Retinal Capillary Abnormalities in Sjögren-Larsson Syndrome Maculopathy

Autor: Pippa Staps, Anita de Breuk, Johannes R.M. Cruysberg, Michèl Willemsen, Thomas Theelen
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Case Reports in Ophthalmology, Vol 13, Iss 2, Pp 341-349 (2022)
Druh dokumentu: article
ISSN: 1663-2699
DOI: 10.1159/000524591
Popis: Sjögren-Larsson syndrome (SLS) is a neurometabolic disease with a peculiar crystalline maculopathy. It is yet unclear if vascular abnormalities play a role in SLS maculopathy pathogenesis. We used optical coherence tomography angiography (OCT-A) to search for vessel abnormalities in SLS maculopathy. We performed a cross-sectional study in 4 patients (2 males, 2 females, aged 12–36 years) with various stages of SLS maculopathy. Besides OCT-A imaging, a complete ophthalmological examination and additional retinal imaging by transversal and en face spectral domain (SD) OCT were performed. OCT-A images were qualitatively assessed for vascular abnormalities, and imaging was compared to eight eyes of four healthy controls. On OCT-A, all eyes of patients with SLS showed a reduced capillary density around the fovea, and an enlarged foveal avascular zone (FAZ; SLS patients [n = 6 eyes] mean 0.70 mm2 [SD 0.18]; healthy controls [n = 8 eyes] mean 0.34 mm2 [SD 0.07], p = 0.004). In 2 patients, telangiectatic vessels were seen in the deep capillary layer. In conclusion, OCT angiography showed capillary paucity and morphological vessel abnormalities in these 4 patients with SLS.
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