Optical Coherence Tomography with Angiography in the Analysis of Vitrectomy Effectiveness in Patients with Vitreomacular Traction Syndrome

Micro incision vitrectomy surgery with removal of epiretinal and internal limiting membranes is used for treating various forms of vitreomacular traction syndrome.Objective: to study the condition of retinal microcirculation using the OCTA method in the patients with traction maculopathy and macular ruptures before and after vitrectomy.Patients and Methods. The study included 160 patients, of which 55 had epiretinal fibrosis (Treatment 1), 60 had macular ruptures (Treatment 2), and 45 with no ophthalmic pathology (Control). Treatment 2 group included two subgroups: 2a — patients with large-diameter ruptures (over 800 μm) subject to inverted internal limiting membrane flap technique (n = 12), and 2b — patients with 430–800 μm ruptures subject to rapprochement of the rupture edges with a platelet mass technique. All patients underwent conventional ophthalmology examinations and optical coherence tomography angiography (OCTA) using Sirrus HD-OCT 5000, Carl Zeiss, Germany.Results. In the postoperative period, there was an improvement in retinal microcirculation in the Treatment 1 patients, and the values of both perfusion and vascular densities increased. A month later, an additional improvement of these indicators was recorded against the background of a decrease in retinal thickness and restoration of the vitreoretinal interface configuration. In the early postoperative period, Treatment 2 patients showed significant difference in the capillary density of the superficial vascular complex from the control group. A month later, the density of blood vessels in the Treatment 2 patients achieved control group values. Despite an immediate increase in perfusion measurements after surgical treatment, their values in a month were still lower than in the control group.Conclusions. In the patients with epiretinal membrane and macular ruptures, a statistically significant decrease in both vascular and perfusion densities of the surface capillary complex was revealed by OCTA. The effects of vitreoretinal surgery performed on Treatment 1 and 2 patients with macula traction pathology included increased visual acuity, decreased retinal thickness, and restoration of the proper vitreoretinal profile. Based on OCTA results, we discovered a gradual increase in vascular density of the macula in Treatment 1 and 2 patients after surgical treatment of VMT syndrome. Retinal perfusion in the macular region of Treatment 1 patients achieved the values of the control group within a month, while in Treatment 2 patients they increased, but remained lower than in control group. OCTA is a highly informative method for the diagnostics and monitoring of the eye posterior segment condition in the patients with VMT syndrome.

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Optical Coherence Tomography and Retinal Thickness Analyzer Features of Spontaneous Resolution of Vitreomacular Traction Syndrome: A Case Report

European Journal of Ophthalmology ◽

10.1177/112067210401400113 ◽

2004 ◽

Vol 14 (1) ◽

pp. 67-70 ◽

Cited By ~ 8

Author(s):

P. Carpineto ◽

M. Ciancaglini ◽

A. Aharrh-gnama ◽

L. Agnifili ◽

L. Mastropasqua

Keyword(s):

Optical Coherence Tomography ◽

Case Report ◽

Retinal Thickness ◽

Spontaneous Resolution ◽

Vitreomacular Traction ◽

Optical Coherence ◽

Retinal Thickness Analyzer ◽

Vitreomacular Traction Syndrome

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Effects of Retinal Angiography on Optical Coherence Tomography Measurements

Ophthalmologica ◽

10.1159/000381788 ◽

2015 ◽

Vol 234 (3) ◽

pp. 160-166 ◽

Cited By ~ 1

Author(s):

Young-Joon Jo ◽

Hyung-Bin Lim ◽

Soo-Hyun Lee ◽

Jung-Yeul Kim

Keyword(s):

Optical Coherence Tomography ◽

Indocyanine Green ◽

Retinal Thickness ◽

Optical Coherence ◽

Fiber Layer ◽

Nerve Fiber Layer Thickness ◽

Interclass Correlation ◽

Significant Difference ◽

Before And After ◽

Sd Oct

Purpose: To evaluate the effects of retinal angiography, using fluorescein and indocyanine green dyes, on optical coherence tomography (OCT) measurements. Methods: In total, 76 eyes from 76 consecutive patients were included. Macular cube 512 × 128 combination scanning and optic disc 200 × 200 scanning using spectral-domain (SD)-OCT were performed twice, before and after retinal angiography, with fluorescein or indocyanine green. Signal strength, regional retinal thickness of the 9 Early Treatment Diabetic Retinopathy Study subfields, total macular volume, and retinal nerve fiber layer thickness obtained before and after angiography were compared. Repeatability was also investigated. Results: Comparing the results of OCT measured before and after retinal angiography, there was no statistically significant difference in any parameter assessed. The interclass correlation values for each measurement were all >0.808 (range 0.808-0.999). Conclusion: Retinal angiography using fluorescein and indocyanine green dyes has no significant effect on OCT measurements.

