Purchase this article with an account.
Dmitry Ryabtsev, Ludmila Katargina; Transversal OCT in Children with a history of ROP. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):984.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
to study structural changes of fundus in children with a history of retinopathy of prematurity (ROP) using transversal spectral-domain optical coherence tomography (OCT).
We examined 22 children (27 eyes) with regressive ROP aged from 3 to 15 (10±4,5) years. In addition to the traditional ophthalmic examination all patients underwent transversal OCT (Spectralis HRA+OCT, Heidelberg Engineering, Germany).
Ophthalmoscopic examination revealed following changes: avascular regions (27 eyes, 100%), shift of vascular bundle and tractional ONH deformation (27 eyes, 100%), extraretinal tissue (15 eyes, 55%), local retinal detachment (5 eyes, 19%).<br /> Using transversal OCT we revealed epiretinal membrane, located in macular zone in 24 eyes (89%), peripapillar zone - 11 eyes (41%), in the course of retinal vessels - 6 eyes (22%). We discovered polymorphic focuses of reduced reflectivity of RPE and outer segments of photoreceptors. These focuses were located in macular zone in 19 eyes (70%), in peripapillar zone - 11 eyes (41%), in the course of retinal vessels - 6 eyes (22%). We found the following changes of choriocapillar layer: local hyperreflectivity in submacular region - 17 eyes (63%), diffuse hyperreflectivity of entire scaned area - 4 eyes (15%), substitution of choriocapillars by medium and large choroidal vessels - 5 eyes (19%).
This study demonstrates the role of transversal OCT in diagnostics of structural changes of fundus in children with ROP and substantiates further research in this direction.
This PDF is available to Subscribers Only