Serpiginous Choroiditis Complicated with Choroidal Neovascular Membrane Detected using Optical Coherence Tomography Angiography: A Case Series and Literature Review

Perente, Asli; Kotsiliti, Dimitra; Taliantzis, Sergios; Panagiotopoulou, Eirini-Kanella; Gkika, Maria; Perente, İrfan; Dardabounis, Doukas; Labiris, Georgios

doi:10.4274/tjo.galenos.2021.49323

Cited by 6 publications

(1 citation statement)

References 12 publications

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“…OCT-A was shown to be useful and a help in the detection of choroidal neovascularization (CNV) such as in MFC/PIC and other choriocapillaritis entities as well as its followup during anti-VEGF treatment but none of the articles recommended it as an exclusive use. [29][30][31][32][33][34] One report indicated that OCT-A could possibly better identify new vessels obscured by retinal haemorrhage [35]. OCT-A has been reported to be useful to distinguish CNV from active uveitic lesions [36].…”

Section: Optical Coherence Tomography Angiography (Oct-a)mentioning

confidence: 99%

Review on imaging methods in non-infectious posterior uveitis, principles, relevance, and practical clinical applications to disease entities

Papasavvas

Herbort

2023

Oftalmol Zh

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The work-up and diagnosis of posterior uveitis rely heavily on multiple imaging methods that have become available beyond the mere photographic imaging and fluorescein angiography (FA) used to image uveitis in the past. Global assessment and precise follow-up of posterior uveitis were achieved with the development of indocyanine green angiography (ICGA) since the mid-1990ties that, together with FA, made it possible to perform dual FA and ICGA giving information on both the retina and the choroidal compartment. Further non-invasive imaging methods were developed subsequently that contributed to additional valuable information completing the dual FA/ICGA basic appraisal of uveitis, including (1) optical coherence tomography (OCT) giving a quasi-histological morphology of retinal structures of the posterior pole, (2) enhanced-depth imaging OCT (EDI-OCT) allowing to image the choroidal compartment and (3) blue light fundus autofluorescence (BAF) showing the integrity or damage of the retinal pigment epithelium, the photoreceptors and the outer retina. OCT-angiography (OCT-A) became available more recently and presented the advantage to image the retinal and choroidal circulations without needing dye injections, necessary for dual FA/ICGA. This review article will illustrate the principles, relevance and practical applications of these different imaging methods used in uveitis by examining the main categories of non-infectious posterior uveitis entities including (1) retinal inflammatory disorders, inflammatory diseases of the outer retina and of the choriocapillaris (choriocapillaritis) and stromal choroiditis.

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Section: Optical Coherence Tomography Angiography (Oct-a)mentioning

confidence: 99%

Review on imaging methods in non-infectious posterior uveitis, principles, relevance, and practical clinical applications to disease entities

Papasavvas

Herbort

2023

Oftalmol Zh

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Inflammatory Choroidal Neovascular Membranes

Carpio-Rosso¹,

Wu²,

Bhat³

2023

Advances in Ophthalmology and Optometry

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Optical Coherence Tomography Angiography (OCT-A) in Uveitis: A Literature Review and a Reassessment of Its Real Role

Herbort¹,

Takeuchi

Papasavvas³

et al. 2023

Diagnostics

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Background: The global and precise follow-up of uveitis has become possible with the availability of dual fluorescein (FA) and indocyanine green angiography (ICGA) since the mid-1990s. Progressively, additional non-invasive imaging methods have emerged, bringing value-added precision to the imaging appraisal of uveitis, including, among others, optical coherence tomography (OCT), enhanced-depth imaging OCT (EDI-OCT) and blue light fundus autofluorescence (BAF). More recently, another complementary imaging method, OCT-angiography (OCT-A), further allowed retinal and choroidal circulation to be imaged without the need for dye injection. Purpose: The purpose of this review was aimed at examining the evidence in published reports indicating whether OCT-A could possibly replace dye angiographic methods, as well as the real practical impact of OCT-A. Methods: A literature search in the PubMed database was performed using the terms OCT-angiography and uveitis, OCTA and uveitis and OCT-A and uveitis. Case reports were excluded. Articles were classified into technical reports, research reports and reviews. Articles in the two latter categories were analyzed in a more detailed, individual fashion. Special attention was paid to whether there were arguments in favor of an exclusive rather than complementary use of OCT-A. Furthermore, a synthesis of the main practical applications of OCT-A in the management of uveitis was attempted. Results: Between 2016 (the year of the first articles) and 2022, 144 articles containing the search terms were identified. After excluding case report articles, 114 articles were retained: 4 in 2016, 17 in 2017, 14 in 2018, 21 in 2019, 14 in 2020, 18 in 2021 and 26 in 2022. Seven articles contained technical information or consensus-based terminology. Ninety-two articles could be considered as clinical research articles. Of those, only two hinted in their conclusions that OCT-A could hypothetically replace dye methods. The terms mostly used to qualify the contribution of the articles in this group were “complementary to dye methods”, “adjunct”, “supplementing” and other similar terms. Fifteen articles were reviews, none of which hinted that OCT-A could replace dye methods. The situations where OCT-A represented a significant practical contribution to the practical appraisal of uveitis were identified. Conclusion: To date, no evidence was found in the literature that OCT-A can replace the classic dye methods; however, it can complement them. Promoting the possibility that non-invasive OCT-A can substitute the invasive dye methods is deleterious, giving the elusive impression that dye methods are no longer inevitable for evaluating uveitis patients. Nevertheless, OCT-A is a precious tool in uveitis research.

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Serpiginous Choroiditis Complicated with Choroidal Neovascular Membrane Detected using Optical Coherence Tomography Angiography: A Case Series and Literature Review

Cited by 6 publications

References 12 publications

Review on imaging methods in non-infectious posterior uveitis, principles, relevance, and practical clinical applications to disease entities

Review on imaging methods in non-infectious posterior uveitis, principles, relevance, and practical clinical applications to disease entities

Inflammatory Choroidal Neovascular Membranes

Optical Coherence Tomography Angiography (OCT-A) in Uveitis: A Literature Review and a Reassessment of Its Real Role

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