Optical coherence tomography automated layer segmentation of macula after retinal detachment repair

To investigate the thickness of retinal layers and association with final visual acuity using spectral-domain optical coherence tomography (SD-OCT) in macular area of macula-off rhegmatogenous retinal detachment (RRD) patients after a successful macular re-attachment. In retrospective study, a total...

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Veröffentlicht in:PloS one 2018-05, Vol.13 (5), p.e0197058-e0197058
Hauptverfasser: Han, Kyu Jin, Lee, Young Hoon
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description To investigate the thickness of retinal layers and association with final visual acuity using spectral-domain optical coherence tomography (SD-OCT) in macular area of macula-off rhegmatogenous retinal detachment (RRD) patients after a successful macular re-attachment. In retrospective study, a total 24 eyes with macula-off RRD were enrolled. All patients underwent vitrectomy to repair RRD. Outer plexiform layer (OPL), outer nuclear layer (ONL), photoreceptor layer (PR), retinal pigment epithelium (RPE) thicknesses were measured by the Spectralis (Heidelberg Engineering, Heidelberg, Germany) SD-OCT with automated segmentation software. The relationship between the thicknesses of each retinal layer and postoperative logarithm of the minimum angle of resolution scale (LogMAR) visual acuity was analyzed. OPL and RPE thicknesses were not significantly different between the retinal detachment eyes and fellow eyes (P = 0.839, 0.999, respectively). The ONL and photoreceptor thickness were significantly thinner in the retinal detachment eyes (P
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In the univariate regression analysis, preoperative best corrected visual acuity (BCVA), ONL thickness and photoreceptor thickness showed association with the postoperative BCVA (P = 0.003, &lt;0.001 and 0.024, respectively). In final multiple linear regression model, ONL thickness was the only variable significantly associated with postoperative BCVA (P = 0.044). Segmented ONL and photoreceptor thickness of retinal detachment eyes were significantly thinner than fellow eyes. Segmental analysis of the retinal layer in macular region may provide valuable information for evaluation RRD. And ONL thickness can be used as a potential biomarker to predict visual outcome after RRD repair.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0197058</identifier><identifier>PMID: 29734400</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acuity ; Analysis ; Biology and Life Sciences ; Biomarkers ; Care and treatment ; Detaching ; Detachment ; Diabetic retinopathy ; Epithelium ; Eye ; Eye (anatomy) ; Medicine and Health Sciences ; Myopia ; Optical Coherence Tomography ; Optical tomography ; Patient outcomes ; Patients ; Photoreceptors ; Regression analysis ; Regression models ; Repair ; Research and Analysis Methods ; Retina ; Retinal detachment ; Retinal pigment epithelium ; Segmentation ; Social Sciences ; Surgery ; Thickness ; Tomography ; Treatment outcome ; Visual acuity ; Vitrectomy</subject><ispartof>PloS one, 2018-05, Vol.13 (5), p.e0197058-e0197058</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Han, Lee. 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Lee, Young Hoon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c758t-2edb6deb3530fb5ab8782f86ee1ff2995ac83718eaafadf683839c4ff925a8993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acuity</topic><topic>Analysis</topic><topic>Biology and Life Sciences</topic><topic>Biomarkers</topic><topic>Care and treatment</topic><topic>Detaching</topic><topic>Detachment</topic><topic>Diabetic retinopathy</topic><topic>Epithelium</topic><topic>Eye</topic><topic>Eye (anatomy)</topic><topic>Medicine and Health Sciences</topic><topic>Myopia</topic><topic>Optical Coherence Tomography</topic><topic>Optical tomography</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Photoreceptors</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Repair</topic><topic>Research and Analysis Methods</topic><topic>Retina</topic><topic>Retinal detachment</topic><topic>Retinal pigment epithelium</topic><topic>Segmentation</topic><topic>Social Sciences</topic><topic>Surgery</topic><topic>Thickness</topic><topic>Tomography</topic><topic>Treatment outcome</topic><topic>Visual acuity</topic><topic>Vitrectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Han, Kyu Jin</creatorcontrib><creatorcontrib>Lee, Young Hoon</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing &amp; 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In retrospective study, a total 24 eyes with macula-off RRD were enrolled. All patients underwent vitrectomy to repair RRD. Outer plexiform layer (OPL), outer nuclear layer (ONL), photoreceptor layer (PR), retinal pigment epithelium (RPE) thicknesses were measured by the Spectralis (Heidelberg Engineering, Heidelberg, Germany) SD-OCT with automated segmentation software. The relationship between the thicknesses of each retinal layer and postoperative logarithm of the minimum angle of resolution scale (LogMAR) visual acuity was analyzed. OPL and RPE thicknesses were not significantly different between the retinal detachment eyes and fellow eyes (P = 0.839, 0.999, respectively). The ONL and photoreceptor thickness were significantly thinner in the retinal detachment eyes (P &lt;0.001 and 0.001, respectively). In the univariate regression analysis, preoperative best corrected visual acuity (BCVA), ONL thickness and photoreceptor thickness showed association with the postoperative BCVA (P = 0.003, &lt;0.001 and 0.024, respectively). In final multiple linear regression model, ONL thickness was the only variable significantly associated with postoperative BCVA (P = 0.044). Segmented ONL and photoreceptor thickness of retinal detachment eyes were significantly thinner than fellow eyes. Segmental analysis of the retinal layer in macular region may provide valuable information for evaluation RRD. And ONL thickness can be used as a potential biomarker to predict visual outcome after RRD repair.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29734400</pmid><doi>10.1371/journal.pone.0197058</doi><tpages>e0197058</tpages><orcidid>https://orcid.org/0000-0003-2073-6165</orcidid><orcidid>https://orcid.org/0000-0001-8181-6121</orcidid><oa>free_for_read</oa></addata></record>
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subjects Acuity
Analysis
Biology and Life Sciences
Biomarkers
Care and treatment
Detaching
Detachment
Diabetic retinopathy
Epithelium
Eye
Eye (anatomy)
Medicine and Health Sciences
Myopia
Optical Coherence Tomography
Optical tomography
Patient outcomes
Patients
Photoreceptors
Regression analysis
Regression models
Repair
Research and Analysis Methods
Retina
Retinal detachment
Retinal pigment epithelium
Segmentation
Social Sciences
Surgery
Thickness
Tomography
Treatment outcome
Visual acuity
Vitrectomy
title Optical coherence tomography automated layer segmentation of macula after retinal detachment repair
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