Localized reticular pseudodrusen and their topographic relation to choroidal watershed zones and changes in choroidal volumes

We identified a topographic relation of localized reticular pseudodrusen (RPD) to choroidal watershed zones (CWZ) and to changes in choroidal volumes (CV). We included 30 eyes of 30 patients with RPD in an area

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Veröffentlicht in:Investigative ophthalmology & visual science 2013-05, Vol.54 (5), p.3250-3257
Hauptverfasser: Alten, Florian, Clemens, Christoph R, Heiduschka, Peter, Eter, Nicole
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container_issue 5
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container_title Investigative ophthalmology & visual science
container_volume 54
creator Alten, Florian
Clemens, Christoph R
Heiduschka, Peter
Eter, Nicole
description We identified a topographic relation of localized reticular pseudodrusen (RPD) to choroidal watershed zones (CWZ) and to changes in choroidal volumes (CV). We included 30 eyes of 30 patients with RPD in an area
doi_str_mv 10.1167/iovs.13-11923
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We included 30 eyes of 30 patients with RPD in an area &lt;10 mm(2) and no other retinal alteration (76.7 ± 6.9 years). Patients underwent spectral-domain optical coherence tomography (SD-OCT), enhanced depth imaging (EDI) OCT, fluorescein video-angiography (vFA), indocyanine green video-angiography (vICG), and confocal scanning laser ophthalmoscopy (cSLO). vICG was evaluated for the presence, localization, and configuration of CWZ. Retinal areas affected by RPD were measured, and their localization was determined in relation to CWZ. CV was measured using a choroidal thickness map of the posterior pole and the Early Treatment of Diabetic Retinoscopy Study (ETDRS) grid. In all study eyes, RPD could be demonstrated clearly in SD-OCT, EDI-OCT, FA, ICG, and cSLO. CWZ were identified in 25 eyes (83.3%). The area affected by RPD was 7.45 ± 2.25 mm(2). RPD area was located fully or partly within the CWZ in 22 eyes (88.0%). Mean CV in the full ETDRS grid area was reduced significantly (4.49 ± 1.44 mm(3)). Foveal CV and CV in the grid sector affected mostly by RPD were significantly diminished to 0.14 ± 0.05 mm(3) and 0.85 ± 0.38 mm(3), respectively. The site of localized RPD seems to be related to presence and site of CWZ, suggesting that choroidal hypoxia may have a role in RPD pathogenesis. 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We included 30 eyes of 30 patients with RPD in an area &lt;10 mm(2) and no other retinal alteration (76.7 ± 6.9 years). Patients underwent spectral-domain optical coherence tomography (SD-OCT), enhanced depth imaging (EDI) OCT, fluorescein video-angiography (vFA), indocyanine green video-angiography (vICG), and confocal scanning laser ophthalmoscopy (cSLO). vICG was evaluated for the presence, localization, and configuration of CWZ. Retinal areas affected by RPD were measured, and their localization was determined in relation to CWZ. CV was measured using a choroidal thickness map of the posterior pole and the Early Treatment of Diabetic Retinoscopy Study (ETDRS) grid. In all study eyes, RPD could be demonstrated clearly in SD-OCT, EDI-OCT, FA, ICG, and cSLO. CWZ were identified in 25 eyes (83.3%). The area affected by RPD was 7.45 ± 2.25 mm(2). RPD area was located fully or partly within the CWZ in 22 eyes (88.0%). Mean CV in the full ETDRS grid area was reduced significantly (4.49 ± 1.44 mm(3)). Foveal CV and CV in the grid sector affected mostly by RPD were significantly diminished to 0.14 ± 0.05 mm(3) and 0.85 ± 0.38 mm(3), respectively. The site of localized RPD seems to be related to presence and site of CWZ, suggesting that choroidal hypoxia may have a role in RPD pathogenesis. Reduced CV in eyes with localized RPD could be demonstrated and may be cause or consequence of RPD development.