scholarly journals Dome-Shaped Macula versus Ridge-Shaped Macula Eyes in High Myopia Based on the 12-line Radial Optical Coherence Tomography Scan Pattern. Differences in Clinical Features

Diagnostics ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. 1864
Author(s):  
María García-Zamora ◽  
Ignacio Flores-Moreno ◽  
Jorge Ruiz-Medrano ◽  
Rocío Vega-González ◽  
Mariluz Puertas ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Clinical Features ◽  
Optical Coherence ◽  
Spherical Equivalent ◽  
Foveal Thickness ◽  
Swept Source ◽  
Corrected Visual Acuity ◽  
Membrane Defects ◽  
Scan Pattern ◽  
Tomography Scan

Purpose: To study clinical features in patients with ridge-shaped macula (RSM) compared with those with dome-shaped macula (DSM) having been previously classified by the number of swept-source optical coherence tomography (SS-OCT) radial scans affected. Methods: Retrospective observational study including 49 highly myopic eyes from 31 patients who underwent SS-OCT. DSM eyes were defined as those that showed a complete round inward convexity in all their axes, presenting an inward convexity ≥50 µm in the 12-line radial OCT scans. Eyes that did not meet this criterion and had at least one flat radial scan were grouped into the RSM group, defined as a macular inward convexity in some meridians across the fovea, whereas the opposite perpendicularly oriented meridians were flat. Age, spherical equivalent, axial length (AL), and best-corrected visual acuity (BCVA) were collected. Height of the bulge, scleral and choroidal thicknesses, Bruch´s membrane defects, and presence of perforating scleral vessels were recorded. Results: Thirty-seven (75.5%) eyes were classified into the RSM group and 12 (24.5%) into the DSM group. Twenty-six (53.0%) eyes showed macular elevation only in the horizontal direction. Mean AL showed statistically significant differences (28.8 ± 2.7 vs. 30.5 ± 1.5 mm in the RMS vs. DSM group, respectively) and the presence of Bruch´s membrane defects was more frequently seen in DSM (p < 0.001). Mean age, spherical equivalent, BCVA, height of the inward convexity, retinal foveal thickness, foveal scleral thickness, subfoveal choroidal thickness, and the presence of perforating scleral vessels did not show significant differences between groups. Conclusion: This study shows the reliability of using the 12 equal radial OCT scans as an objective method to define and differentiate DSM versus RSM. Patients with RSM showed differences in AL compared with those with DSM, being longer in DSM, and regarding the presence of Bruch´s membrane defects, being more common in DSM. This may contribute to identifying those patients that, in daily clinical practice, have a higher risk of developing complications due to their myopia.

scholarly journals Novel Optical Coherence Tomography Parameters as Prognostic Factors for Stage 3 Epiretinal Membranes

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Young Gun Park ◽  
Seo Yeon Hong ◽  
Young-Jung Roh
Keyword(s):  
Optical Coherence Tomography ◽  
Optical Coherence ◽  
Foveal Thickness ◽  
Swept Source ◽  
Epiretinal Membranes ◽  
Central Foveal Thickness ◽  
Corrected Visual Acuity ◽  
Negative Prognostic Factor ◽  
Best Corrected Visual Acuity

Purpose. We aimed to describe the visual prognosis of eyes with ectopic inner foveal layers (EIFLs) after epiretinal membrane (ERM) surgery. Methods. This retrospective study enrolled patients diagnosed with stage 3 ERM based on the EIFL staging scheme who underwent ERM surgery with a minimum follow-up period of 12 months. Central foveal thickness (CFT), EIFL thickness, and the length of the ellipsoid zone defect were evaluated at baseline and at 1 month, 6 months, and 12 months after surgery based on pre- and postoperative swept-source optical coherence tomography (OCT) images. The association of EIFL thickness and other OCT parameters with pre- and postoperative best-corrected visual acuity (BCVA) was analyzed. Results. Sixty-nine eyes with stage 3 ERMs were analyzed. Preoperative BCVA was correlated with preoperative CFT (r = 0.517, p < 0.001 ) and preoperative EIFL thickness (r = 0.652, p < 0.001 ). At 12 months, postoperative BCVA was correlated negatively with preoperative CFT (r = 0.470, p = 0.016 ) and preoperative EIFL thickness (r = 0.582, p = 0.004 ). The improvement in BCVA was not associated with postoperative reduction in CFT p = 0.06 , although it was significantly associated with postoperative reduction in EIFL thickness (r = 0.635, p = 0.007 ). Conclusions. EIFL thickness should be considered a negative prognostic factor for postoperative anatomical and functional recovery in patients with stage 3 ERMs.

