Verdickung oder Hypoplasie der Fovea

Nessmann, A.; Schramm, Christian; Gelişken, Faik

doi:10.1007/s00347-015-0113-8

Cited by 1 publication

(1 citation statement)

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“…The patients did not show any further pathology like aniridia or hypopigmentation of the fundus and therefore were classified as an isolated form of fovea plana. [6] In 3 eyes OCT revealed other: central atrophy of the retinal pigment epithelium (n = 1), chorioretinal scaring (n = 1) and a pseudovitelliform lesion (n = 1). Although a total of 20 eyes showed macular pathologies, none of the findings had an impact on the therapeutic strategy.…”

Section: Resultsmentioning

confidence: 99%

Optical coherence tomography findings in patients prior to cataract surgery regarded as unremarkable with ophthalmoscopy

2018

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PurposeTo investigate the feasibility and diagnostic benefit of routinely performed preoperative macular spectral-domain (SD-) optical coherence tomography (OCT) for the detection of macular pathology in patients with normal biomicroscopic funduscopy prior to cataract surgery.MethodsProspective, single center study. A total of 162 eyes of 123 consecutive patients referred for cataract surgery with a visual acuity better than 20/100, absence of macular symptoms such as metamorphopsia, no history of previous intravitreal procedures and a normal funduscopic appearance on biomicroscopy underwent an additional SD-OCT-examination prior to cataract surgery. OCT-scans were classified in three categories: normal, degenerative vitreous changes without impact on visual outcome or pathological with potential impact on visual outcome.Results80 eyes (49.38%) showed normal OCT-scans. 69 eyes (42.59%) were classified as degenerative vitreous changes without impact on visual outcome and 20 eyes (12.35%) as pathological with potential impact on visual outcome. The indication of cataract surgery or the therapeutic strategy remained unchanged in all patients. In patients with pathological alterations further follow-up examinations were recommended.ConclusionsRoutine SD-OCT-imaging of the macular region in patients prior to cataract surgery was feasible to detect macular pathologies in a considerable number of patients, which remained undiagnosed on biomicroscopic funduscopy. Although OCT-findings did not impact therapeutic strategy in this study, preoperative judgement of the expected visual outcome and patient´s informed consent can improve.

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Section: Resultsmentioning

confidence: 99%