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Fang D, Liang J, Diao Y, Cui D, Hou F, Zheng B, Zheng H, Pan C, Feng L, Li W, Xie T, Li P, Zhang J, Zhang G, Chen L, Zhang S. Morphologic and Functional Assessment of Photoreceptors in Laser-Induced Retinopathy Using Adaptive Optics Scanning Laser Ophthalmoscopy and Microperimetry. Am J Ophthalmol 2024; 265:61-72. [PMID: 38555010 DOI: 10.1016/j.ajo.2024.03.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2024] [Revised: 03/18/2024] [Accepted: 03/21/2024] [Indexed: 04/02/2024]
Abstract
PURPOSE To assess the cone photoreceptors' morphology and associated retinal sensitivity in laser-induced retinopathy (LIR) using adaptive optics scanning laser ophthalmoscopy (AO-SLO) and microperimetry (MP). DESIGN Cohort study. METHODS This study included 13 patients (15 eyes) with LIR and 38 age-matched healthy volunteers (38 eyes). Participants underwent comprehensive evaluations including AO-SLO, MP, and spectral-domain OCT. Lesion morphology, cone density, dispersion, and regularity in AO-SLO were assessed and correlated with visual function. RESULTS In AO-SLO images, LIR lesions were predominantly characterized by hyporeflective regions, suggesting potential cone loss at the fovea, accompanied by the presence of sizable clumps of hyperreflective material within these lesions. The average size of lesions in affected eyes was 97,128±107,478 µm², ranging from 6705 to 673,348 µm². Compared with the healthy contralateral eye and control group, LIR demonstrated significantly reduced cone density, increased cone dispersion, and notably decreased cone regularity in all 4 quadrants at 3° eccentricity (all P values < .05). Lesion morphology in AO-SLO correlated with ellipsoid zone defects observed in OCT, showing a positive correlation in size (r = 0.84, P < .001) but not with retinal sensitivities (P = .09). Similarly, cone density at 3° eccentricity did not correlate with retinal sensitivities (P = .13). CONCLUSIONS AND RELEVANCE The study provides crucial insights into the morphologic and functional impacts of LIR on cone photoreceptors, revealing significant morphologic changes in cones that do not consistently align with functional outcomes. This research highlights the need for continued exploration into the relationship between retinal structure and function in LIR, and the importance of heightened public awareness and preventive strategies to mitigate the risk of LIR.
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Affiliation(s)
- Dong Fang
- From the Shenzhen Eye Hospital, Jinan University, Shenzhen Key Laboratory of Ophthalmology (D.F., J.L., Y.D., D.C., F.H., B.Z., H.Z., C.P., L.F., W.L., T.X., P.L., G.Z., L.C., S.Z.), Shenzhen, Guangdong
| | - Jia Liang
- From the Shenzhen Eye Hospital, Jinan University, Shenzhen Key Laboratory of Ophthalmology (D.F., J.L., Y.D., D.C., F.H., B.Z., H.Z., C.P., L.F., W.L., T.X., P.L., G.Z., L.C., S.Z.), Shenzhen, Guangdong
| | - Yingying Diao
- From the Shenzhen Eye Hospital, Jinan University, Shenzhen Key Laboratory of Ophthalmology (D.F., J.L., Y.D., D.C., F.H., B.Z., H.Z., C.P., L.F., W.L., T.X., P.L., G.Z., L.C., S.Z.), Shenzhen, Guangdong
