REVISED CLASSIFICATION OF THE OPTICAL COHERENCE TOMOGRAPHY OUTER RETINAL BANDS BASED ON CENTRAL SEROUS CHORIORETINOPATHY ANALYSIS
| Autor: | Inder P. Singal, Steven M. Bloom |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty genetic structures Fundus Oculi Visual Acuity Retinal Pigment Epithelium 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Optical coherence tomography Ophthalmology Humans Medicine Fluorescein Angiography Recent onset Retrospective Studies Confusion Retinal pigment epithelium medicine.diagnostic_test business.industry Retinal General Medicine Retinal Photoreceptor Cell Outer Segment eye diseases Serous fluid 030104 developmental biology medicine.anatomical_structure Central Serous Chorioretinopathy Retinal structure chemistry 030221 ophthalmology & optometry sense organs medicine.symptom business Tomography Optical Coherence |
| Zdroj: | Retina. 41:181-188 |
| ISSN: | 0275-004X |
| DOI: | 10.1097/iae.0000000000002792 |
| Popis: | PURPOSE To evaluate the optical coherence tomography (OCT) imaging findings in recent onset neurosensory retinal detachments induced by central serous chorioretinopathy and to attempt to corroborate these findings with proposed anatomical correlates. METHODS Retinal detachments due to central serous chorioretinopathy of less than 3 months' duration and the surrounding area were scanned with OCT. The imaging of the outer retinal bands was evaluated according to proposals by Cuenca et al and the IN•OCT Consensus classification. RESULTS Optical coherence tomography findings in 11 eyes (11 patients) with CSC showed that all hyperreflective bands above Band 4 were variably continuous within the outer portion of the serous detachment. We then attempted to reconcile inconsistencies in current explanations for the outer retinal bands to propose changes to the outer retinal OCT nomenclature. CONCLUSION Our patients' OCT findings support the current standard that Band 3 is an outer retinal structure and that Band 4 represents the retinal pigment epithelium/Bruch complex. Confusion exists regarding whether the interdigitation zone extends halfway up or for the full length of the outer segments, and the hyporeflective band between Bands 3 and 4 has yet to receive an appropriate term. We therefore propose a modification to the IN•OCT Consensus classification by renaming the trilaminar hyporeflective, hyperreflective, and hyporeflective bands between Bands 2 and 4 as the outer segment-interdigitation zone complex consisting of the inner, middle, and outer segment-interdigitation zone, respectively. |
| Databáze: | OpenAIRE |
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