Subclinical ocular inflammation in persons recovered from ambulatory COVID-19

Coronavirus disease 2019 (COVID-19) is characterized by striking variability in clinical severity, and a hyperinflammatory response in the lung is associated with high mortality. Little is known about the extent and duration of inflammation in persons recovering from COVID-19. Here, we used spectral domain optical coherence tomography (SD-OCT) to detect the presence of inflammatory cells in the vitreous cavity, an immune-privileged microenvironment, in persons recovered from COVID- 19. Our results provide quasi-histologic evidence that neuroinflammation is present in persons who recovered from COVID-19, only one of whom required hospitalization. Our results also suggest that persons who feel that their recovery is incomplete have evidence of subclinical eye inflammation, which may be a marker of residual inflammation elsewhere as well.

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Spectral-domain optical coherence tomography for evaluating palisades of Vogt in ocular surface disorders with limbal involvement

Scientific Reports ◽

10.1038/s41598-021-91999-2 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Ying-Yi Chen ◽

Yi-Chen Sun ◽

Chia-Ying Tsai ◽

Hsiao-Sang Chu ◽

Jo-Hsuan Wu ◽

...

Keyword(s):

Optical Coherence Tomography ◽

Ocular Surface ◽

Spectral Domain ◽

Optical Coherence ◽

Slit Lamp ◽

Ocular Rosacea ◽

Unilateral Disease ◽

Healthy Eyes ◽

Slit Lamp Biomicroscopy ◽

Sd Oct

AbstractSpectral-domain optical coherence tomography (SD-OCT) has been used to observe the morphology of the palisades of Vogt (POV) with satisfactory resolutions. In this study, we used SD-OCT to examine the microstructure of the POV in ocular surface disorders with limbal involvement. We detect subclinical limbal pathologies based on five parameters, including (1) decreased epithelial thickness, (2) loss of the sharp stromal tip, (3) loss of the smooth epithelial-stromal interface, (4) dilated stromal vessels, and (5) decreased POV density. Eighteen eyes of 10 patients with advancing wavelike epitheliopathy (AWE) and 15 eyes of 9 patients with phlyctenular keratitis/ocular rosacea were recruited. SD-OCT could detect abnormal changes in the POV in 100% of the lesion sites. In presumed-healthy areas of the diseased eyes diagnosed by slit-lamp biomicroscopy, SD-OCT detected abnormal changes in the POV in 100% of the eyes in both groups. In patients with unilateral disease, abnormal changes in the POV were detected by SD-OCT in 50% and 100% of presumed-healthy eyes diagnosed by slit-lamp biomicroscopy in the AWE group and phlyctenular keratitis/ocular rosacea group, respectively. SD-OCT is powerful in detecting POV changes in ocular surface disorders and can provide useful information that cannot be provided by slit-lamp biomicroscopy.

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Design and Implementation Guidelines for a Modular Spectral-Domain Optical Coherence Tomography Scanner

International Journal of Optics ◽

10.1155/2018/3726207 ◽

2018 ◽

Vol 2018 ◽

pp. 1-22 ◽

Cited By ~ 4

Author(s):

Farid Atry ◽

Israel Jacob De La Rosa ◽

Kevin R. Rarick ◽

Ramin Pashaie

Keyword(s):

Optical Coherence Tomography ◽

Imaging System ◽

Optical Design ◽

Spectral Domain ◽

Design Parameters ◽

Optical Coherence ◽

Custom Made ◽

Essential Knowledge ◽

Sd Oct

In the past decades, spectral-domain optical coherence tomography (SD-OCT) has transformed into a widely popular imaging technology which is used in many research and clinical applications. Despite such fast growth in the field, the technology has not been readily accessible to many research laboratories either due to the cost or inflexibility of the commercially available systems or due to the lack of essential knowledge in the field of optics to develop custom-made scanners that suit specific applications. This paper aims to provide a detailed discussion on the design and development process of a typical SD-OCT scanner. The effects of multiple design parameters, for the main optical and optomechanical components, on the overall performance of the imaging system are analyzed and discussions are provided to serve as a guideline for the development of a custom SD-OCT system. While this article can be generalized for different applications, we will demonstrate the design of a SD-OCT system and representative results for in vivo brain imaging. We explain procedures to measure the axial and transversal resolutions and field of view of the system and to understand the discrepancies between the experimental and theoretical values. The specific aim of this piece is to facilitate the process of constructing custom-made SD-OCT scanners for research groups with minimum understanding of concepts in optical design and medical imaging.