scholarly journals Anterior chamber angle imaging with swept-source optical coherence tomography: comparison between CASIAII and ANTERION

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Poemen Pui-man Chan ◽  
Gilda Lai ◽  
Vivian Chiu ◽  
Anita Chong ◽  
Marco Yu ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Anterior Chamber ◽  
Anterior Segment ◽  
Anterior Chamber Depth ◽  
Angle Closure ◽  
Optical Coherence ◽  
Anterior Chamber Angle ◽  
Swept Source ◽  
Scan Pattern ◽  
Chamber Angle

Abstract This study compared the test–retest variabilities and measurement agreement of anterior chamber angle (ACA) dimensions measured by two anterior segment swept-source optical coherence tomography (SS-OCT)—the ANTERION (Heidelberg Engineering, Heidelberg, Germany) and CASIAII (Tomey, Nagoya, Japan). Thirty-eight subjects, 18 patients with primary angle closure and 20 healthy participants with open angles, were included. The mean age was 54.7 ± 15.8 years (range: 26–75 years). One eye of each subject was randomly selected for anterior segment imaging by ANTERION and CASIAII, using the same scan pattern (6 evenly spaced radial scans across the anterior segment for three times) in the same visit. The between- and within-instrument agreement and repeatability coefficients of angle open distance (AOD500), trabecular-iris space area (TISA500), lens vault (LV), scleral spur-scleral spur distance (SSD), anterior chamber depth (ACD), and pupil diameter (PD) were measured. The anterior and posterior boundaries of the cornea, iris, and lens were automatically segmented by the SS-OCT instruments; the scleral spur was manually located by a single masked observer. There were significant differences between ANTERION and CASIAII measurements; the SSD, PD, and ACD were smaller whereas AOD500 and TISA500 were greater in ANTERION compared with CASIAII (P < 0.001). Anterior segment measurements obtained from the two SS-OCT instruments showed strong associations (R2 ranged between 0.866 and 0.998) although the between-instrument agreement was poor; the spans of 95% limits of between-instrument agreement were ≥ 1.5-folds than the within-instrument agreement for either instrument. Whereas both SS-OCT instruments showed low test–retest measurement variabilities, the repeatability coefficients of AOD500, TISA500, ACD, and PD were slightly smaller for CASIAII than ANTERION (P ≤ 0.012).

Prediction of Best-Corrected Visual Acuity With Swept-Source Optical Coherence Tomography Parameters in Keratoconus

Cornea ◽  
2019 ◽  
Vol 38 (9) ◽  
pp. 1154-1160 ◽  
Author(s):  
Yuri Esaka ◽  
Takashi Kojima ◽  
Murat Dogru ◽  
Asato Hasegawa ◽  
Akeno Tamaoki ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Visual Acuity ◽  
Optical Coherence ◽  
Swept Source ◽  
Corrected Visual Acuity ◽  
Best Corrected Visual Acuity

Effect of Optical Coherence Tomography Scan Pattern and Density on the Detection of Full-Thickness Macular Holes

2014 ◽  
Vol 157 (5) ◽  
pp. 978-984.e1 ◽  
Author(s):  
Eric W. Schneider ◽  
Bozho Todorich ◽  
Michael P. Kelly ◽  
Tamer H. Mahmoud
Keyword(s):  
Optical Coherence Tomography ◽  
Optical Coherence ◽  
Full Thickness ◽  
Macular Holes ◽  
Scan Pattern ◽  
Tomography Scan

scholarly journals Malapposition of Graft-host Interface after Keratoplasty: an Optical Coherence Tomography Study

2018 ◽  
Author(s):  
Yujin Zhao ◽  
Hong Zhuang ◽  
Jiaxu Hong ◽  
Lijia Tian ◽  
Jianjiang Xu
Keyword(s):  
Optical Coherence Tomography ◽  
Anterior Segment ◽  
Reference Value ◽  
Optical Coherence ◽  
Spherical Equivalent ◽  
Visual Outcomes ◽  
Corrected Visual Acuity ◽  
Total Prevalence ◽  
Minimum Angle ◽  
Graft Thickness

