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Marques J, Marta A, Baptista PM, José D, Almeida D, Ribeiro A, Barbosa I. RETINAL SENSITIVITY AND STRUCTURAL CHANGES AFTER FOCAL PHOTOCOAGULATION FOR DIABETIC MACULAR EDEMA - A MULTISECTORIAL COMPARISON. Ophthalmic Res 2021; 64:960-966. [PMID: 34348332 DOI: 10.1159/000518622] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Accepted: 07/17/2021] [Indexed: 11/19/2022]
Affiliation(s)
- João Marques
- Ophthalmology Department, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - Ana Marta
- Ophthalmology Department, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | | | - Diana José
- Ophthalmology Department, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - Daniel Almeida
- Ophthalmology Department, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - António Ribeiro
- Ophthalmology Department, Centro Hospitalar Universitário do Porto, Porto, Portugal
- Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal
| | - Irene Barbosa
- Ophthalmology Department, Centro Hospitalar Universitário do Porto, Porto, Portugal
- Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal
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Domdei N, Reiniger JL, Holz FG, Harmening WM. The Relationship Between Visual Sensitivity and Eccentricity, Cone Density and Outer Segment Length in the Human Foveola. Invest Ophthalmol Vis Sci 2021; 62:31. [PMID: 34289495 PMCID: PMC8300048 DOI: 10.1167/iovs.62.9.31] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
Abstract
Purpose The cellular topography of the human foveola, the central 1° diameter of the fovea, is strikingly non-uniform, with a steep increase of cone photoreceptor density and outer segment (OS) length toward its center. Here, we assessed to what extent the specific cellular organization of the foveola of an individual is reflected in visual sensitivity and if sensitivity peaks at the preferred retinal locus of fixation (PRL). Methods Increment sensitivity to small-spot, cone-targeted visual stimuli (1 × 1 arcmin, 543-nm light) was recorded psychophysically in four human participants at 17 locations concentric within a 0.2° diameter on and around the PRL with adaptive optics scanning laser ophthalmoscopy-based microstimulation. Sensitivity test spots were aligned with cell-resolved maps of cone density and cone OS length. Results Peak sensitivity was at neither the PRL nor the topographical center of the cone mosaic. Within the central 0.1° diameter, a plateau-like sensitivity profile was observed. Cone density and maximal OS length differed significantly across participants, correlating with their peak sensitivity. Based on these results, biophysical simulation allowed to develop a model of visual sensitivity in the foveola, with distance from the PRL (eccentricity), cone density, and OS length as parameters. Conclusions Small-spot sensitivity thresholds in healthy retinas will help to establish the range of normal foveolar function in cell-targeted vision testing. Because of the high reproducibility in replicate testing, threshold variability not explained by our model is assumed to be caused by individual cone and bipolar cell weighting at the specific target locations.
