Degenerative Peripheral Retinoschisis: Observations From Ultra-Widefield Fundus Imaging
| Autor: | Tahsin Khundkar, Yoshihiro Yonekawa, David Xu, Jeremy D. Wolfe, Aristomenis Thanos, George A. Williams, Antonio Capone, David Sarraf, Sirichai Pasadhika, Lisa J. Faia, Bozho Todorich, Cindy Ung, Atul Jain |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Diagnostic Imaging Male medicine.medical_specialty Visual acuity Retinoschisis Visual Acuity Fundus (eye) Multimodal Imaging 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Retinal Examination Ophthalmology Photography medicine Humans Fluorescein Angiography Aged Retrospective Studies Aged 80 and over Retina medicine.diagnostic_test business.industry Optical Imaging Retinal Middle Aged Fluorescein angiography Autofluorescence medicine.anatomical_structure chemistry Angiography 030221 ophthalmology & optometry Female medicine.symptom business Tomography Optical Coherence |
| Zdroj: | Ophthalmic Surgery, Lasers and Imaging Retina. 50:557-564 |
| ISSN: | 2325-8179 2325-8160 |
| DOI: | 10.3928/23258160-20190905-04 |
| Popis: | BACKGROUND AND OBJECTIVE: To describe the ultra-widefield (UWF) imaging characteristics of patients with degenerative peripheral retinoschisis (DPR) using Optomap technology. PATIENTS AND METHODS: In this multicenter, retrospective, noncomparative, consecutive case series, eligible patients underwent detailed retinal examination including indirect ophthalmoscopy. UWF fundus imaging, including color fundus photography, autofluorescence, and angiography, was performed using standardized protocols and findings were recorded and reviewed and analyzed. RESULTS: A total of 35 patients (58 eyes) with DPR were identified who underwent 55 sessions of UWF imaging. Mean age was 65 years, and the inferotemporal quadrant was most commonly affected (74% of eyes). Of these patients, 31 underwent fluorescein angiography and 90% of these studies illustrated abnormalities in the area affected by the schisis. The most common finding was retinal vascular leakage originating from the deep capillary plexus observed in 29 eyes (93.5%). CONCLUSIONS: UWF imaging enables a more detailed identification of the clinical features associated with DPR and provides simple, practical, and noninvasive tools to monitor progression of disease. The breadth of retinal vascular complications identified with fluorescein angiography may suggest an important vascular component associated with the pathogenesis of this entity. [ Ophthalmic Surg Lasers Imaging Retina . 2019;50:557–564.] |
| Databáze: | OpenAIRE |
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