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Rapid Spontaneous Resolution of Vitreomacular Traction Syndrome Documented by Optical Coherence Tomography

International Ophthalmology ◽

10.1007/s10792-005-8249-1 ◽

2004 ◽

Vol 25 (4) ◽

pp. 247-251 ◽

Cited By ~ 10

Author(s):

Jaime Levy ◽

Itamar Klemperer ◽

Nadav Belfair ◽

Alexander Rogozin ◽

Tova Lifshitz

Keyword(s):

Optical Coherence Tomography ◽

Spontaneous Resolution ◽

Vitreomacular Traction ◽

Optical Coherence ◽

Vitreomacular Traction Syndrome

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The optical coherence tomography angiography manifestation of strabismus amblyopia with eccentric fixation

10.21203/rs.3.rs-34865/v1 ◽

2020 ◽

Author(s):

Hongxing Ren ◽

Jing Cheng ◽

Aijiao Qin ◽

Minghua Shi

Keyword(s):

Optical Coherence Tomography ◽

Optical Coherence Tomography Angiography ◽

Retinal Thickness ◽

Control Group ◽

Optical Coherence ◽

Deviation Angle ◽

Vascular Plexus ◽

Eccentric Fixation ◽

Fixation Distance ◽

Experimental Group

Abstract BackgroundTo explore the application value of optical coherence tomography angiography (OCTA) in patients with strabismus amblyopia accompanied by eccentric fixation.MethodsThe following data were collected from patients with strabismus amblyopia accompanied by eccentric fixation: best corrected visual acuity (BCVA); spherical equivalent (SE) and deviation angle; eccentric fixation distance using OCTA system software tools, with µm as the unit of measurement of the distance between the retinal fixed point and the macular fovea; macular fovea vessel length density (VLD); perfusion density (PD); foveal avascular zone (FAZ) area; and perimeter and circularity of the superficial retinal vascular plexus. The entry criteria were as follows: OCTA scanning quality and signal strength of 8 or above (range 0 to 10).ResultsData from a total of 34 patients were collected: 17 patients with strabismus amblyopia with eccentric fixation were included in the experimental group, and 17 patients without strabismus with central fixation were included in the control group. The average deviation angle of the experimental group was 26.71 ± 25.88 prism dioptres (PD), the amblyopic eye BCVA was 0.24 ± 0.22, the SE was 4.35 ± 2.98 D, the stereoscopic median was 800", the eccentric fixation distance was 632.18 ± 310.62 µm, the macular fovea retinal thickness was 207.82 ± 17.79 µm, the VLD of the superficial retinal vascular plexus was 7.31 ± 3.84 mm− 1, the PD was 0.16 ± 0.08, the FAZ area was 0.28 ± 0.17 mm2, the FAZ perimeter was 2.05 ± 0.56 mm, and the FAZ circularity was 0.67 ± 0.06. These results showed statistically significant differences in the SE and BCVA compared with the lateral eye and the control group, but there were no statistically significant differences in the macular fovea retinal thickness, VLD, PD, or FAZ. The eccentric fixation of amblyopic eyes was directly related to the deviation angle, and the regression formula was as follows: the eccentric fixation distance of amblyopic eyes = 8.319 × the deviation angle + 410.002 (F = 13.878, P = 0.002 < 0.01).ConclusionThe eccentric fixation distance of strabismus amblyopia with eccentric fixation is related to the deviation angle; the greater the deviation angle is, the greater the distance of eccentric fixation.Trial registrationChinese Clinical Trial Registry, ChiCTR1900022830. Registered 27 April 2019, http://www.chictr.org.cn/

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Evaluation of the Foveal Avascular Zone in Familial Exudative Vitreoretinopathy Using Optical Coherence Tomography Angiography

10.21203/rs.3.rs-119904/v1 ◽

2020 ◽

Author(s):

Tetsuya Hasegawa ◽

Misaki Hirato ◽

Chieko Kobashi ◽

Aya Yamaguchi ◽

Rina Takagi ◽

...