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Affiliation(s)
- Niklas Domdei
- Department of Ophthalmology, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany
| | - Jenny L Reiniger
- Department of Ophthalmology, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany
| | - Frank G Holz
- Department of Ophthalmology, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany
| | - Wolf M Harmening
- Department of Ophthalmology, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany
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Sampson DM, Roshandel D, Chew AL, Wang Y, Stevenson PG, Cooper MN, Ong E, Wong L, La J, Alonso-Caneiro D, Chelva E, Khan JC, Sampson DD, Chen FK. Retinal Differential Light Sensitivity Variation Across the Macula in Healthy Subjects: Importance of Cone Separation and Loci Eccentricity. Transl Vis Sci Technol 2021; 10:16. [PMID: 34111262 PMCID: PMC8114004 DOI: 10.1167/tvst.10.6.16] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
Purpose Microperimetry measures differential light sensitivity (DLS) at specific retinal locations. The aim of this study is to examine the variation in DLS across the macula and the contribution to this variation of cone distribution metrics and retinal eccentricity. Methods Forty healthy eyes of 40 subjects were examined by microperimetry (MAIA) and adaptive optics imaging (rtx1). Retinal DLS was measured using the grid patterns: foveal (2°–3°), macular (3°–7°), and meridional (2°–8° on horizontal and vertical meridians). Cone density (CD), distribution regularity, and intercone distance (ICD) were calculated at the respective test loci coordinates. Linear mixed-effects regression was used to examine the association between cone distribution metrics and loci eccentricity, and retinal DLS. Results An eccentricity-dependent reduction in DLS was observed on all MAIA grids, which was greatest at the foveal-parafoveal junction (2°–3°) (−0.58 dB per degree, 95% confidence interval [CI]; −0.91 to −0.24 dB, P < 0.01). Retinal DLS across the meridional grid changed significantly with each 1000 cells/deg2 change in CD (0.85 dB, 95% CI; 0.10 to 1.61 dB, P = 0.03), but not with each arcmin change in ICD (1.36 dB, 95% CI; −2.93 to 0.20 dB, P = 0.09). Conclusions We demonstrate significant variation in DLS across the macula. Topographical change in cone separation is an important determinant of the variation in DLS at the foveal-parafoveal junction. We caution the extrapolation of changes in DLS measurements to cone distribution because the relationship between these variables is complex. Translational Relevance Cone density is an independent determinant of DLS in the foveal-parafoveal junction in healthy eyes.
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Affiliation(s)
- Danuta M Sampson
- Centre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute), The University of Western Australia, Nedlands, Western Australia, Australia.,Surrey Biophotonics, Centre for Vision, Speech and Signal Processing and School of Biosciences and Medicine, University of Surrey, Guildford, United Kingdom
| | - Danial Roshandel
- Centre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute), The University of Western Australia, Nedlands, Western Australia, Australia
| | - Avenell L Chew
- Centre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute), The University of Western Australia, Nedlands, Western Australia, Australia
| | - Yufei Wang
- Computer Science Department, University of Wisconsin-Madison, Madison, WI, USA
| | - Paul G Stevenson
- Telethon Kids Institute, The University of Western Australia, Perth, Western Australia, Australia
| | - Matthew N Cooper
- Telethon Kids Institute, The University of Western Australia, Perth, Western Australia, Australia
| | - Elaine Ong
- Centre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute), The University of Western Australia, Nedlands, Western Australia, Australia
| | - Lawrence Wong
- Centre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute), The University of Western Australia, Nedlands, Western Australia, Australia
| | - Jonathan La
- Centre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute), The University of Western Australia, Nedlands, Western Australia, Australia
| | - David Alonso-Caneiro
- Centre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute), The University of Western Australia, Nedlands, Western Australia, Australia.,Contact Lens and Visual Optics Laboratory, School of Optometry and Vision Science, Queensland University of Technology, Queensland, Australia
| | - Enid Chelva
- Department of Medical Technology and Physics, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia
| | - Jane C Khan
- Centre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute), The University of Western Australia, Nedlands, Western Australia, Australia.,Department of Ophthalmology, Royal Perth Hospital, Perth, Western Australia, Australia
| | - David D Sampson
- Surrey Biophotonics, School of Physics and School of Biosciences and Medicine, University of Surrey, Guildford, UK
| | - Fred K Chen
- Centre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute), The University of Western Australia, Nedlands, Western Australia, Australia.,Department of Ophthalmology, Royal Perth Hospital, Perth, Western Australia, Australia
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Foote KG, Wong JJ, Boehm AE, Bensinger E, Porco TC, Roorda A, Duncan JL. Comparing Cone Structure and Function in RHO- and RPGR-Associated Retinitis Pigmentosa. Invest Ophthalmol Vis Sci 2020; 61:42. [PMID: 32343782 PMCID: PMC7401955 DOI: 10.1167/iovs.61.4.42] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
Purpose To study cone structure and function in patients with retinitis pigmentosa (RP) owing to mutations in rhodopsin (RHO), expressed in rod outer segments, and mutations in the RP-GTPase regulator (RPGR) gene, expressed in the connecting cilium of rods and cones. Methods Four eyes of 4 patients with RHO mutations, 5 eyes of 5 patients with RPGR mutations, and 4 eyes of 4 normal subjects were studied. Cone structure was studied with confocal and split-detector adaptive optics scanning laser ophthalmoscopy (AOSLO) and spectral-domain optical coherence tomography. Retinal function was measured using a 543-nm AOSLO-mediated adaptive optics microperimetry (AOMP) stimulus. The ratio of sensitivity to cone density was compared between groups using the Wilcoxon rank-sum test. Results AOMP sensitivity/cone density in patients with RPGR mutations was significantly lower than normal (P< 0.001) and lower than patients with RHO mutations (P< 0.015), whereas patients with RHO mutations were similar to normal (P> 0.9). Conclusions Retinal sensitivity/cone density was lower in patients with RPGR mutations than normal and lower than patients with RHO mutations, perhaps because cones express RPGR and degenerate primarily, whereas cones in eyes with RHO mutations die secondary to rod degeneration. High-resolution microperimetry can reveal differences in cone degeneration in patients with different forms of RP.