| | - Dongmei Cui
- From the Shenzhen Eye Hospital, Jinan University, Shenzhen Key Laboratory of Ophthalmology (D.F., J.L., Y.D., D.C., F.H., B.Z., H.Z., C.P., L.F., W.L., T.X., P.L., G.Z., L.C., S.Z.), Shenzhen, Guangdong
| | - Fei Hou
- From the Shenzhen Eye Hospital, Jinan University, Shenzhen Key Laboratory of Ophthalmology (D.F., J.L., Y.D., D.C., F.H., B.Z., H.Z., C.P., L.F., W.L., T.X., P.L., G.Z., L.C., S.Z.), Shenzhen, Guangdong
| | - Bingru Zheng
- From the Shenzhen Eye Hospital, Jinan University, Shenzhen Key Laboratory of Ophthalmology (D.F., J.L., Y.D., D.C., F.H., B.Z., H.Z., C.P., L.F., W.L., T.X., P.L., G.Z., L.C., S.Z.), Shenzhen, Guangdong
| | - Huiyan Zheng
- From the Shenzhen Eye Hospital, Jinan University, Shenzhen Key Laboratory of Ophthalmology (D.F., J.L., Y.D., D.C., F.H., B.Z., H.Z., C.P., L.F., W.L., T.X., P.L., G.Z., L.C., S.Z.), Shenzhen, Guangdong
| | - Changfeng Pan
- From the Shenzhen Eye Hospital, Jinan University, Shenzhen Key Laboratory of Ophthalmology (D.F., J.L., Y.D., D.C., F.H., B.Z., H.Z., C.P., L.F., W.L., T.X., P.L., G.Z., L.C., S.Z.), Shenzhen, Guangdong
| | - Lujia Feng
- From the Shenzhen Eye Hospital, Jinan University, Shenzhen Key Laboratory of Ophthalmology (D.F., J.L., Y.D., D.C., F.H., B.Z., H.Z., C.P., L.F., W.L., T.X., P.L., G.Z., L.C., S.Z.), Shenzhen, Guangdong
| | - Wangting Li
- From the Shenzhen Eye Hospital, Jinan University, Shenzhen Key Laboratory of Ophthalmology (D.F., J.L., Y.D., D.C., F.H., B.Z., H.Z., C.P., L.F., W.L., T.X., P.L., G.Z., L.C., S.Z.), Shenzhen, Guangdong
| | - Ting Xie
- From the Shenzhen Eye Hospital, Jinan University, Shenzhen Key Laboratory of Ophthalmology (D.F., J.L., Y.D., D.C., F.H., B.Z., H.Z., C.P., L.F., W.L., T.X., P.L., G.Z., L.C., S.Z.), Shenzhen, Guangdong
| | - Pengfeng Li
- From the Shenzhen Eye Hospital, Jinan University, Shenzhen Key Laboratory of Ophthalmology (D.F., J.L., Y.D., D.C., F.H., B.Z., H.Z., C.P., L.F., W.L., T.X., P.L., G.Z., L.C., S.Z.), Shenzhen, Guangdong
| | - Jie Zhang
- From the Shenzhen Eye Hospital, Jinan University, Shenzhen Key Laboratory of Ophthalmology (D.F., J.L., Y.D., D.C., F.H., B.Z., H.Z., C.P., L.F., W.L., T.X., P.L., G.Z., L.C., S.Z.), Shenzhen, Guangdong; Advanced Ophthalmology Laboratory, Robotrak Technologies (J.Z.), Nanjing, China
| | - Guoming Zhang
- From the Shenzhen Eye Hospital, Jinan University, Shenzhen Key Laboratory of Ophthalmology (D.F., J.L., Y.D., D.C., F.H., B.Z., H.Z., C.P., L.F., W.L., T.X., P.L., G.Z., L.C., S.Z.), Shenzhen, Guangdong
| | - Lu Chen
- From the Shenzhen Eye Hospital, Jinan University, Shenzhen Key Laboratory of Ophthalmology (D.F., J.L., Y.D., D.C., F.H., B.Z., H.Z., C.P., L.F., W.L., T.X., P.L., G.Z., L.C., S.Z.), Shenzhen, Guangdong.
| | - Shaochong Zhang
- From the Shenzhen Eye Hospital, Jinan University, Shenzhen Key Laboratory of Ophthalmology (D.F., J.L., Y.D., D.C., F.H., B.Z., H.Z., C.P., L.F., W.L., T.X., P.L., G.Z., L.C., S.Z.), Shenzhen, Guangdong.
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