</description><subject>Aged</subject><subject>Choroid - pathology</subject><subject>Coloring Agents</subject><subject>Female</subject><subject>Fluorescein Angiography</subject><subject>Humans</subject><subject>Indocyanine Green</subject><subject>Macular Degeneration - diagnosis</subject><subject>Male</subject><subject>Ophthalmoscopy</subject><subject>Retinal Drusen - diagnosis</subject><subject>Tomography, Optical Coherence</subject><subject>Visual Acuity - physiology</subject><issn>1552-5783</issn><issn>1552-5783</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkDtPwzAUhS0EoqUwsqKMLCl-5eERVbykSiwwR4590xg5cbCTIirx30kfoE736Oo7Z_gQuiZ4Tkia3Rm3DnPCYkIEZSdoSpKExkmWs9OjPEEXIXxgTAmh-BxNKEuEYAxP0c_SKWnNBnTkoTdqsNJHXYBBO-2HAG0kWx31NRgf9a5zKy-72qgRtrI3rh2fkaqdd0ZLG33JHnyox7GNayHsuqqW7WrMpj0C184ODYRLdFZJG-DqcGfo_fHhbfEcL1-fXhb3y1hRwfqYca15DqUACkpxppOUUkJLXeEUC0YrRmSlVCk4FWlOOKZapTTBuSC54ilnM3S73-28-xwg9EVjggJrZQtuCAVhXGSYilyMaLxHlXcheKiKzptG-u-C4GJrvNgaHxvFzvjI3xymh7IB_U__KWa_585_Xw</recordid><startdate>20130507</startdate><enddate>20130507</enddate><creator>Alten, Florian</creator><creator>Clemens, Christoph R</creator><creator>Heiduschka, Peter</creator><creator>Eter, Nicole</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130507</creationdate><title>Localized reticular pseudodrusen and their topographic relation to choroidal watershed zones and changes in choroidal volumes</title><author>Alten, Florian ; Clemens, Christoph R ; Heiduschka, Peter ; Eter, Nicole</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c293t-34dd48eb9e2ecc43d562212bdf060932f31afccb9429681402dc62508918c4643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Choroid - pathology</topic><topic>Coloring Agents</topic><topic>Female</topic><topic>Fluorescein Angiography</topic><topic>Humans</topic><topic>Indocyanine Green</topic><topic>Macular Degeneration - diagnosis</topic><topic>Male</topic><topic>Ophthalmoscopy</topic><topic>Retinal Drusen - diagnosis</topic><topic>Tomography, Optical Coherence</topic><topic>Visual Acuity - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alten, Florian</creatorcontrib><creatorcontrib>Clemens, Christoph R</creatorcontrib><creatorcontrib>Heiduschka, Peter</creatorcontrib><creatorcontrib>Eter, Nicole</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Investigative ophthalmology &amp; visual science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alten, Florian</au><au>Clemens, Christoph R</au><au>Heiduschka, Peter</au><au>Eter, Nicole</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Localized reticular pseudodrusen and their topographic relation to choroidal watershed zones and changes in choroidal volumes</atitle><jtitle>Investigative ophthalmology &amp; visual science</jtitle><addtitle>Invest Ophthalmol Vis Sci</addtitle><date>2013-05-07</date><risdate>2013</risdate><volume>54</volume><issue>5</issue><spage>3250</spage><epage>3257</epage><pages>3250-3257</pages><issn>1552-5783</issn><eissn>1552-5783</eissn><abstract>We identified a topographic relation of localized reticular pseudodrusen (RPD) to choroidal watershed zones (CWZ) and to changes in choroidal volumes (CV). We included 30 eyes of 30 patients with RPD in an area &lt;10 mm(2) and no other retinal alteration (76.7 ± 6.9 years). Patients underwent spectral-domain optical coherence tomography (SD-OCT), enhanced depth imaging (EDI) OCT, fluorescein video-angiography (vFA), indocyanine green video-angiography (vICG), and confocal scanning laser ophthalmoscopy (cSLO). vICG was evaluated for the presence, localization, and configuration of CWZ. Retinal areas affected by RPD were measured, and their localization was determined in relation to CWZ. CV was measured using a choroidal thickness map of the posterior pole and the Early Treatment of Diabetic Retinoscopy Study (ETDRS) grid. In all study eyes, RPD could be demonstrated clearly in SD-OCT, EDI-OCT, FA, ICG, and cSLO. CWZ were identified in 25 eyes (83.3%). The area affected by RPD was 7.45 ± 2.25 mm(2). RPD area was located fully or partly within the CWZ in 22 eyes (88.0%). Mean CV in the full ETDRS grid area was reduced significantly (4.49 ± 1.44 mm(3)). Foveal CV and CV in the grid sector affected mostly by RPD were significantly diminished to 0.14 ± 0.05 mm(3) and 0.85 ± 0.38 mm(3), respectively. The site of localized RPD seems to be related to presence and site of CWZ, suggesting that choroidal hypoxia may have a role in RPD pathogenesis. Reduced CV in eyes with localized RPD could be demonstrated and may be cause or consequence of RPD development.</abstract><cop>United States</cop><pmid>23599330</pmid><doi>10.1167/iovs.13-11923</doi><tpages>8</tpages></addata></record>
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subjects Aged
Choroid - pathology
Coloring Agents
Female
Fluorescein Angiography
Humans
Indocyanine Green
Macular Degeneration - diagnosis
Male
Ophthalmoscopy
Retinal Drusen - diagnosis
Tomography, Optical Coherence
Visual Acuity - physiology
title Localized reticular pseudodrusen and their topographic relation to choroidal watershed zones and changes in choroidal volumes
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