative correlation was observed between age and GCC thickness (red line; p < 0.05), with the 95% confidence interval shown in pink. Each yellow dot represents an individual measurement.
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Table 2. Ganglion cell complex (GCC) thickness in French Bulldog assessed using SD-OCT: total, superior, inferior, and interocular difference (mean ± SD, in µm)
Parameter
Distribution
P-value
Mean
SD
95% CI of the Mean
GCC Total
Normal
p = 0.285
72.38
9.52
68.94–75.81
 
GCC Interocular Difference
Normal
p = 0.764
3.16
13.39
–7.98–1.66
 
GCC Inferior
Normal
p = 0.455
74.00
12.47
69.50–78.50
 
GCC Superior
Normal
p = 0.232
70.84
10.61
67.02–74.67
 
Abbreviations: Data are presented as mean ± standard deviation (SD), with 95% confidence intervals (CI). Interocular difference refers to the absolute difference in GCC thickness between the right and left eyes.
Table 3. Comparison of ocular measurements (in µm) between female (F) and male (M) French Bulldogs.
Parameter
Mean (F)
Mean (M)
Test used
p-value
CCT
556.6
567.5
t de Student
0.513
CET
77.1
81.2
t de Student
0.194
ICA
56.3
55.5
t de Student
0.832
Retina Central
48.6
52.9
t de Student
0.146
GC
59.4
57.1
Mann–Whitney
0.589
Abbreviations: Central corneal thickness (CCT), central epithelial thickness (CET), iridocorneal angle (ICA), central retinal thickness (Retina Central), and ganglion cell complex (GCC) thickness. Data were analyzed using the Student’s t-test or the Mann–Whitney test. No statistically significant differences were found between sexes (p > 0.05 for all comparisons).
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