Severe macular complications in glaucoma: high-resolution multimodal imaging characteristics and review of the literature

被引:5
作者
Lama, Hugo [1 ]
Paques, Michel [2 ]
Brasnu, Emmanuelle [2 ]
Vu, Jade [1 ,3 ]
Chaumette, Celine [2 ]
Dupas, Benedicte [1 ]
Fardeau, Christine [1 ,4 ]
Chehaibou, Ismael [3 ]
Rouland, Jean-Francois [5 ]
Besombes, Guillaume [5 ]
Labetoulle, Marc [1 ]
Labbe, Antoine [2 ]
Rousseau, Antoine [1 ]
机构
[1] Univ Paris Saclay, AP HP, Dept Ophthalmol, 78 Rue Gen Leclerc, F-94275 Le Kremlin Bicetre, France
[2] Quinze Vingts Natl Eye Hosp, Dept Ophthalmol, IHU Foresight, Paris, France
[3] AP HP, Ophtalmopole Cochin, Paris, France
[4] Hop La Pitie Salpetriere, AP HP, Dept Ophthalmol, Paris, France
[5] Hop Claude Huriez, Dept Ophthalmol, CHRU, Lille, France
关键词
Adaptive optics; Glaucoma; High-resolution imaging; Macular edema; Retinoschisis; Serous retinal detachment; LAMINA-CRIBROSA DEFECTS; LONG-TERM OUTCOMES; PERIPAPILLARY RETINOSCHISIS; SEROUS DETACHMENT; OPTIC NEUROPATHY; VITRECTOMY; PIT; MACULOPATHY; SCHISIS; EYES;
D O I
10.1186/s12886-023-03068-z
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
PurposeTo describe imaging characteristics of severe macular complications occurring in glaucoma and discuss available treatments.MethodsRetrospective case series of glaucomatous patients with macular retinoschisis (MR) and/or serous retinal detachment (SRD). Patients underwent a complete ophthalmological examination and multimodal imaging including retinography, SD-OCT, fluorescein and indocyanine green angiography (FA & ICGA) and adaptive optics (AO).ResultsTen eyes (8 patients) were included. Initial BCVA was 1.04 & PLUSMN; 1.12 logMAR and IOP was 24.0 & PLUSMN; 9.3mmHg. All eyes presented with MR while SRD was present in 5 eyes (5 patients), with a central macular thickness of 573 & PLUSMN; 152 & mu;m. FA and ICGA allowed to exclude leakage in all cases. A focal lamina cribrosa defect (LCD) was found in four eyes (4 patients) using OCT, with AO providing en-face visualization of the defect in one eye. Outer retinal hole was present in 3 eyes (3 patients). No visual improvement or resolution of the macular retinoschisis was observed in eyes with medical or surgical IOP control (N = 9). Vitrectomy with internal membrane limiting peeling and gas tamponade was performed in one eye with good visual results.ConclusionsMultimodal high-resolution imaging is essential to diagnose severe macular complications associated with advanced glaucoma.
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页数:11
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