Abstract Background: Previous studies of internal graft-host malappositions have not dealt with the precise ways in which each wound malapposition affected post-keratoplasty visual outcomes. In this study, reviewing our postsurgical keratoconic patients using anterior segment optical coherence tomography (AS-OCT) to evaluate the correlation between characteristics of the graft-host interface (GHI) and visual outcomes was aimed. Methods: Correlations between characteristics of GHI and the postsurgical visual outcomes, including logarithm of minimum angle of resolution best-corrected visual acuity (logMAR BCVA), spherical equivalent diopter (SE), diopter of spherical power (DS), diopter of cylindrical power (DC), and keratometric astigmatism, were evaluated of 45 eyes (patients). Results: The graft-host touch (GHT) varied with different alignment patterns. LogMAR BCVA correlated positively with GHT (r=0.32, P=0.030) and junctional graft thickness (Tg) (r=0.49, P=0.001). SE had positive correlation with frequency of step [F (step)] (r=0.46, P=0.001), graft step [F (graft step)] (r=0.40, P=0.028), total prevalence of malapposition proportion (Pm) (r=0.35, P=0.018), size of malapposition (Sm) (r=0.31, P=0.037), Tg (r=0.03, P=0.022), disparity between junctional graft and host thickness (|Tg-Th|) (r=0.40, P=0.007), and correlated negatively with GHT (r=-0.34, P=0.021). Similar results were acquired in DS. Keratometric astigmatism was found to correlate positively with Sm (r=0.30, P=0.047). Conclusion: In keratoconic eyes, corneal keratometric astigmatism increased by 0.017 with Sm. LogMAR BCVA increased by 0.001 with both GHT and Tg. Investigation of the visions for keratoconus patients. Our study might have potential reference value for future technological promotion.

scholarly journals Clinical features, optical coherence tomography findings and treatment outcomes of post-fever retinitis

2020 ◽  
Vol 12 ◽  
pp. 251584142097911
Author(s):  
Dheepak Sundar M ◽  
Rohan Chawla ◽  
Akshaya Balaji ◽  
Itika Garg ◽  
Reshmi Kalathil ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Clinical Features ◽  
Treatment Options ◽  
Vitreous Hemorrhage ◽  
Oral Steroid ◽  
Optical Coherence ◽  
Foveal Thickness ◽  
Oral Doxycycline ◽  
Oral Steroids

Objectives: To study the clinical features, optical coherence tomography (OCT) findings, treatment options and follow-up outcomes of post-fever retinitis (PFR). Subjects: A total of 19 eyes of 13 patients, diagnosed with PFR (retinitis following febrile episode) over 2 years were retrospectively studied. Methods: Documented history, baseline clinical features and systemic investigations performed for PFR were reviewed. Fundus findings, foveal architecture on swept-source OCT, the treatment options and the follow-up outcomes including best-corrected visual acuity (BCVA) and central foveal thickness (CFT) were reviewed and analyzed. Results: Common fundus findings included whitish retinitis lesions (100%), macular star (95%, 18eyes), retinal flame-shaped hemorrhages (63%, 12 eyes), inflammatory retinal vessels (30%, 6 eyes), vitreous hemorrhage (one eye) and OCT findings included neuro-sensory detachment (79%, 15 eyes), intraretinal white dots (89.5%,17 eyes). The baseline median log MAR BCVA and CFT were 1.30 (interquartile range (IQR):0.8–1.8) and 423 microns (IQR:182–555). Overall, nine patients (12 eyes) received a combination of oral doxycycline and oral steroids and four patients (7 eyes) received a combination of oral doxycycline, oral steroid and intravitreal anti-vascular endothelial growth factor (IVA). Significant improvement was evident at 8 weeks in median BCVA (0.50, IQR: 0.3–0.8, p < 0.05) and median CFT (223 micron, IQR: 170–256, p < 0.05) though only 26% (5 eyes) attained BCVA > = 6/12. Conclusion: Our study puts forth certain characteristic fundus and OCT features of PFR. A combination of oral doxycycline and oral steroids as a treatment option showed improvement in BCVA and CFT. Additional IVA helps in faster visual recovery in patients presenting with severe macular edema at onset.

scholarly journals Laser Lens Size Measurement Using Swept-Source Optical Coherence Tomography

2020 ◽  
Vol 10 (14) ◽  
pp. 4936
Author(s):  
Pingping Jia ◽  
Hong Zhao ◽  
Yuwei Qin
Keyword(s):  
Optical Coherence Tomography ◽  
High Speed ◽  
Wave Number ◽  
Radius Of Curvature ◽  
Optical Coherence ◽  
Swept Source ◽  
Laser Focusing ◽  
Fitting Algorithm ◽  
Laser Confocal Microscope ◽  
Focusing Lens

A high-speed, high-resolution swept-source optical coherence tomography (SS-OCT) is presented for focusing lens imaging and a k-domain uniform algorithm is adopted to find the wave number phase equalization. The radius of curvature of the laser focusing lens was obtained using a curve-fitting algorithm. The experimental results demonstrate that the measuring accuracy of the proposed SS-OCT system is higher than the laser confocal microscope. The SS-OCT system has great potential for surface topography measurement and defect inspection of the focusing lens.

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