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The OCT angular sign of Henle fiber layer (HFL) hyperreflectivity (ASHH) and the pathoanatomy of the HFL in macular disease. Prog Retin Eye Res 2022:101135. [DOI: 10.1016/j.preteyeres.2022.101135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 10/08/2022] [Accepted: 10/12/2022] [Indexed: 11/11/2022]
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Carrera W, Ng C, Koppinger J, Saud A, Chen JJ, Agarwal A, Johnson RN, Jumper JM, Lujan B, McDonald HR. Multimodal imaging of soccer ball-related ocular posterior segment injuries. Eur J Ophthalmol 2022; 32:3527-3535. [PMID: 35261266 DOI: 10.1177/11206721221086230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
PURPOSE To investigate the clinical and anatomic characteristics of soccer ball-induced posterior segment injuries in the era of modern multi-modal imaging. METHODS Retrospective case series of patients with soccer ball injury and diagnostic imaging from 2007 to 2020 at a single vitreoretinal practice. RESULTS Eight patients met inclusion criteria. Fundus photographs (FP) and optical coherence tomography (OCT) were obtained in eight patients, fundus autofluorescence (FAF) in five patients, fluorescein angiography (FA) in three patients, and en-face OCT and OCT-Angiography (OCT-A) were obtained in two patients each. FA and FAF identified traumatic pigment epitheliopathy secondary to commotio. Increased hypo-autofluorescence was associated with shallow, peripheral retinal detachment on FAF. OCT of the macula displayed outer retinal changes associated with commotio, and offered insight into the acute and subacute changes of traumatic macular hole formation. A patient displayed foveal hyper-reflectivity in the shape of an hourglass with retinal cyst at the level of the external limiting membrane (ELM) as seen on OCT and En-face OCT. A patient with commotio involving the macula lacked microvascular changes on OCT-A. CONCLUSION OCT, FA, and FAF imaging may aid in the work-up and management of the soccer ball-related posterior segment injuries.
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Affiliation(s)
- William Carrera
- Department of Ophthalmology, 7153California Pacific Medical Center, San Francisco, California, United States
| | - Caleb Ng
- West Coast Retina Medical Group, San Francisco, California, United States.,Department of Ophthalmology, 7153California Pacific Medical Center, San Francisco, California, United States
| | - Jayson Koppinger
- Department of Ophthalmology, 7153California Pacific Medical Center, San Francisco, California, United States
| | - Asma Saud
- Department of Ophthalmology, 7153California Pacific Medical Center, San Francisco, California, United States
| | - Judy J Chen
- West Coast Retina Medical Group, San Francisco, California, United States.,Department of Ophthalmology, 7153California Pacific Medical Center, San Francisco, California, United States
| | - Anita Agarwal
- West Coast Retina Medical Group, San Francisco, California, United States.,Department of Ophthalmology, 7153California Pacific Medical Center, San Francisco, California, United States
| | - Robert N Johnson
- West Coast Retina Medical Group, San Francisco, California, United States.,Department of Ophthalmology, 7153California Pacific Medical Center, San Francisco, California, United States
| | - J Michael Jumper
- West Coast Retina Medical Group, San Francisco, California, United States.,Department of Ophthalmology, 7153California Pacific Medical Center, San Francisco, California, United States
| | - Brandon Lujan
- Casey Eye Institute, 6684Oregon Health Science University, Portland, Oregon, United States
| | - H Richard McDonald
- West Coast Retina Medical Group, San Francisco, California, United States.,Department of Ophthalmology, 7153California Pacific Medical Center, San Francisco, California, United States
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Measurement of macular thickness with optical coherence tomography: impact of using a paediatric reference database and analysis of interocular symmetry. Graefes Arch Clin Exp Ophthalmol 2020; 259:533-545. [PMID: 32860574 DOI: 10.1007/s00417-020-04903-5] [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: 05/25/2020] [Revised: 08/11/2020] [Accepted: 08/16/2020] [Indexed: 10/23/2022] Open
Abstract
PURPOSE Optical coherence tomography (OCT) software is used to classify abnormality of macular thickness by colour category based on reference data from adult series. We assessed the impact of using paediatric reference thickness values for macular thickness instead of adult reference values. METHODS Cross-sectional study. Primary and tertiary healthcare setting. Out of 140 healthy participants aged 5 to 18 years, 126 were eligible, 83% from European origin. Following a dilated eye examination and cycloplegic refraction, participants underwent macular scanning with OCT (Topcon 3D OCT-2000). Macular thickness paediatric reference values were recorded by spherical equivalent (SE) and sex, and the specific agreement between paediatric and adult reference values below or equal to percentile 5 and above percentile 95 was estimated. The absolute interocular differences for all macular parameters were determined. RESULTS Multivariate regression analysis confirmed statistically independent positive associations between SE and average thickness, total volume, and temporal and inferior outer quadrants (all p values ≤ 0.003). The analysis also revealed higher values in males for average thickness, central thickness, and all inner macula quadrants (all p values ≤ 0.039). The use of the adult database only detected 49% of the extreme values (≤ p5 and > p95) in our paediatric sample. The 95th percentile limits for absolute interocular differences for all macular parameters ranged from 12 to 17 μm. CONCLUSIONS OCT-based macular reference values for paediatric SE and sex improve detection of children with abnormal macular thicknesses. Interocular differences exceeding standard references for macular parameters should be considered for further examinations.
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