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En face imaging of the choroid in polypoidal choroidal vasculopathy using swept-source optical coherence tomography.
Alasil, Tarek; Ferrara, Daniela; Adhi, Mehreen; Brewer, Erika; Kraus, Martin F; Baumal, Caroline R; Hornegger, Joachim; Fujimoto, James G; Witkin, Andre J; Reichel, Elias; Duker, Jay S; Waheed, Nadia K.
Afiliación
  • Alasil T; New England Eye Center, Tufts Medical Center, Boston, Massachusetts.
  • Ferrara D; New England Eye Center, Tufts Medical Center, Boston, Massachusetts.
  • Adhi M; New England Eye Center, Tufts Medical Center, Boston, Massachusetts.
  • Brewer E; New England Eye Center, Tufts Medical Center, Boston, Massachusetts.
  • Kraus MF; Pattern Recognition Lab and School of Advanced Optical Technologies, University Erlangen Nuremberg, Erlangen, Germany; Departments of Electrical Engineering and Computer Science and Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, Massachusetts.
  • Baumal CR; New England Eye Center, Tufts Medical Center, Boston, Massachusetts.
  • Hornegger J; Pattern Recognition Lab and School of Advanced Optical Technologies, University Erlangen Nuremberg, Erlangen, Germany.
  • Fujimoto JG; Departments of Electrical Engineering and Computer Science and Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, Massachusetts.
  • Witkin AJ; New England Eye Center, Tufts Medical Center, Boston, Massachusetts.
  • Reichel E; New England Eye Center, Tufts Medical Center, Boston, Massachusetts.
  • Duker JS; New England Eye Center, Tufts Medical Center, Boston, Massachusetts.
  • Waheed NK; New England Eye Center, Tufts Medical Center, Boston, Massachusetts. Electronic address: nadiakwaheed@gmail.com.
Am J Ophthalmol ; 159(4): 634-43, 2015 Apr.
Article en En | MEDLINE | ID: mdl-25528955
OBJECTIVE: To define morphologic features of polypoidal choroidal vasculopathy (PCV) using en face images from swept-source optical coherence tomography (SS OCT). DESIGN: Prospective cross-sectional study. METHODS: The study included 10 eyes from 6 patients with PCV and 10 eyes from 5 age-matched normal subjects. All subjects were prospectively scanned with a prototype SS OCT system. A motion correction algorithm was applied to correct and merge scans into a single volumetric dataset. En face images were generated at intervals of 4.13 µm (1 pixel) relative to the Bruch membrane. RESULTS: Age ± standard deviation for the normal group was 62.4 (±12.1) years and for the PCV group was 68.3 (±5.2) years. En face SS OCT imaging of PCV eyes demonstrated the relationship between larger pigment epithelial detachments (PEDs) and small adjoining PEDs that correlated with the polypoidal lesions seen on indocyanine green angiography in all PCV eyes. En face SS OCT demonstrated choroidal vascular abnormalities in 7 out of 7 eyes with PCV, and in 2 out of 3 enrolled fellow eyes in patients with unilateral PCV. Out of 7 PCV eyes, focal choroidal vascular dilation was noted in 3 eyes and diffuse choroidal vascular dilation was noted in 1 eye. In addition, a branching vascular network was noted above the Bruch membrane in 1 eye, below the Bruch membrane within the choriocapillaris in 1 eye, and in the larger choroidal vascular layer in 1 eye. CONCLUSIONS: En face SS OCT provides an in vivo tool to visualize the pathologic features and the choroidal vasculature in PCV.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pólipos / Coroides / Neovascularización Coroidal / Epitelio Pigmentado de la Retina Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Aged / Female / Humans / Middle aged Idioma: En Revista: Am J Ophthalmol Año: 2015 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pólipos / Coroides / Neovascularización Coroidal / Epitelio Pigmentado de la Retina Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Aged / Female / Humans / Middle aged Idioma: En Revista: Am J Ophthalmol Año: 2015 Tipo del documento: Article Pais de publicación: Estados Unidos