Iridian anterior segment OCT in rubella uveitis syndrome and cytomegalovirus anterior uveitis: a comparative study

Purpose To compare iris affectation in cytomegalovirus anterior uveitis (CMVAU), rubella virus-associated uveitis (RVU), and healthy contralateral eyes, using swept-source anterior segment optical coherence tomography (SS-AS-OCT). Materials and methods A comparative, transversal, retrospective study...

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Veröffentlicht in:Graefe's archive for clinical and experimental ophthalmology 2022-11, Vol.260 (11), p.3647-3655
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description Purpose To compare iris affectation in cytomegalovirus anterior uveitis (CMVAU), rubella virus-associated uveitis (RVU), and healthy contralateral eyes, using swept-source anterior segment optical coherence tomography (SS-AS-OCT). Materials and methods A comparative, transversal, retrospective study examining 60 eyes from 30 patients—18 eyes (17 patients) with CMVAU, 14 eyes (13 patients) with RVU, and 28 healthy eyes—was performed. Six-millimeter cross-sectional SS-AS-OCT B-scans were obtained in each iris quadrant. Images were exported to ImageJ®. Qualitative and quantitative analyses were done: stromal thickness (ST), smooth index (SI), and optical density (OD) of pigment epithelium. Comparisons between measurements and clinical-demographic parameters were performed using SPSS®. Results Qualitative analysis showed extensive damage in iris stroma but was unable to differentiate between both uveitis. RVU eyes had a lower mean ST (315.72 μm ± 42.4) compared to those with CMVAU (348.6 μm ± 46) ( p  = 0.047) and a lower ST in the upper (338.9 μm ± 38.52)/(386.25 μm ± 47.2) ( p  = 0.005) and temporal (281.5 μm ± 57.3)/(326.43 μm ± 62.3) ( p  = 0.016) quadrants. Mean (0.94 ± 0.02)/(0.9 ± 0.03) ( p  = 0.001), temporal (0.94 ± 0.02)/(0.89 ± 0.03) ( p  
doi_str_mv 10.1007/s00417-022-05733-3
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Materials and methods A comparative, transversal, retrospective study examining 60 eyes from 30 patients—18 eyes (17 patients) with CMVAU, 14 eyes (13 patients) with RVU, and 28 healthy eyes—was performed. Six-millimeter cross-sectional SS-AS-OCT B-scans were obtained in each iris quadrant. Images were exported to ImageJ®. Qualitative and quantitative analyses were done: stromal thickness (ST), smooth index (SI), and optical density (OD) of pigment epithelium. Comparisons between measurements and clinical-demographic parameters were performed using SPSS®. Results Qualitative analysis showed extensive damage in iris stroma but was unable to differentiate between both uveitis. RVU eyes had a lower mean ST (315.72 μm ± 42.4) compared to those with CMVAU (348.6 μm ± 46) ( p  = 0.047) and a lower ST in the upper (338.9 μm ± 38.52)/(386.25 μm ± 47.2) ( p  = 0.005) and temporal (281.5 μm ± 57.3)/(326.43 μm ± 62.3) ( p  = 0.016) quadrants. Mean (0.94 ± 0.02)/(0.9 ± 0.03) ( p  = 0.001), temporal (0.94 ± 0.02)/(0.89 ± 0.03) ( p  &lt; 0.001), and nasal SI (0.094 ± 0.02)/(0.9 ± 0.04) ( p  = 0.005) were higher in RVU. OD was similar in both uveitis. In healthy eyes, mean ST (376.8 μm ± 39.7) was higher and mean SI was lower (0.87 ± 0.04) than in RVU ( p  &lt; 0.001) and CMVAU eyes ( p  = 0.032). Mean OD was higher in healthy eyes (911 ± 130) than in CMVAU eyes (800 ± 200) ( p  = 0.037). Conclusions The quantitative analysis of the SS-AS-OCT iris images allows for the differentiation between healthy eyes and those with CMVAU and RVU, as well as between both uveitis.</description><identifier>ISSN: 0721-832X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-022-05733-3</identifier><identifier>PMID: 35708847</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cytomegalovirus ; Epithelium ; Inflammatory Disorders ; Iris ; Medicine ; Medicine &amp; Public Health ; Ophthalmology ; Optical density ; Patients ; Rubella ; Stroma ; Uveitis</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2022-11, Vol.260 (11), p.3647-3655</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-db710906e5779c3518918e7a91d4c1a8c4f084b5b4c37419ace04d683d86202d3</cites><orcidid>0000-0002-7705-8759 ; 0000-0001-6379-7609</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00417-022-05733-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00417-022-05733-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35708847$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Escribano