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External limiting membrane: retinal structural barrier in diabetic macular edema

International Journal of Retina and Vitreous ◽

10.1186/s40942-021-00284-x ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Sandeep Saxena ◽

Levent Akduman ◽

Carsten H. Meyer

Keyword(s):

Optical Coherence Tomography ◽

Macular Edema ◽

Diabetic Macular Edema ◽

Spectral Domain ◽

Optical Coherence ◽

Barrier Effect ◽

External Limiting Membrane ◽

Ellipsoid Zone ◽

Structural Barrier ◽

Sd Oct

AbstractAdvances in spectral-domain optical coherence tomography (SD-OCT) technology have enhanced the understanding of external limiting membrane (ELM) and ellipsoid zone (EZ) in diabetic macular edema. An increase in VEGF has been demonstrated to be associated with sequential ELM and EZ disruption on SD-OCT. An intact ELM is a prerequisite for an intact EZ in DME. Anti-VEGF therapy leads to restoration of barrier effect of ELM. The ELM restores first followed by EZ restoration.

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Reliability of Corneal, Epithelial, and Stromal Thickness Mapping for a 9-mm Zone Using Spectral-Domain Optical Coherence Tomography

Klinische Monatsblätter für Augenheilkunde ◽

10.1055/a-1535-1685 ◽

2021 ◽

Author(s):

Daniel Krause ◽

Niklas Mohr ◽

Mehdi Shajari ◽

Wolfgang J. Mayer ◽

Siegfried Priglinger ◽

...

Keyword(s):

Optical Coherence Tomography ◽

Intraclass Correlation ◽

Age Groups ◽

Corneal Stroma ◽

Correlation Coefficients ◽

Spectral Domain ◽

Optical Coherence ◽

Noninvasive Technique ◽

Intraclass Correlation Coefficients ◽

Sd Oct

Abstract Purpose To evaluate the reliability of spectral-domain optical coherence tomography (SD-OCT; RTVue XR; Optovue, Inc., Fremont, CA, USA) for thickness mapping of the entire cornea (CT), corneal epithelium (ET). and corneal stroma (ST) over a 9-mm zone in healthy eyes. We sought to develop reference values for different age groups and elucidate potential sex- and age-dependent characteristics of corneal sublayer pachymetry maps. Methods Three consecutive SD-OCT scans were obtained in 166 healthy right eyes (mean age = 50 ± 20 years). The thickness maps contain 25 sectors over a 9-mm diameter zone. To test measurement reliability, intraclass correlation coefficients (ICC), coefficients of variation (CoV), and within-subject standard deviations (WSSD) were calculated. Results CT, ET, and ST ICCs ranged from 0.961 to 0.998, 0.896 to 0.945, and 0.955 to 0.998, respectively. CoV values for CT, ET, and ST ranged between 0.3 and 1.5%, 1.6 and 4.2%, and 0.4 and 1.7%, respectively. WSSD ranged from 6 to 41, 4 to 8, and 7 to 46 µm, respectively. A negative correlation was found between age and ET (p < 0.05) but not between age and ST or CT. No gender-related differences in CT, ET, or ST were detected. CoV of CT, ET, and ST measurements showed a positive correlation with age in 28, 64, and 28% of the sectors, respectively. Conclusion SD-OCT is a rapid and noninvasive technique that provides excellent reliability for corneal sublayer thickness measurements over a 9-mm zone. The reliability of the ET measurement seems to be negatively affected by age. Peripheral CT and global ET thin with age.

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Spectral-Domain Optical Coherence Tomography-Based Morphofunctional Characterization of Dome-Shaped Maculopathy in Indian Population

Journal of Ophthalmology ◽

10.1155/2020/8869455 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Naresh Babu Kannan ◽

Sagnik Sen ◽

Prithviraj Udaya ◽

Obuli Ramachandran ◽

Kim Ramasamy

Keyword(s):

