Peripheral Retinal Degenerations

Shaimova, V. A.

doi:10.1007/978-3-319-48995-7

Cited by 16 publications

(2 citation statements)

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“…The clinical application of UWFI can therefore play a basic diagnostic or documenting role, but details defining the risk of RRD and the need for laser prophylaxis should be evaluated with peripheral OCT or/and retro-mode SLO. 26 , 34 Since, in contrast to structural OCT, SLO is able to display whole lesion area, it seems to be less dependent on the examiner, but it is also inferior compared to peripheral OCT in displaying vitreous tractions. Thus, peripheral OCT seems to be the most precise technique for detailed examination of LD lesion but is limited to the examiner evaluation of previously captured scans only.…”

Section: Clinical and Scientific Implication Of Imaging Techniquesmentioning

confidence: 99%

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Spotlight on Lattice Degeneration Imaging Techniques

Maltsev¹,

Kulikov²,

Shaimova³

et al. 2023

OPTH

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Lattice degeneration (LD), routinely diagnosed with indirect ophthalmoscopy, is one of the most common and clinically significant peripheral retinal findings. In this review, we have summarized the data on currently available imaging techniques which help to improve diagnosis and our understanding of LD pathogenesis. Ultra-wide field imaging provides reliable color fundus capturing for the primary diagnosis of LD and may also be used as a screening tool. Wide-field imaging can be used for targeted documentation of LD lesions using true colors and with minimal optical distortions. Information on the status of the vitreoretinal interface, including detection of retinal holes, detachments, and vitreous tractions, can be obtained with peripheral structural optical coherence tomography (OCT) or scanning laser ophthalmoscopy in retro-mode. These techniques clarify the associated risks of rhegmatogenous retinal detachment. Fundus autofluorescence can provide details on atrophic changes. However, the risk of retinal detachment by means of this technique requires further investigation. OCT angiography may be successfully performed for some lesions. Taken together, OCT and OCT angiography demonstrate thinning of the choroid, alteration of local choroidal microcirculation, and, in severe lesions, involvement of the sclera. OCT angiography confirms loss of retinal microcirculation within LD lesion, which was previously shown with fluorescein angiography. In conclusion, despite relatively simple primary diagnosis, imaging of LD lesions remains challenging due to their peripheral localization. However, several new strategies, including ultra-wide field imaging, peripheral OCT, and scanning laser ophthalmoscopy, make LD imaging possible on a routine basis, improving diagnosis and understanding of LD pathogenesis.

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Section: Clinical and Scientific Implication Of Imaging Techniquesmentioning

confidence: 99%

“…Thus, peripheral OCT seems to be the most precise technique for detailed examination of LD lesion but is limited to the examiner evaluation of previously captured scans only. 26 In such cases, live video OCT may be an appropriate strategy to capture and document the data.…”

Section: Clinical and Scientific Implication Of Imaging Techniquesmentioning

confidence: 99%