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Woog K, Legras R. Distribution of mid-peripheral cones in emmetropic and myopic subjects using adaptive optics flood illumination camera. Ophthalmic Physiol Opt 2019; 39:94-103. [PMID: 30697790 DOI: 10.1111/opo.12604] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2018] [Accepted: 12/06/2018] [Indexed: 11/30/2022]
Abstract
PURPOSE We measured in vivo cone photoreceptors up to 24° of eccentricity along the horizontal meridian of healthy human retina. We also investigated the impact on cone densities of axial eye length elongation occurring with myopia. METHODS Using a flood illumination device coupled with an adaptive optics system, rtx1™, ( www.imagine-eyes.com), 55 right healthy retinas were imaged along the horizontal (i.e. nasal and temporal) meridian over a 48° field (i.e. from 3° to 24° each 3°). Then, cones were manually detected within 80 × 80 pixel regions of interest. Cone density and packing geometry (i.e. number of neighbours) were calculated (AOdetect software™). Subjects were divided into three groups: a group of 36 emmetropic (i.e. refractive error from -0.25D to +0.50D) subjects; a group of 10 low myopic subjects (i.e. refractive error from -0.50D to -2.50D); and a group of nine high myopic subjects (i.e. >-2.50D). RESULTS Cone density decreased with eccentricity in both semi-meridians. The decrease in cone photoreceptors occurred mainly in the first 9°. The difference of cone density between the nasal and temporal semi-meridian increased with eccentricity from 0.6% at 3° to 26% at 24°. Average cone density of emmetropes (850 cones deg-2 or 11 087 cones mm-2 ), low myopes (830 cones deg-2 or 9731 cones mm-2 ), and high myopes (912 cones deg-2 or 9744 cones mm-2 ), suggested that the retinas of the high myopic subjects were more stretched than the low myopic subjects retinas and even more stretched than that of the emmetropes. The axial eyeball elongation (square of the ratio of the axial eye length of 9%) seems to explain the cone density (11%) difference between emmetropes and low myopes. However, while the eyeball elongation between low and high myopes is still important (i.e. 11%), cone density difference between both populations was negligible (i.e. 3%). The ratio of cone density varied from -17% to 22% as a function of eccentricity involving that the retinal stretching is not uniform along the horizontal meridian. CONCLUSION The difference of cone density (i.e. cone mm-2 ) between groups supports the hypothesis that the retina is stretched with the eyeball elongation. However, this elongation does not seem to be uniform along the horizontal meridian favouring the hypothesis of a local elongation of the retina.
