Role of multicolour imaging in post-fever retinitis involving posterior pole

Sanjay, Srinivasan; Reddy, Nikitha Gurram; Kawali, Ankush; Mahendradas, Padmamalini; Pulipaka, Ram Snehith; Shetty, Rohit; Yadav, Naresh Kumar; Venkatesh, Ramesh

doi:10.1007/s10792-021-01951-6

Cited by 4 publications

(2 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Also, it was observed that active retinitis lesions looked brighter on infrared reflectance hypothesized to be due to reflectance of IR wavelength by the active retinitis lesions while the resolving and resolved lesions look darker. [ 25 ] IR images can determine deeper (RPE and choroid) involvement, however, MCI and OCTA cannot be used to determine retinal or CT.…”

Section: Discussionmentioning

confidence: 99%

Choroidal and central macular thickness before and after treatment in post fever retinitis

Sanjay,

Acharya,

Kawali

et al. 2024

Indian Journal of Ophthalmology

Self Cite

View full text Add to dashboard Cite

Purpose: To study the choroidal thickness (CT) and central macular thickness (CMT) in post-fever retinitis (PFR) and their correlation with visual acuity and treatment. Methods: A retrospective, observational study of patients presenting with PFR from 2013 to 2021 and with spectral domain optical coherence tomography (SD-OCT) (Heidelberg®, SpectralisTM, Heidelberg, Germany) images were included. The CT and CMT were measured at presentation and at the final visit. The CT was measured subfoveally and at points 2000 µm superior, inferior, medial, and lateral from the fovea using the caliper tool. Results: Seventy-nine eyes of 65 patients were included for this study. The mean age was 39.03 (±16.00) years with female preponderance of 53.84% (n = 35). Mean follow-up duration was 30 days. Mean CT at presentation and at follow-up was 254.12 µm and 241.51 µm, respectively. CT was decreased in majority of the eyes 67.1% (n = 53) from their baseline value. Mean CMTs at presentation and final visit were 454.8 µm and 223.7 µm, respectively. Best corrected visual acuity had a positive correlation with CMT (r = 0.340; P = 0.002) and negligible correlation with CT. A significant decrease in the mean CT was noted in patients who received doxycycline either alone or in combination with a steroid as compared to those who did not receive any treatment (P < 0.001). The significance of which is unknown presently. Conclusion: CMT has a greater role in determining the final visual outcome than CT. CT can be reduced post-treatment with no effect on vision.

show abstract

Section: Discussionmentioning

confidence: 99%

Choroidal and central macular thickness before and after treatment in post fever retinitis

Sanjay,

Acharya,

Kawali

et al. 2024

Indian Journal of Ophthalmology

Self Cite

View full text Add to dashboard Cite

show abstract

“…In this table, we summarized the observations of MCI and its advantages found in published papers. The list is not exhaustive; however, it highlights the salient features of different retinal and choroidal disorders [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38].…”

Section: Discussionmentioning

confidence: 99%

Multi-color imaging in a unilateral central retinal artery occlusion following dengue fever: A case report and literature review

Sanjay¹,

Kawali²,

Gopalakrishnan³

et al. 2022

Med Hypothesis Discov Innov Optom

Self Cite

View full text Add to dashboard Cite

Background: Dengue fever is associated with various sight-threatening ocular manifestations, some of which can occur several months after fever. These include subconjunctival hemorrhage, vitreous hemorrhage, retinal hemorrhage, cotton wool spots, central and branch retinal artery occlusion, central scotoma, papilledema, optic neuropathy, retinal vasculitis, retinitis, retinal pigment epithelium mottling, foveolitis, choroidal effusion, exudative retinal detachment, anterior uveitis, endogenous endophthalmitis, and panophthalmitis. Herein, we report a patient with unilateral central retinal artery occlusion (CRAO) and raised dengue immunoglobulin G (IgG) titers who underwent serial multimodal imaging with fundus photography, spectral domain optical coherence tomography (SD-OCT), optical coherence tomography angiography (OCTA), and multi-color imaging (MCI). Furthermore, we reviewed recent publications highlighting different eye diseases and the role of MCI in their diagnosis and serial monitoring. Case presentation: A 53-year-old Asian Indian woman complained of blurring of vision in the right eye (OD) two months after a bout of fever. Her best-corrected distance visual acuity was finger counting close to the face in the OD and 20/40 in the left eye. CRAO of the OD was diagnosed. Systemic investigations were normal except for elevated dengue IgG levels. Optical coherence tomography and fluorescein angiography confirmed this diagnosis. MCI and SD-OCT using Spectralis™ performed before and after treatment with oral steroids demonstrated improvement. MCI served as a noninvasive ancillary tool for monitoring the CRAO. In addition to the case report, we summarize articles pertaining to MCI published during the years 2018–2022. The list is not exhaustive but highlights salient features of different retinal and choroidal disorders evaluated using MCI. Our summary highlights the role of MCI in the diagnosis and serial monitoring of eye diseases. Conclusions: A diagnosis of post-dengue fever retinal artery occlusion should be made after ruling out other causes of retinal artery vascular occlusion. We demonstrated retinal changes using serial imaging. MCI can be a useful tool, along with SD-OCT, to monitor clinical improvement. Optometrists can follow up patients with retinal vascular occlusions using noninvasive methods.

show abstract