Multimodal imaging including spectral-domain optical coherence tomography and confocal near-infrared reflectance for characterization of lacquer cracks in highly myopic eyes

Liu, C-F; Liu, L; Lai, C-C; Chou, Jonathan; Yeh, LK; Kj, Chen; Yp, Chen; Wc, Wu; Lh, Chuang; Sun, C-C; Wang, Nan-Kai

doi:10.1038/eye.2014.221

Cited by 26 publications

(25 citation statements)

References 24 publications

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“…ICGA shows linear hypofluorescence at the area of the lacquer cracks, while the appearance of the lacquer cracks is obscured on FA, especially at the early stage of development. Liu et al 26 reported that near-infrared reflectance, which has relatively high sensitivity for detecting lacquer cracks compared with ICGA, FA and autofluorescence, showed the hyper-reflective line; spectral-domain OCT showed a thinner choroid and an acoustic shadow at the area of the lacquer cracks and a continuous RPE-Bruch's membrane line overlaying the lacquer cracks and fundus autofluorescence, which detected only 12.5% of lacquer cracks, showed linear hypoautofluorescence. Consistent with these findings, we hypothesised that lacquer cracks develop as mechanical breaks in Bruch's membrane due to axial elongation, after which RPE atrophy should develop.…”

Section: Discussionmentioning

confidence: 99%

Features of the choriocapillaris in myopic maculopathy identified by optical coherence tomography angiography

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Features of the choriocapillaris in myopic maculopathy identified by optical coherence tomography angiography

et al. 2017

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“…Eighteen references were retrieved for screening on full text, [77][78][79][80][81][82][83][84][85][86][87][88][89][90][91][92][93][94] of which four met the criteria for inclusion in the systematic review. 79,80,82,91 The four new references reported four unique studies. These investigated FAF imaging accuracy for detecting: reticular pseudodrusen in AMD (two studies 80,91 ); hydroxychloroquine-induced retinopathy (one study 79 ); and lacquer cracks in highly myopic eyes (one study 82 ).…”

Section: Results Of the Review Updatementioning

confidence: 99%

Fundus autofluorescence imaging: systematic review of test accuracy for the diagnosis and monitoring of retinal conditions

Frampton

Kalita

Payne

et al. 2017

Eye

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We conducted a systematic review of the accuracy of fundus autofluorescence (FAF) imaging for diagnosing and monitoring retinal conditions. Searches in November 2014 identified English language references. Sources included MEDLINE, EMBASE, the Cochrane Library, Web of Science, and MEDION databases; reference lists of retrieved studies; and internet pages of relevant organisations, meetings, and trial registries. For inclusion, studies had to report FAF imaging accuracy quantitatively. Studies were critically appraised using QUADAS risk of bias criteria. Two reviewers conducted all review steps. From 2240 unique references identified, eight primary research studies met the inclusion criteria. These investigated diagnostic accuracy of FAF imaging for choroidal neovascularisation (one study), reticular pseudodrusen (three studies), cystoid macular oedema (two studies), and diabetic macular oedema (two studies). Diagnostic sensitivity of FAF imaging ranged from 32 to 100% and specificity from 34 to 100%. However, owing to methodological limitations, including high and/or unclear risks of bias, none of these studies provides conclusive evidence of the diagnostic accuracy of FAF imaging. Study heterogeneity precluded meta-analysis. In most studies, the patient spectrum was not reflective of those who would present in clinical practice and no studies adequately reported whether FAF images were interpreted consistently. No studies of monitoring accuracy were identified. An update in October 2016, based on MEDLINE and internet searches, identified four new studies but did not alter our conclusions. Robust quantitative evidence on the accuracy of FAF imaging and how FAF images are interpreted is lacking. We provide recommendations to address this.

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Section: Lacquer Cracksmentioning

confidence: 99%

“…Lacquer cracks are linear breaks of the Bruch's membrane-choriocapillaris complex, which can be found in 4% of subjects with high myopia [12]. The main pathogenetic mechanism is the mechanical stretching of the chorioretinal structures due to scleral elongation [12]. However, according to other studies, their formation could be associated with near vessels perforating the sclera causing the expansion of surrounding scleral tissue [13].…”

Section: Lacquer Cracksmentioning

confidence: 99%

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Pathologic Myopia: Complications and Visual Rehabilitation

Napolitano¹,

Casillo²

2020

Intraocular Lens

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High myopia, defined as refractive error of at least −6.00D or an axial length of 26.5 mm or more, can induce many modifications in eye's anatomy that can lead to complications. When high myopia is able to decrease best corrected visual acuity (BCVA) due to its complications, it is called pathologic myopia. Pathologic myopia is one of the major causes of blindness, and it represents a serious issue, since incidence of myopia and high myopia is constantly rising. For educational purposes, in this chapter, complications of pathologic myopia will be divided into anterior (when structures external to the globe or anterior to the ora serrata are involved, such as motility disturbances and cataract) and posterior (when structures posterior to the ora serrata are involved, such as lacquer cracks, chorioretinal atrophy, Fuchs maculopathy, myopic choroidal neovascularization, and retinal detachment). Many treatments are available for pathologic myopia complications depending on their type, such as vascular endothelial growth factor (anti-VEGF) injections and surgery. We will focus on visual rehabilitation interventions, such as visual biofeedback and visual aids that in many cases are the only chance that the ophthalmologist has in order to help patients suffering from pathologic myopia to use at their maximum their residual vision.

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Multimodal imaging including spectral-domain optical coherence tomography and confocal near-infrared reflectance for characterization of lacquer cracks in highly myopic eyes

Cited by 26 publications

References 24 publications

Features of the choriocapillaris in myopic maculopathy identified by optical coherence tomography angiography

Features of the choriocapillaris in myopic maculopathy identified by optical coherence tomography angiography

Fundus autofluorescence imaging: systematic review of test accuracy for the diagnosis and monitoring of retinal conditions

Pathologic Myopia: Complications and Visual Rehabilitation

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