Optical Coherence Tomography ◽

Indian Population ◽

Subretinal Fluid ◽

Cross Sectional Study ◽

Spectral Domain ◽

Dome Height ◽

Optical Coherence ◽

Cross Sectional ◽

Sd Oct

Purpose. To study the clinicodemographic profile of dome-shaped maculopathy (DSM) eyes in the Indian population and characterization using spectral-domain optical coherence tomography (SD-OCT). Methods. This observational cross-sectional study included 25 eyes of 14 patients diagnosed with DSM. All eyes underwent SD-OCT for characterization of the dome profile and also to measure central macular thickness (CMT), subfoveal choroidal thickness (SFCT), and dome height (DH) and to detect the presence of subretinal fluid (SRF). Results. The mean age of patients was 48.36 ± 14.23 years (range, 28–65 years). Eleven patients had bilateral involvement. Mean axial length of all eyes was 24.25 ± 1.95 mm and mean spherical equivalent −4.23 ± 3.79 DS. Overall, 11/25 eyes (44%) had round domes, 9/25 eyes (36%) had horizontal domes, and 5/25 eyes (20%) had vertical domes, with a mean dome height at fovea of 500.54 ± 291.58 µm. Vertical domes had higher DH compared to horizontal or combined domes p = 0.02 . Six eyes (6/25, 24%) showed the presence of SRF; 60% of vertical domes had SRF, and 22.2% of horizontal domes had SRF. The eyes having SRF had significantly higher CMT p = 0.017 and DH p = 0.001 , especially in horizontal domes p = 0.023 . The eyes with thicker SFCT tended to have higher DH and poorer visual acuity. Conclusion. Indian DSM eyes may have relatively lesser amounts of myopia. Choroidal thickening may play a role in development of DSM and may also be related to development of subretinal fluid in such eyes.

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Macular thickness measurements of healthy, naïve cynomolgus monkeys assessed with spectral-domain optical coherence tomography (SD-OCT)

PLoS ONE ◽

10.1371/journal.pone.0222850 ◽

2019 ◽

Vol 14 (10) ◽

pp. e0222850 ◽

Cited By ~ 2

Author(s):

Nora Denk ◽

Peter Maloca ◽

Guido Steiner ◽

Christian Freichel ◽

Simon Bassett ◽

...

Keyword(s):

Optical Coherence Tomography ◽

Macular Thickness ◽

Spectral Domain ◽

Optical Coherence ◽

Cynomolgus Monkeys ◽

Thickness Measurements ◽

Sd Oct

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Discriminating glaucomatous and compressive optic neuropathy on spectral-domain optical coherence tomography with deep learning classifier

British Journal of Ophthalmology ◽

10.1136/bjophthalmol-2019-314330 ◽

2020 ◽

Vol 104 (12) ◽

pp. 1717-1723 ◽

Cited By ~ 1

Author(s):

Jinho Lee ◽

Jin-Soo Kim ◽

Haeng Jin Lee ◽

Seong-Joon Kim ◽

Young Kook Kim ◽

...

Keyword(s):

Optical Coherence Tomography ◽

Deep Learning ◽

Optic Neuropathy ◽

Spectral Domain ◽

Optical Coherence ◽

Compressive Optic Neuropathy ◽

Diagnostic Parameters ◽

Learning Classifier ◽

Oct Image ◽

Sd Oct

Background/aimsTo assess the performance of a deep learning classifier for differentiation of glaucomatous optic neuropathy (GON) from compressive optic neuropathy (CON) based on ganglion cell–inner plexiform layer (GCIPL) and retinal nerve fibre layer (RNFL) spectral-domain optical coherence tomography (SD-OCT).MethodsEighty SD-OCT image sets from 80 eyes of 80 patients with GON along with 81 SD-OCT image sets from 54 eyes of 54 patients with CON were compiled for the study. The bottleneck features extracted from the GCIPL thickness map, GCIPL deviation map, RNFL thickness map and RNFL deviation map were used as predictors for the deep learning classifier. The area under the receiver operating characteristic curve (AUC) was calculated to validate the diagnostic performance. The AUC with the deep learning classifier was compared with those for conventional diagnostic parameters including temporal raphe sign, SD-OCT thickness profile and standard automated perimetry.ResultsThe deep learning system achieved an AUC of 0.990 (95% CI 0.982 to 0.999) with a sensitivity of 97.9% and a specificity of 92.6% in a fivefold cross-validation testing, which was significantly larger than the AUCs with the other parameters: 0.804 (95% CI 0.737 to 0.872) with temporal raphe sign, 0.815 (95% CI 0.734 to 0.896) with superonasal GCIPL and 0.776 (95% CI 0.691 to 0.860) with superior GCIPL thicknesses (all p<0.001).ConclusionThe deep learning classifier can outperform the conventional diagnostic parameters for discrimination of GON and CON on SD-OCT.

