May 2004
Volume 45, Issue 13
ARVO Annual Meeting Abstract  |   May 2004
Optical Coherence Tomography Findings in Regressed Retinopathy of Prematurity
Author Affiliations & Notes
  • F.M. Recchia
    Vanderbilt Eye Center, Nashville, TN
  • C.A. Carvalho–Recchia
    Vanderbilt Eye Center, Nashville, TN
  • Footnotes
    Commercial Relationships  F.M. Recchia, None; C.A. Carvalho–Recchia, None.
  • Footnotes
    Support  none
Investigative Ophthalmology & Visual Science May 2004, Vol.45, 4064. doi:
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      F.M. Recchia, C.A. Carvalho–Recchia; Optical Coherence Tomography Findings in Regressed Retinopathy of Prematurity . Invest. Ophthalmol. Vis. Sci. 2004;45(13):4064.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract: : Purpose: It has been reported that a small foveal avascularzone (FAZ) may be seen angiographically in patients with a historyof premature birth. This study was undertaken to evaluate themacular anatomy and topography by optical coherence tomography(OCT) in patients with a history of retinopathy of prematurity(ROP).Methods: A 15 year–old Caucasian boy with a history ofpremature birth (24 weeks’ gestational age, with a birthweight of 690 grams) and ROP was referred for vitreoretinalevaluation. Complete ophthalmic examination, stereoscopic colorfundus photography, and OCT3 imaging were performed in eacheye. Six–millimeter scans through the entire macula wereperformed.Results: Best–corrected visual acuity was 20/25 in eacheye. Pupillary reactions, motility, external examination, intraocularpressures, and results of slit–lamp biomicroscopy wereall within normal limits. The most striking funduscopic findingwas the absence of a well–defined foveal avascular regionin either eye. Instead, both large– and small–caliberblood vessels traversed the geographic center of the vasculararcades. OCT scans revealed an absence of a foveal contour andpreservation of all retinal layers.Conclusions: The macular anatomy of formerly premature infantsshows unique tomographic features. A small or absent FAZ maybe the result of preservation of the inner retinal layers. Visualacuity may be excellent despite the apparent lack of fovealdifferentiation. 


Keywords: retinopathy of prematurity • imaging methods (CT, FA, ICG, MRI, OCT, RTA, SLO, ultrasound) • macula/fovea 

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