1
|
Catania F, Chapron T, Crincoli E, Miere A, Abdelmassih Y, Beaumont W, Chehaibou I, Metge F, Bruneau S, Bonnin S, Souied EH, Caputo G. Deep Learning for prediction of late recurrence of retinal detachment using preoperative and postoperative ultra-wide field imaging. Acta Ophthalmol 2024. [PMID: 38682863 DOI: 10.1111/aos.16693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2024] [Accepted: 04/08/2024] [Indexed: 05/01/2024]
Abstract
PURPOSE To elaborate a deep learning (DL) model for automatic prediction of late recurrence (LR) of rhegmatogenous retinal detachment (RRD) using pseudocolor and fundus autofluorescence (AF) ultra-wide field (UWF) images obtained preoperatively and postoperatively. MATERIALS AND METHODS We retrospectively included patients >18 years who underwent either scleral buckling (SB) or pars plana vitrectomy (PPV) for primary or recurrent RRD with a post-operative follow-up >2 years. Records of RRD recurrence between 6 weeks and 2 years after surgery served as a ground truth for the training of the deep learning (DL) models. Four separate DL models were trained to predict LR within the 2 postoperative years (binary outputs) using, respectively, UWF preoperative and postoperative pseudocolor images and UWF preoperative and postoperative AF images. RESULTS A total of 412 eyes were included in the study (332 eyes treated with PPV and 80 eyes with SB). The mean follow-up was 4.0 ± 2.1 years. The DL models based on preoperative and postoperative pseudocolor UWF imaging predicted recurrence with 85.6% (sensitivity 86.7%, specificity 85.4%) and 90.2% accuracy (sensitivity 87.0%, specificity 90.8%) in PPV-treated eyes, and 87.0% (sensitivity 86.7%, specificity 87.0%) and 91.1% (sensitivity 88.2%, specificity 91.9%) in SB-treated eyes, respectively. The DL models using preoperative and postoperative AF-UWF imaging predicted recurrence with 87.6% (sensitivity 84.0% and specificity 88.3%) and 91.0% (sensitivity 88.9%, specificity 91.5%) accuracy in PPV eyes, and 86.5% (sensitivity 87.5%; specificity 86.2%) and 90.6% (sensitivity 90.0%, specificity 90.7%) in SB eyes, respectively. Among the risk factors detected with visualisation methods, potential novel ones were extensive laser retinopexy and asymmetric staphyloma. CONCLUSIONS DL can accurately predict the LR of RRD based on UWF images (especially postoperative ones), which can help refine follow-up strategies. Saliency maps might provide further insight into the dynamics of RRD recurrence.
Collapse
Affiliation(s)
- Fiammetta Catania
- Ophthalmology Department, Rothschild Foundation Hospital, Paris, France
- Humanitas University, Department of Biomedical Sciences, Milan, Italy
| | - Thibaut Chapron
- Ophthalmology Department, Rothschild Foundation Hospital, Paris, France
- Université Paris Cité, CRESS, Obstetrical Perinatal and Paediatric Epidemiology Research Team, Paris, France
| | - Emanuele Crincoli
- Ophthalmology Unit, "Fondazione Policlinico Universitario A. Gemelli IRCCS", Catholic University "Sacro Cuore", Rome, Italy
| | - Alexandra Miere
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | | | - William Beaumont
- Ophthalmology Department, Rothschild Foundation Hospital, Paris, France
| | - Ismael Chehaibou
- Ophthalmology Department, Rothschild Foundation Hospital, Paris, France
| | - Florence Metge
- Ophthalmology Department, Rothschild Foundation Hospital, Paris, France
| | - Sebastien Bruneau
- Ophthalmology Department, Rothschild Foundation Hospital, Paris, France
| | - Sophie Bonnin
- Ophthalmology Department, Rothschild Foundation Hospital, Paris, France
| | - Eric H Souied
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | - Georges Caputo
- Ophthalmology Department, Rothschild Foundation Hospital, Paris, France
| |
Collapse
|
2
|
Acute zonal occult outer retinopathy-like presentation secondary to scleral buckle. Am J Ophthalmol Case Rep 2022; 28:101716. [PMID: 36275187 PMCID: PMC9579325 DOI: 10.1016/j.ajoc.2022.101716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Revised: 09/29/2022] [Accepted: 10/02/2022] [Indexed: 11/09/2022] Open
Abstract
Purpose To describe a case of acute zonal occult outer retinopathy-like (AZOOR-like) presentation following scleral buckle surgery for rhegmatogenous retinal detachment. Observations A 48-year-old man underwent successful scleral buckle with cryotherapy for repair of a left eye inferior macula-on rhegmatogenous retinal detachment. Five years later he presented with a six-month history of left peripheral field restriction. Fundus autofluorescence and optical coherence tomography demonstrated degeneration of the photoreceptors in a ring pattern around the left macula. Humphrey visual fields showed functional loss corelating with the imaging, with a paracentral ring scotoma. Electrophysiology demonstrated a delayed 30 Hz flicker latency in the left eye confirming cone system dysfunction. Conclusion and Importance Scleral buckling surgery for repair of a rhegmatogenous retinal detachment may be associated with a late AZOOR-like presentation.
Collapse
|