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M. J. Gallagher, T. Yilmaz, C. S. Foster; The Characteristic Features of Optical Coherence Tomography in Posterior Uveitis. Invest. Ophthalmol. Vis. Sci. 2007;48(13):111.
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To describe the different retinal morphological characteristics that can present on Optical Coherence Topography (OCT) in a spectrum of uveitic diseases.
We reviewed the literature and our own OCT image archive at Massachusetts Eye Research and Surgery Institute for characteristic features that may be suggestive of a particular disease process.
Optical Coherence Topography demonstrates a variety of characteristic morphological changes, some that may point towards a specific disease process. We describe and demonstrate the OCT characteristics of normal retina as well as various forms of macular edema. We further demonstrate the morphological features typically found on OCT in Multifocal Choroiditis, Serpiginous Chorioretinitis, Toxoplasma Chorioretinitis, Vogt-Koyanagi-Harada, Sympathetic Ophthalmia and the Vitreomacular Traction Syndrome.
Ophthalmologists should be aware of the variety of retinal morphological characteristics that can present on OCT in uveitic disease. Recognition may aid in the diagnostic process, which is complementary to conventional fundal photography and fluorescein angiography. This can facilitate earlier diagnosis and more importantly the initiation of specific treatment.
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