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Affiliation(s)
- Kelly Woog
- Laboratoire Aimé Cotton, CNRS, Université Paris-Sud, ENS Paris-Saclay, Université Paris-Saclay, Orsay, France
| | - Richard Legras
- Laboratoire Aimé Cotton, CNRS, Université Paris-Sud, ENS Paris-Saclay, Université Paris-Saclay, Orsay, France
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Burns SA, Elsner AE, Sapoznik KA, Warner RL, Gast TJ. Adaptive optics imaging of the human retina. Prog Retin Eye Res 2019; 68:1-30. [PMID: 30165239 PMCID: PMC6347528 DOI: 10.1016/j.preteyeres.2018.08.002] [Citation(s) in RCA: 126] [Impact Index Per Article: 25.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Revised: 08/22/2018] [Accepted: 08/24/2018] [Indexed: 12/18/2022]
Abstract
Adaptive Optics (AO) retinal imaging has provided revolutionary tools to scientists and clinicians for studying retinal structure and function in the living eye. From animal models to clinical patients, AO imaging is changing the way scientists are approaching the study of the retina. By providing cellular and subcellular details without the need for histology, it is now possible to perform large scale studies as well as to understand how an individual retina changes over time. Because AO retinal imaging is non-invasive and when performed with near-IR wavelengths both safe and easily tolerated by patients, it holds promise for being incorporated into clinical trials providing cell specific approaches to monitoring diseases and therapeutic interventions. AO is being used to enhance the ability of OCT, fluorescence imaging, and reflectance imaging. By incorporating imaging that is sensitive to differences in the scattering properties of retinal tissue, it is especially sensitive to disease, which can drastically impact retinal tissue properties. This review examines human AO retinal imaging with a concentration on the use of the Adaptive Optics Scanning Laser Ophthalmoscope (AOSLO). It first covers the background and the overall approaches to human AO retinal imaging, and the technology involved, and then concentrates on using AO retinal imaging to study the structure and function of the retina.
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Affiliation(s)
- Stephen A Burns
- 800E. Atwater S, School of Optometry, Indiana University, Bloomington, IN, United States.
| | - Ann E Elsner
- 800E. Atwater S, School of Optometry, Indiana University, Bloomington, IN, United States
| | - Kaitlyn A Sapoznik
- 800E. Atwater S, School of Optometry, Indiana University, Bloomington, IN, United States
| | - Raymond L Warner
- 800E. Atwater S, School of Optometry, Indiana University, Bloomington, IN, United States
| | - Thomas J Gast
- 800E. Atwater S, School of Optometry, Indiana University, Bloomington, IN, United States
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Woog K, Legras R. Visual resolution and cone spacing in the nasal and inferior retina. Ophthalmic Physiol Opt 2018; 38:66-75. [PMID: 29265471 DOI: 10.1111/opo.12424] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2017] [Accepted: 10/16/2017] [Indexed: 12/01/2022]
Abstract
PURPOSE To determine the retinal eccentricity at which cones are no longer an observable substitute for ganglion cells on nasal and inferior parafoveal visual acuity. METHOD Visual acuities were measured on 12 healthy volunteers, under dynamic adaptive optic aberrations correction (crx1™) in white light, from 0° to 6°, every two degrees, along the nasal and inferior retinal meridians. Cone spacing was measured on images of the retina acquired using an adaptive optic flood illumination retina camera (rtx1™) at the same eccentricity, except at 0°. RESULTS Cone spacing increased by around 0.13 min of arc per degree of eccentricity and a difference of 7% between both meridians was observed (higher cone spacing in the inferior retinal meridian). Visual resolution was higher in the nasal retinal meridian (difference of around 28% or 0.15 logMAR at 6°). Cone spacing can predict minimum angle of resolution (MAR) at 2° in both semi retinal meridians. In the inferior retinal meridian, MAR measurements are fairly well predicted by Watson's 50% mathematical model based on the midget retinal ganglion cell density. Along the nasal retinal meridian, the measured MAR lies between Watson's 50% and 100% models. CONCLUSIONS At 2° of eccentricity, cone density accurately predicts visual resolution in both the nasal and inferior retina, supporting the idea that only 50% of the foveal midget retinal ganglion cells determine VA. The 50% model can also predict VA in the inferior retinal meridian at 4° and 6° of eccentricity. However, the 50% model underestimated visual acuity in the nasal retinal meridian at 4° and 6° of eccentricity consistent with the partially overlapping ON and OFF midget retinal ganglion cell receptive fields.
