“En-Face” Spectral-Domain Optical Coherence Tomography Findings in Multiple Evanescent White Dot Syndrome
Purpose. The recent use of “en-face” enhanced-depth imaging spectral-domain optical coherence tomography (EDI SD-OCT) helps distinguish the retinal layers involved in the physiopathology of multiple evanescent white dot syndrome (MEWDS). Methods. Four patients presenting with MEWDS underwent a compr...
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Language: | English |
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Wiley
2014-01-01
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Series: | Journal of Ophthalmology |
Online Access: | http://dx.doi.org/10.1155/2014/928028 |
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author | Flore De bats Benjamin Wolff Vivien Vasseur Aude Affortit Laurent Kodjikian José-Alain Sahel Martine Mauget-faÿsse |
author_facet | Flore De bats Benjamin Wolff Vivien Vasseur Aude Affortit Laurent Kodjikian José-Alain Sahel Martine Mauget-faÿsse |
author_sort | Flore De bats |
collection | DOAJ |
description | Purpose. The recent use of “en-face” enhanced-depth imaging spectral-domain optical coherence tomography (EDI SD-OCT) helps distinguish the retinal layers involved in the physiopathology of multiple evanescent white dot syndrome (MEWDS). Methods. Four patients presenting with MEWDS underwent a comprehensive ocular examination including C-scan (“en-face”) EDI SD-OCT at the initial visit and during follow-up. Results. C-scans combined with the other multimodal imaging enabled the visualization of retinal damage. Acute lesions appeared as diffuse and focal disruptions occurring in the ellipsoid and interdigitation zones. The match between autofluorescence imaging, indocyanine green angiography, and “en-face” OCT helped identify the acute microstructural damages in the outer retina further than the choroid. Follow-up using “en-face” EDI-OCT revealed progressive and complete recovery of the central outer retinal layers. Conclusion. “En-face” EDI SD-OCT identified the site of initial damage in MEWDS as the photoreceptors and the interdigitation layers rather than the choroid. Moreover, “en-face” OCT is helpful in the follow-up of these lesions by being able to show the recovery of the outer retinal layers. |
format | Article |
id | doaj-art-ab24892d9c604cbfa963c083e23448f7 |
institution | Kabale University |
issn | 2090-004X 2090-0058 |
language | English |
publishDate | 2014-01-01 |
publisher | Wiley |
record_format | Article |
series | Journal of Ophthalmology |
spelling | doaj-art-ab24892d9c604cbfa963c083e23448f72025-02-03T05:53:23ZengWileyJournal of Ophthalmology2090-004X2090-00582014-01-01201410.1155/2014/928028928028“En-Face” Spectral-Domain Optical Coherence Tomography Findings in Multiple Evanescent White Dot SyndromeFlore De bats0Benjamin Wolff1Vivien Vasseur2Aude Affortit3Laurent Kodjikian4José-Alain Sahel5Martine Mauget-faÿsse6Department of Ophthalmology, Croix-Rousse University Hospital, Hospices Civils de Lyon, University of Medicine Lyon 1, 103 Grande rue de la Croix Rousse, 69317 Lyon Cedex 04, FranceProfessor Sahel Department, Rothschild Ophthalmologic Foundation, 25 rue Manin, 75019 Paris, FranceProfessor Sahel Department, Rothschild Ophthalmologic Foundation, 25 rue Manin, 75019 Paris, FranceProfessor Sahel Department, Rothschild Ophthalmologic Foundation, 25 rue Manin, 75019 Paris, FranceDepartment of Ophthalmology, Croix-Rousse University Hospital, Hospices Civils de Lyon, University of Medicine Lyon 1, 103 Grande rue de la Croix Rousse, 69317 Lyon Cedex 04, FranceProfessor Sahel Department, Rothschild Ophthalmologic Foundation, 25 rue Manin, 75019 Paris, FranceProfessor Sahel Department, Rothschild Ophthalmologic Foundation, 25 rue Manin, 75019 Paris, FrancePurpose. The recent use of “en-face” enhanced-depth imaging spectral-domain optical coherence tomography (EDI SD-OCT) helps distinguish the retinal layers involved in the physiopathology of multiple evanescent white dot syndrome (MEWDS). Methods. Four patients presenting with MEWDS underwent a comprehensive ocular examination including C-scan (“en-face”) EDI SD-OCT at the initial visit and during follow-up. Results. C-scans combined with the other multimodal imaging enabled the visualization of retinal damage. Acute lesions appeared as diffuse and focal disruptions occurring in the ellipsoid and interdigitation zones. The match between autofluorescence imaging, indocyanine green angiography, and “en-face” OCT helped identify the acute microstructural damages in the outer retina further than the choroid. Follow-up using “en-face” EDI-OCT revealed progressive and complete recovery of the central outer retinal layers. Conclusion. “En-face” EDI SD-OCT identified the site of initial damage in MEWDS as the photoreceptors and the interdigitation layers rather than the choroid. Moreover, “en-face” OCT is helpful in the follow-up of these lesions by being able to show the recovery of the outer retinal layers.http://dx.doi.org/10.1155/2014/928028 |
spellingShingle | Flore De bats Benjamin Wolff Vivien Vasseur Aude Affortit Laurent Kodjikian José-Alain Sahel Martine Mauget-faÿsse “En-Face” Spectral-Domain Optical Coherence Tomography Findings in Multiple Evanescent White Dot Syndrome Journal of Ophthalmology |
title | “En-Face” Spectral-Domain Optical Coherence Tomography Findings in Multiple Evanescent White Dot Syndrome |
title_full | “En-Face” Spectral-Domain Optical Coherence Tomography Findings in Multiple Evanescent White Dot Syndrome |
title_fullStr | “En-Face” Spectral-Domain Optical Coherence Tomography Findings in Multiple Evanescent White Dot Syndrome |
title_full_unstemmed | “En-Face” Spectral-Domain Optical Coherence Tomography Findings in Multiple Evanescent White Dot Syndrome |
title_short | “En-Face” Spectral-Domain Optical Coherence Tomography Findings in Multiple Evanescent White Dot Syndrome |
title_sort | en face spectral domain optical coherence tomography findings in multiple evanescent white dot syndrome |
url | http://dx.doi.org/10.1155/2014/928028 |
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