scholarly journals Association Between Soluble CD14 in the Aqueous Humor and Hyperreflective Foci on Optical Coherence Tomography in Patients With Diabetic Macular Edema

2018 ◽  
Vol 59 (2) ◽  
pp. 715 ◽  
Author(s):  
Hyungwoo Lee ◽  
Hyoik Jang ◽  
Youn A Choi ◽  
Hyung Chan Kim ◽  
Hyewon Chung
PLoS ONE ◽  
2018 ◽  
Vol 13 (10) ◽  
pp. e0206482 ◽  
Author(s):  
Vivian Schreur ◽  
Lebriz Altay ◽  
Freekje van Asten ◽  
Joannes M. M. Groenewoud ◽  
Sascha Fauser ◽  
...  

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Serena Fragiotta ◽  
Solmaz Abdolrahimzadeh ◽  
Rosa Dolz-Marco ◽  
Yoichi Sakurada ◽  
Orly Gal-Or ◽  
...  

Hyperreflective foci (HRF) is a term coined to depict hyperreflective dots or roundish lesions within retinal layers visualized through optical coherence tomography (OCT). Histopathological correlates of HRF are not univocal, spacing from migrating retinal pigment epithelium cells, lipid-laden macrophages, microglial cells, and extravasated proteinaceous or lipid material. Despite this, HRF can be considered OCT biomarkers for disease progression, treatment response, and prognosis in several retinal diseases, including diabetic macular edema, age-related macular degeneration (AMD), retinal vascular occlusions, and inherited retinal dystrophies. The structural features and topographic location of HRF guide the interpretation of their significance in different pathological conditions. The presence of HRF less than 30 μm with reflectivity comparable to the retinal nerve fiber layer in the absence of posterior shadowing in diabetic macular edema indicates an inflammatory phenotype with a better response to steroidal treatment. In AMD, HRF overlying drusen are associated with the development of macular neovascularization, while parafoveal drusen and HRF predispose to macular atrophy. Thus, HRF can be considered a key biomarker in several common retinal diseases. Their recognition and critical interpretation via multimodal imaging are vital to support clinical strategies and management.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Atsushi Fujiwara ◽  
Yuki Kanzaki ◽  
Shuhei Kimura ◽  
Mio Hosokawa ◽  
Yusuke Shiode ◽  
...  

AbstractThis retrospective study was performed to classify diabetic macular edema (DME) based on the localization and area of the fluid and to investigate the relationship of the classification with visual acuity (VA). The fluid was visualized using en face optical coherence tomography (OCT) images constructed using swept-source OCT. A total of 128 eyes with DME were included. The retina was segmented into: Segment 1, mainly comprising the inner nuclear layer and outer plexiform layer, including Henle’s fiber layer; and Segment 2, mainly comprising the outer nuclear layer. DME was classified as: foveal cystoid space at Segment 1 and no fluid at Segment 2 (n = 24), parafoveal cystoid space at Segment 1 and no fluid at Segment 2 (n = 25), parafoveal cystoid space at Segment 1 and diffuse fluid at Segment 2 (n = 16), diffuse fluid at both segments (n = 37), and diffuse fluid at both segments with subretinal fluid (n = 26). Eyes with diffuse fluid at Segment 2 showed significantly poorer VA, higher ellipsoid zone disruption rates, and greater central subfield thickness than did those without fluid at Segment 2 (P < 0.001 for all). These results indicate the importance of the localization and area of the fluid for VA in DME.


Author(s):  
Sandeep Saxena ◽  
Levent Akduman ◽  
Carsten H. Meyer

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.


Retina ◽  
2009 ◽  
Vol 29 (3) ◽  
pp. 300-305 ◽  
Author(s):  
DAVID J. BROWNING ◽  
RAJENDRA S. APTE ◽  
SUSAN B. BRESSLER ◽  
KAKARLA V. CHALAM ◽  
RONALD P. DANIS ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document