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Affiliation(s)
- Kelly Woog
- Laboratoire Aimé Cotton, Centre National de la Recherche Scientifique, Université Paris-Sud, ENS Paris-Saclay, Université Paris-Saclay, 91405, Orsay Cedex, France
| | - Richard Legras
- Laboratoire Aimé Cotton, Centre National de la Recherche Scientifique, Université Paris-Sud, ENS Paris-Saclay, Université Paris-Saclay, 91405, Orsay Cedex, France
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Legras R, Gaudric A, Woog K. Distribution of cone density, spacing and arrangement in adult healthy retinas with adaptive optics flood illumination. PLoS One 2018; 13:e0191141. [PMID: 29338027 PMCID: PMC5770065 DOI: 10.1371/journal.pone.0191141] [Citation(s) in RCA: 56] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2017] [Accepted: 12/28/2017] [Indexed: 11/18/2022] Open
Abstract
The aim of this article is to analyse cone density, spacing and arrangement using an adaptive optics flood illumination retina camera (rtx1™) on a healthy population. Cone density, cone spacing and packing arrangements were measured on the right retinas of 109 subjects at 2°, 3°, 4°, 5° and 6° of eccentricity along 4 meridians. The effects of eccentricity, meridian, axial length, spherical equivalent, gender and age were evaluated. Cone density decreased on average from 28 884 ± 3 692 cones/mm2, at 2° of eccentricity, to 15 843 ± 1 598 cones/mm2 at 6°. A strong inter-individual variation, especially at 2°, was observed. No important difference of cone density was observed between the nasal and temporal meridians or between the superior and inferior meridians. However, the horizontal and vertical meridians differed by around 14% (T-test, p<0.0001). Cone density, expressed in units of area, decreased as a function of axial length (r2 = 0.60), but remained constant (r2 = 0.05) when cone density is expressed in terms of visual angle supporting the hypothesis that the retina is stretched during the elongation of the eyeball. Gender did not modify the cone distribution. Cone density was slightly modified by age but only at 2°. The older group showed a smaller density (7%). Cone spacing increased from 6,49 ± 0,42 μm to 8,72 ± 0,45 μm respectively between 2° and 6° of eccentricity. The mosaic of the retina is mainly triangularly arranged (i.e. cells with 5 to 7 neighbors) from 2° to 6°. Around half of the cells had 6 neighbors.
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Affiliation(s)
- Richard Legras
- Laboratoire Aimé Cotton, CNRS, Université Paris-Sud, ENS Paris-Saclay, Université Paris-Saclay, Orsay, France
- * E-mail:
| | - Alain Gaudric
- Université Paris Diderot - APHP Hôpital Lariboisière, Paris, France
| | - Kelly Woog
- Laboratoire Aimé Cotton, CNRS, Université Paris-Sud, ENS Paris-Saclay, Université Paris-Saclay, Orsay, France
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Chew AL, Sampson DM, Kashani I, Chen FK. Agreement in Cone Density Derived from Gaze-Directed Single Images Versus Wide-Field Montage Using Adaptive Optics Flood Illumination Ophthalmoscopy. Transl Vis Sci Technol 2017; 6:9. [PMID: 29285417 PMCID: PMC5744632 DOI: 10.1167/tvst.6.6.9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2017] [Accepted: 10/25/2017] [Indexed: 11/24/2022] Open
Abstract
Purpose We compared cone density measurements derived from the center of gaze-directed single images with reconstructed wide-field montages using the rtx1 adaptive optics (AO) retinal camera. Methods A total of 29 eyes from 29 healthy subjects were imaged with the rtx1 camera. Of 20 overlapping AO images acquired, 12 (at 3.2°, 5°, and 7°) were used for calculating gaze-directed cone densities. Wide-field AO montages were reconstructed and cone densities were measured at the corresponding 12 loci as determined by field projection relative to the foveal center aligned to the foveal dip on optical coherence tomography. Limits of agreement in cone density measurement between single AO images and wide-field AO montages were calculated. Results Cone density measurements failed in 1 or more gaze directions or retinal loci in up to 58% and 33% of the subjects using single AO images or wide-field AO montage, respectively. Although there were no significant overall differences between cone densities derived from single AO images and wide-field AO montages at any of the 12 gazes and locations (P = 0.01-0.65), the limits of agreement between the two methods ranged from as narrow as -2200 to +2600, to as wide as -4200 to +3800 cones/mm2. Conclusions Cone density measurement using the rtx1 AO camera is feasible using both methods. Local variation in image quality and altered visibility of cones after generating montages may contribute to the discrepancies. Translational Relevance Cone densities from single AO images are not interchangeable with wide-field montage derived-measurements.
