Weakly Supervised Serous Retinal Detachment Segmentation in SD-OCT Images by Two-stage Learning

Purpose To describe the case of a woman who developed persistent subretinal fluid in the macular region after the placement of encircling band for retinal detachment surgery, possibly due to vortex vein compression. Methods Case report. Results A 66-year-old woman diagnosed with central serous retinopathy presented with poor vision and metamorphopsia in the left eye (LE). Her visual acuity had deteriorated to 20/100 in LE after retinal detachment surgery with scleral buckling 8 months before. Multimodal imaging including fundus autofluorescence and fluorescein angiography disclosed a gravitational hyperfluorescent area involving the macular region that appeared to originate from the superotemporal quadrant in correspondence with the buckling. This area corresponded to a serous retinal detachment on structural spectral-domain optical coherence tomography (SD-OCT). Interestingly, on indocyanine green angiography, the encircling band of the scleral buckling appeared located at the emergence of the superotemporal vortex vein. Based on these findings, the patient was diagnosed with gravitational serous retinal detachment secondary to vortex vein compression. Successful rapid visual recovery and decrease of retinal fluid on SD-OCT was achieved with prompt surgery of scleral buckling removal, confirming the diagnosis. Conclusions Choroidal veins can be obliterated during retinal detachment surgery, especially when retinal breaks are posterior to the equator. Indocyanine green angiography is the gold standard to study choroidal circulation and in our case allowed us to visualize the compression of the superotemporal vortex vein at the site of scleral buckling.

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Weakly Supervised Retinal Detachment Segmentation Using Deep Feature Propagation Learning in SD-OCT Images

Ophthalmic Medical Image Analysis - Lecture Notes in Computer Science ◽

10.1007/978-3-030-63419-3_15 ◽

2020 ◽

pp. 146-154

Author(s):

Tieqiao Wang ◽

Sijie Niu ◽

Jiwen Dong ◽

Yuehui Chen

Keyword(s):

Retinal Detachment ◽

Deep Feature ◽

Weakly Supervised ◽

Sd Oct

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Three-dimensional continuous max flow optimization-based serous retinal detachment segmentation in SD-OCT for central serous chorioretinopathy

Biomedical Optics Express ◽

10.1364/boe.8.004257 ◽

2017 ◽

Vol 8 (9) ◽

pp. 4257 ◽

Cited By ~ 14

Author(s):

Menglin Wu ◽

Wen Fan ◽

Qiang Chen ◽

Zhenlong Du ◽

Xiaoli Li ◽

...

Keyword(s):

Retinal Detachment ◽

Central Serous Chorioretinopathy ◽

Serous Retinal Detachment ◽

Three Dimensional ◽

Flow Optimization ◽

Sd Oct

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Double-branched and area-constraint fully convolutional networks for automated serous retinal detachment segmentation in SD-OCT images

Computer Methods and Programs in Biomedicine ◽

10.1016/j.cmpb.2019.04.027 ◽

2019 ◽

Vol 176 ◽

pp. 69-80 ◽

Cited By ~ 8

Author(s):

Kun Gao ◽

Sijie Niu ◽

Zexuan Ji ◽

Menglin Wu ◽

Qiang Chen ◽

...

Keyword(s):

Retinal Detachment ◽

Serous Retinal Detachment ◽

Convolutional Networks ◽

Fully Convolutional Networks ◽

Sd Oct

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Epiretinal Membrane in Dome-Shaped Macula Complicated with Serous Retinal Detachment: Transient Efficacy of Surgery

Case Reports in Ophthalmology ◽

10.1159/000481703 ◽

2017 ◽

Vol 8 (3) ◽

pp. 515-520

Author(s):

Guillaume Soudier ◽

Alain Gaudric ◽

Vincent Gualino ◽

Mathieu Nardin ◽

Claude Speeg-Schatz ◽

...

Keyword(s):

Retinal Detachment ◽

Fluorescein Angiography ◽

Choroidal Neovascularization ◽

Epiretinal Membrane ◽

Serous Retinal Detachment ◽

Vitreous Body ◽

Subretinal Fluid ◽

Macular Area ◽

Fluid Accumulation ◽

Sd Oct

Dome-shaped macula (DSM) is an entity recently described as a convex anterior protrusion of the macular area within a posterior myopic staphyloma. Specific complications were associated with DSM, like serous retinal detachment (SRD). We describe a woman presenting with a decreased vision at 20/50. SD-OCT scans were performed, showing a macular bulge. SRD was present and an epiretinal membrane could also be observed. Fluorescein angiography and indocyanin green angiography did not show any leakage nor choroidal neovascularization. Epiretinal membrane peeling was performed, and 3 months after surgery, SRD completely disappeared. However, SRD reappeared 1 year after surgery and enlarged within 2 years following surgery. In conclusion, two mechanisms could be considered for physiopathology of SRD: first, the epiretinal membrane may have exerted traction on the macular retina, second, vitreous body might constitute a tank for cytokines and/or other factors, triggering subretinal fluid accumulation, leading to SRD.

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Uveal Melanoma and Secondary Angle-Closure Crisis: A Case Report and Literature Review

Case Reports in Ophthalmology ◽

10.1159/000513133 ◽

2021 ◽

pp. 476-480

Author(s):

Tung Thanh Hoang ◽

Tuan Anh Hoang ◽

Peter McCluskey ◽

John Grigg

Keyword(s):

Retinal Detachment ◽

Uveal Melanoma ◽

Vision Loss ◽

Serous Retinal Detachment ◽

Anterior Segment ◽

Angle Closure ◽

Large Tumor ◽

Tumor Mass ◽

Healthy Female ◽

Life Threatening

A 66-years-old Vietnamese healthy female patient presented with prolonged severe right ocular pain and complete vision loss in that eye. Anterior segment assessment including gonioscopy identified angle-closure configuration. A suspected ciliary body melanoma was seen through the pupil. Posterior segment examination revealed a large tumor mass and 360° retinal detachment (kissing configuration). An ultrasound examination was consistent with a uveal tumor. The painful, blind right eye with a tumor mass was enucleated. Histopathology confirmed a type A uveal spindle cell melanoma associated with total serous retinal detachment without evidence of tumor necrosis, epithelioid cells, scleral, or optic nerve infiltration. There was no evidence of metastasis after 1-year of follow-up. It is critically important to differentiate primary and secondary angle closure, especially in cases with life-threatening ocular malignancy as uveal melanoma.

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