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Morphological Predictive Features on Spectral-Domain Optical Coherence Tomography for Visual Outcomes in Neovascular Age-Related Macular Degeneration Treated with Ranibizumab

BioMed Research International ◽

10.1155/2018/7438083 ◽

2018 ◽

Vol 2018 ◽

pp. 1-9 ◽

Cited By ~ 2

Author(s):

Georges Azar ◽

Benjamin Wolff ◽

Flore De Bats ◽

Jeremie Halfon ◽

Mate Streho ◽

...

Keyword(s):

Optical Coherence Tomography ◽

Macular Degeneration ◽

Morphological Features ◽

Age Related Macular Degeneration ◽

Spectral Domain ◽

Prognostic Indicators ◽

Optical Coherence ◽

Multicentric Study ◽

Age Related ◽

Sd Oct

Purpose. To identify spectral-domain optical coherence tomography (SD-OCT) predictive morphological features for the outcome of Ranibizumab therapy for neovascular age-related macular degeneration (AMD). Methods. This is a retrospective multicentric study that involved 64 eyes with naïve AMD. Patients who received three monthly intravitreal injections of Ranibizumab were stratified into (1) “responders” [≥ 5 letters gain on Early Treatment Diabetic Retinopathy Study (ETDRS) scale] and (2) “nonresponders” (< 5 letters gain). Best-corrected visual acuity (BCVA) and SD-OCT morphological features were compared at baseline and one month after three consecutive injections of Ranibizumab. Univariate and multivariate analyses were carried out to correlate these morphological features with the change in BCVA. Results. Among the 64 patients enrolled, 40 (62.5%) were “responders” and 24 (37.5%) “nonresponders”. Age, sex, and BCVA were comparable between both groups. A multivariate correlational analysis found that subfoveal choroidal thickness (SFCT) and the presence of pigment epithelial detachment (PED) > 250 μm at baseline were two independent prognostic indicators of final BCVA. No other SD-OCT morphological studied features seem to affect final BCVA after Ranibizumab treatment. Conclusion. SFCT and the presence of PED > 250 μm are two significant biomarkers that may predict improvement after Ranibizumab therapy for AMD. These markers may guide ophthalmologists' treatment decision under financial constraints and limited time.

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Glaucoma discrimination of segmented cirrus spectral domain optical coherence tomography (SD-OCT) macular scans

British Journal of Ophthalmology ◽

10.1136/bjophthalmol-2011-301021 ◽

2012 ◽

Vol 96 (11) ◽

pp. 1420-1425 ◽

Cited By ~ 70

Author(s):

Jacek Kotowski ◽

Lindsey S Folio ◽

Gadi Wollstein ◽

Hiroshi Ishikawa ◽

Yun Ling ◽

...

Keyword(s):

Optical Coherence Tomography ◽

Spectral Domain ◽

Optical Coherence ◽

Sd Oct

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Association of Spectral-Domain Optical Coherence Tomography Findings with Visual Outcome of Macula-Off Rhegmatogenous Retinal Detachment Surgery

Ophthalmologica ◽

10.1159/000381786 ◽

2015 ◽

Vol 234 (2) ◽

pp. 83-90 ◽

Cited By ~ 16

Author(s):

Hae Min Kang ◽

Sung Chul Lee ◽

Christopher Seungkyu Lee

Keyword(s):

Optical Coherence Tomography ◽

Retinal Detachment ◽

Rhegmatogenous Retinal Detachment ◽

Subretinal Fluid ◽

Visual Outcome ◽

Spectral Domain ◽

Optical Coherence ◽

Foveal Thickness ◽

Central Foveal Thickness ◽

Sd Oct

Purpose: To identify prognostic factors for the visual outcome for patients with macula-off rhegmatogenous retinal detachment (RRD). Methods: The medical records of 27 patients (27 eyes) with macula-off RRD were retrospectively investigated. In addition to clinical characteristics, spectral-domain optical coherence tomography (SD OCT) images were analyzed. Results: The central foveal thickness at baseline was 923 ± 499.5 µm, and the mean height of the subretinal fluid was 697.8 ± 463.6 µm. Dropout of backreflection at the fovea was detected on preoperative SD OCT in 8 patients (29.6%). The external limiting membrane was disrupted in 5 patients (18.5%) as was the photoreceptor integrity in 9 patients (33.3%) at 12 months. On multiple regression analysis, backreflection integrity was the only predictive factor for postoperative visual outcome (B = 0.179, p = 0.020). Conclusions: Backreflection integrity on preoperative SD OCT seems to be helpful in predicting the postoperative visual outcome in macula-off RRD patients.

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