Keyword(s):

Optical Coherence Tomography ◽

Retinal Thickness ◽

Deep Layer ◽

Retinal Vessel ◽

Foveal Avascular Zone ◽

Control Group ◽

Optical Coherence ◽

Familial Exudative Vitreoretinopathy ◽

Avascular Zone ◽

Retinal Vessel Density

Abstract Background: To evaluate the foveal avascular zone (FAZ) and retinal structure in familial exudative vitreoretinopathy (FEVR).Methods: Twenty FEVR eyes with stage 1 or 2 disease and 20 control eyes were evaluated. The central retinal thickness (CRT), inner retinal thickness (IRT), surface retinal vessel density (SRVD), and deep retinal vessel density (DRVD) were measured using optical coherence tomography. The FAZ area was calculated using ImageJ software. The equivalent spherical value (SE) and axial length (AL) were measured. Results: The CRT (232±26.75 vs. 213.15 ± 16.138 μm; p=0.0003) and IRT (17.44±13.28 vs. 1.85 ± 5.696 μm; p=0.0005) were thicker in the FEVR group than in the control group. The surface FAZ area (0.26±0.1 vs. 0.33 ± 0.1 mm2; p=0.006) and the deep FAZ area (0.36±0.1 vs. 0.43 ± 0.1 mm2; p=0.037) were smaller in the FEVR group than in the control group. The SRVD values did not differ among the sectors, but the DRVD was higher in the FEVR group except for the inferior sector (superior, p=0.02; inferior, p=0.4; temporal, p=0.001; nasal, p=0.02). The SE and AL did not differ between the two groups. There was no correlation between the surface and deep layer FAZ area and age, CRT, SE, and AL. The surface, deep FAZ area, and IRT were correlated negatively (surface, r = −0.57, p=0.008; deep layer FAZ area, r = −0.5, p=0.02).Conclusion: Eyes with FEVR has a smaller FAZ because the inner retina with the vascular structure remained in the fovea.

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The quantitative measurements of choroidal thickness and volume in diabetic retinopathy using optical coherence tomography and optical coherence tomography angiography; correlation with vision and foveal avascular zone

BMC Ophthalmology ◽

10.1186/s12886-021-02178-w ◽

2022 ◽

Vol 22 (1) ◽

Author(s):

Fariba Ghassemi ◽

Sahar Berijani ◽

Ameneh Babeli ◽

Houshang Faghihi ◽

Alireza Gholizadeh ◽

...

Keyword(s):

Optical Coherence Tomography ◽

Diabetic Retinopathy ◽

Normal Control ◽

Choroidal Thickness ◽

Enhanced Depth Imaging ◽

Foveal Avascular Zone ◽

Control Group ◽

Optical Coherence ◽

Significant Difference ◽

Avascular Zone

Abstract Background To represent choroidal thickness (CT) and choroidal volume (CV) databases in diabetic retinopathy (DR) patients and healthy control participants using optical coherence tomography (OCT) and enhanced depth imaging OCT (EDI-OCT). No study had evaluated CT at all main stages of diabetic retinopathy in a single study. Methods The study included 176 eyes from 93 patients (39–80 years old; 42% females) who were divided into three groups based on DR severity and normal control group: 39 eyes no DR, 64 eyes NPDR, 33 eyes PDR, and 40 eyes normal control. The CT and CV were measured and statistically analyzed. Intra-observer and inter-observer coefficients of repeatability were calculated. Results Subfoveal CT showed persistent thinning from normal group (322.50 ± 69.24) to no-diabetic retinopathy (NDR, 308.33 ± 74.45) to nonproliferative diabetic retinopathy (NPDR, 283.45 ± 56.50) group and then thickening as the patient progressed to proliferative diabetic retinopathy (PDR, 295.17 ± 95.69) (P = 0.087). A significant difference was found between the control group and the NDR, NPDR, and PDR groups in nearly all CT and CV of Early Treatment Diabetic Retinopathy Study macular subfields. Fasting blood sugar (FBS = 189.08 ± 51.3 mg/dl) and diabetes mellitus (DM) duration (13.6 ± 6.5 years) had no noticeable effect on CT. In patients with diabetes, the best-corrected visual acuity (BCVA), diabetic macular edema (DME), and foveal avascular zone (FAZ) were not affected by CT and CV. Conclusions The choroidal thickness decreases from the early stages of diabetic retinopathy up to the NPDR stage, with a subsequent modest rise in CT during the PDR stage. There was no correlation between FBS, diabetes duration, BCVA, DME, and FAZ, and CT.

