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A.P. Ciardella, M. Kahook, D. Brown; Prevalence of Serous Neurosensory Macular Detachment in Patients With Acute Anterior Uveitis: An Optical Coherence Tomography Study . Invest. Ophthalmol. Vis. Sci. 2005;46(13):5103.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To investigate with optical coherence tomography (OCT) examination the prevalence of serous neurosensory macular detachment in patients with acute anterior uveitis. Methods: Twenty eyes of twenty consecutive patients with acute anterior uveitis received a complete ophthalmologic examination comprehensive of best corrected visual acuity, slit lamp examination, and dilated fundus examination. The macula was observed in biomicroscopy with the use of a contact lens and was graded has having or not neurosensory macular detachment. All patients were examined with OCT (Zeiss Stratus). Two different types of scanning programs were used: cross–hair and fast macular map. Cross–hair consists of two 6–mm long, 90–degree apart, cross–hair scans centered on the macula. Fast macular map is obtained reconstructing the results of six 5–mm long, 30–degree apart, scans centered on the macula into a topographic map. Results: Three of twenty eyes (15%) were diagnosed with serous neurosensory macular detachment by biomicroscopic examination. Six of twenty eyes (30%) had evidence of serous neurosensory macular detachment by OCT examination. In all cases there was spontaneous resolution of the neurosensory macular detachment when the anterior segment inflammation resolved. Conclusions: The prevalence of neurosensory macular detachment in patients with acute anterior uveitis examined by OCT may be higher than what suspected clinically. Resolution of the anterior segment inflammation appears to be invariably associated with resolution of the neurosensory detachment. OCT examination may be very valuable in revealing the presence of a serous macular detachment in patient with uveitis, especially when loss of transparency of the ocular media and photophobia of the patient make the clinical examination of the macula challenging.
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