Lopez, Patricia</creatorcontrib><creatorcontrib>Gonzalez Guijarro, Juan Jacobo</creatorcontrib><title>Iridian anterior segment OCT in rubella uveitis syndrome and cytomegalovirus anterior uveitis: a comparative study</title><title>Graefe's archive for clinical and experimental ophthalmology</title><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><description>Purpose To compare iris affectation in cytomegalovirus anterior uveitis (CMVAU), rubella virus-associated uveitis (RVU), and healthy contralateral eyes, using swept-source anterior segment optical coherence tomography (SS-AS-OCT). Materials and methods A comparative, transversal, retrospective study examining 60 eyes from 30 patients—18 eyes (17 patients) with CMVAU, 14 eyes (13 patients) with RVU, and 28 healthy eyes—was performed. Six-millimeter cross-sectional SS-AS-OCT B-scans were obtained in each iris quadrant. Images were exported to ImageJ®. Qualitative and quantitative analyses were done: stromal thickness (ST), smooth index (SI), and optical density (OD) of pigment epithelium. Comparisons between measurements and clinical-demographic parameters were performed using SPSS®. Results Qualitative analysis showed extensive damage in iris stroma but was unable to differentiate between both uveitis. RVU eyes had a lower mean ST (315.72 μm ± 42.4) compared to those with CMVAU (348.6 μm ± 46) ( p  = 0.047) and a lower ST in the upper (338.9 μm ± 38.52)/(386.25 μm ± 47.2) ( p  = 0.005) and temporal (281.5 μm ± 57.3)/(326.43 μm ± 62.3) ( p  = 0.016) quadrants. Mean (0.94 ± 0.02)/(0.9 ± 0.03) ( p  = 0.001), temporal (0.94 ± 0.02)/(0.89 ± 0.03) ( p  &lt; 0.001), and nasal SI (0.094 ± 0.02)/(0.9 ± 0.04) ( p  = 0.005) were higher in RVU. OD was similar in both uveitis. In healthy eyes, mean ST (376.8 μm ± 39.7) was higher and mean SI was lower (0.87 ± 0.04) than in RVU ( p  &lt; 0.001) and CMVAU eyes ( p  = 0.032). Mean OD was higher in healthy eyes (911 ± 130) than in CMVAU eyes (800 ± 200) ( p  = 0.037). 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Materials and methods A comparative, transversal, retrospective study examining 60 eyes from 30 patients—18 eyes (17 patients) with CMVAU, 14 eyes (13 patients) with RVU, and 28 healthy eyes—was performed. Six-millimeter cross-sectional SS-AS-OCT B-scans were obtained in each iris quadrant. Images were exported to ImageJ®. Qualitative and quantitative analyses were done: stromal thickness (ST), smooth index (SI), and optical density (OD) of pigment epithelium. Comparisons between measurements and clinical-demographic parameters were performed using SPSS®. Results Qualitative analysis showed extensive damage in iris stroma but was unable to differentiate between both uveitis. RVU eyes had a lower mean ST (315.72 μm ± 42.4) compared to those with CMVAU (348.6 μm ± 46) ( p  = 0.047) and a lower ST in the upper (338.9 μm ± 38.52)/(386.25 μm ± 47.2) ( p  = 0.005) and temporal (281.5 μm ± 57.3)/(326.43 μm ± 62.3) ( p  = 0.016) quadrants. Mean (0.94 ± 0.02)/(0.9 ± 0.03) ( p  = 0.001), temporal (0.94 ± 0.02)/(0.89 ± 0.03) ( p  &lt; 0.001), and nasal SI (0.094 ± 0.02)/(0.9 ± 0.04) ( p  = 0.005) were higher in RVU. OD was similar in both uveitis. In healthy eyes, mean ST (376.8 μm ± 39.7) was higher and mean SI was lower (0.87 ± 0.04) than in RVU ( p  &lt; 0.001) and CMVAU eyes ( p  = 0.032). Mean OD was higher in healthy eyes (911 ± 130) than in CMVAU eyes (800 ± 200) ( p  = 0.037). Conclusions The quantitative analysis of the SS-AS-OCT iris images allows for the differentiation between healthy eyes and those with CMVAU and RVU, as well as between both uveitis.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35708847</pmid><doi>10.1007/s00417-022-05733-3</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-7705-8759</orcidid><orcidid>https://orcid.org/0000-0001-6379-7609</orcidid></addata></record>
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subjects Cytomegalovirus
Epithelium
Inflammatory Disorders
Iris
Medicine
Medicine & Public Health
Ophthalmology
Optical density
Patients
Rubella
Stroma
Uveitis
title Iridian anterior segment OCT in rubella uveitis syndrome and cytomegalovirus anterior uveitis: a comparative study
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