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N Markomichelakis, P Zafirakis, P Gogas, I Chalkiadakis, P Theodossiadis, I Mallias, G Theodossiadis; The Role of Optical Coherence Tomography in Evaluation of Patients With Uveitis . Invest. Ophthalmol. Vis. Sci. 2002;43(13):4272.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To evaluate OCT as a diagnostic tool for intraocular inflammatory diseases. Methods: Twenty patients (pts) with know disease were evaluated with OCT. Five pts had retinitis (ARN and CMV), 5 pts retinochoroiditis (Toxoplasmosis), 5 pts retinal pigment epithelium inflammation (APMPPE, MEWDS) and 5 pts had choroiditis (Voght-Koyanagi-Harada disease, serpiginus). Furthermore, 15 pts with cystoid macular edema (CME), 10 pts with epiretinal membrane (ERM) formation, and 3 pts with exudative retinal detachment (ERD) were also evaluated. Fluorescein angiograpy was performed in all pts. Results: OCT can not localize the infiltrate to specific retinal layer in uveitis. However, OCT images were useful in confirming the diagnosis of CME, ERM, and ERD. Taking into account OCT is capable of providing objective and reproducible values of macular thickness it may be a particularly useful imaging technique to monitor the effectiveness of treatment regimens on CME. Conclusion: Although, OCT a non-contact, noninvasive imaging modality failed to correlate the anatomical level of the lesion in different uveitic entities, may provide useful information in making the diagnosis and managing CME, ERM, and ERD in patients with uveitis.
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