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Affiliation(s)
- Avenell L Chew
- Centre for Ophthalmology and Visual Science, The University of Western Australia, Perth, Western Australia, Australia.,Ocular Tissue Engineering Laboratory, Lions Eye Institute, Perth, Western Australia, Australia
| | - Danuta M Sampson
- Centre for Ophthalmology and Visual Science, The University of Western Australia, Perth, Western Australia, Australia.,Ocular Tissue Engineering Laboratory, Lions Eye Institute, Perth, Western Australia, Australia
| | - Irwin Kashani
- Ocular Tissue Engineering Laboratory, Lions Eye Institute, Perth, Western Australia, Australia.,Save Sight Institute, The University of Sydney, Sydney, New South Wales, Australia
| | - Fred K Chen
- Centre for Ophthalmology and Visual Science, The University of Western Australia, Perth, Western Australia, Australia.,Ocular Tissue Engineering Laboratory, Lions Eye Institute, Perth, Western Australia, Australia.,Department of Ophthalmology, Royal Perth Hospital, Perth, Western Australia, Australia
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Normal values for microperimetry with the MAIA microperimeter: sensitivity and fixation analysis in healthy adults and children. Eur J Ophthalmol 2017; 27:607-613. [PMID: 28127734 DOI: 10.5301/ejo.5000930] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/02/2017] [Indexed: 11/20/2022]
Abstract
PURPOSE To establish normative values of retinal sensitivity and parameters describing the fixation pattern using macular analyzer integrity assessment (MAIA) microperimetry (Centervue, Padova, Italy) in adults and children. METHODS A sample of 237 eyes of 237 healthy subjects aged between 10 and 70 years (mean age 30.63 ± 16.23 years) was evaluated using the MAIA microperimeter. The following parameters provided by the MAIA device were evaluated: average threshold (AT), macular integrity, fixation indexes (P1% and P2%), bivariate contour ellipse area (BCEA) for 95% and 63% of points, and horizontal (H) and vertical (V) axes of the ellipse of fixation. Differences between different age-related groups were evaluated. Correlation of microperimetric parameters with age was also assessed. RESULTS Median retinal sensitivity of the overall sample was 32.90 dB (interquartile range 1.80 dB). Median P1 and P2 values were 98.00% (6.00) and 100.00% (1.00), respectively. Median BCEA for 95% and 63% of points were 2.40°2 (4.50) and 0.30°2 (0.50), respectively. Median H and V were 0.90° (0.80) and 0.90° (0.70), respectively. Age was significantly correlated with the following parameters in subjects from 21 to 70 years of age (p<0.01): AT (rho -0.47), P1 (rho -0.37), BCEA95 (rho 0.43), BCEA63 (rho 0.42), H (rho 0.43), and V (rho 0.40). CONCLUSIONS Retinal sensitivity in healthy eyes tends to decrease with age as well as the stability of the pattern of fixation. A normative database in terms of retinal sensitivity threshold and fixation performance can be established in this type of eyes.
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