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Macular Thickness and Volume Assessed by Spectral-Domain Optical Coherence Tomography in Patients With Coronavirus Disease 2019: A Case-Control Study

10.21203/rs.3.rs-133611/v1 ◽

2020 ◽

Author(s):

Mojtaba Abrishami ◽

Fariba Tohidinezhad ◽

Zahra Emamverdian ◽

Ramin Daneshvar ◽

Neda Saeedian ◽

...

Keyword(s):

Optical Coherence Tomography ◽

Retinal Thickness ◽

Spectral Domain ◽

Case Group ◽

Special Focus ◽

Optical Coherence ◽

Cross Sectional ◽

Significant Difference ◽

Normal Controls ◽

Sd Oct

Abstract Purpose: To quantify the retinal thickness and volume using spectral-domain optical coherence tomography (SD-OCT) analysis in the macular region of patients with Coronavirus Disease 2019 (COVID-19).Methods: In a comparative cross-sectional, observational study, patients recovered from COVID-19 were included. All included subjects had a reverse transcription-polymerase chain reaction (RT-PCR) - confirmed diagnosis of COVID-19. Macular SD-OCT was performed at least two weeks after recovery from systemic COVID-19. Inner, outer and full retinal thicknesses and volumes were measured in COVID-19 recovered patients versus age-matched normal controls.Results: Twenty-five patients (11 male) with a mean age of 36.4 ± 11 years and 60 healthy controls (31 males) with a mean age of 39.3 ± 7.7 years were enrolled in the study. There was no statistically significant difference in the retinal thickness or volume measures between the two groups. However, the thickness in the case group was minimally more than the controls. Conclusion: Retinal thickness in COVID-19 patients may be higher than healthy subjects. Comprehensive ocular examination with special focus on posterior segment manifestations should be considered in these patients.

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Macular Structure and Microvasculature Changes in AIDS-Related Cytomegalovirus Retinitis Using Optical Coherence Tomography Angiography

Frontiers in Medicine ◽

10.3389/fmed.2021.696447 ◽

2021 ◽

Vol 8 ◽

Author(s):

Kui-Fang Du ◽

Xiao-Jie Huang ◽

Chao Chen ◽

Wen-Jun Kong ◽

Lian-Yong Xie ◽

...

Keyword(s):

Optical Coherence Tomography ◽

Choroidal Thickness ◽

Optical Coherence Tomography Angiography ◽

Retinal Thickness ◽

Signal Strength ◽

Cytomegalovirus Retinitis ◽

Foveal Avascular Zone ◽

Control Group ◽

Optical Coherence ◽

Avascular Zone

Background: Cytomegalovirus retinitis (CMVR) is a crucial blind-causing disease of AIDS-related ocular opportunistic infection. The CMVR lesions produced retinal necrosis. It is not entirely clear whether CMVR eyes without macular-involved necrotic lesions may have subtle macular damage. In this study, we conducted a cross-sectional study using optical coherence tomography angiography (OCTA) to evaluate macular microvasculature and structure in eyes with AIDS-related CMVR.Methods: Acquired immune deficiency syndrome (AIDS)-related CMVR patients (active and inactive CMVR) and healthy controls treated in the Department of Ophthalmology, Beijing Youan Hospital, Capital Medical University between August 25, 2019, and October 18, 2019, were recruited. All OCTA parameters, including the foveal avascular zone (FAZ), retinal vessel density (VD), choroidal vascularity index (CVI), retinal thickness, and choroidal thickness, were compared between groups after the signal strength was corrected.Results: Signal strength in the 3 × 3 and 6 × 6 mm scan patterns was significantly weaker in the inactive CMVR group than in the control group (both p < 0.001). After adjusting for signal strength, heterogeneity in the central fovea and parafoveal quadrants was present with a shift toward lower macular chorioretinal vasculature, decreased full choroidal thickness, and thicker retinal thickness in the active and inactive CMVR groups. The retinal nerve fiber layer (RNFL) and inner nuclear layer (INL) were significantly thicker in the active and inactive CMVR groups than in the control group (all p < 0.05). For photoreceptor-retinal pigment epithelium (PR-RPE) thickness, no significant differences were found in any quadrant between groups. Foveal avascular zone areas were not significantly different among the three groups (p = 0.053).Conclusions: Subtle macular structure and microvasculature damage still existed in CMVR eyes without macular-involved necrotic lesions. The results of our study are helpful for a deep understanding of the damage caused by CMVR.

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