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Curbside Consultation in Neuro-Ophthalmology

Clinical Science

Retinal Angiomatous Proliferation: Morphological Changes Assessed by Stratus and Cirrus OCT

Ophthalmic Surgery, Lasers and Imaging   Vol. 40   No. 3   May/June 2009
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Ilse Krebs, MD; Carl Glittenberg, MD; Stefan Hagen, MD; Paulina Haas, MD and Susanne Binder, MD

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BACKGROUND AND OBJECTIVE

Spectral domain optical coherence tomography (SD-OCT) should be used to examine lesions containing retinal angiomatous proliferation (RAP) to achieve a better understanding of the origin of this pathology.

PATIENTS AND METHODS

In this prospective, observational case series, patients with RAP underwent retinal thickness imaging with Stratus OCT and cube 200 × 200 imaging with Cirrus OCT.

RESULTS

A total of 12 eyes from 11 patients were included in the study. Of these, eight eyes had stage III RAP and four eyes had stage II RAP. Cirrus OCT detected the hyperreflective area corresponding to the neovascularization in all 12 eyes and Stratus OCT detected this pathology in 10 of the 12 eyes. All stage III lesions contained a retinal pigment epithelial break, which was more visible in the 200 × 200 scans obtained from Cirrus OCT compared with six radial scan lines obtained from Stratus OCT.

CONCLUSION

Cirrus OCT had considerable advantages compared with Stratus OCT, particularly in investigation of juxtafoveal pathology.

[Ophthalmic Surg Lasers Imaging 2009;40:285-289.]

AUTHORS

From The Ludwig Boltzmann Institute for Retinology and Biomicroscopic Laser Surgery, Vienna, Austria (IK, CG, SH, PH, SB); and the Department of Ophthalmology, Rudolph Foundation Clinic, Vienna, Austria (IK, CG, SB). Professor Dr. Susanne Binder is the chair of The Ludwig Boltzmann Institute for Retinology and Biomicroscopic Laser Surgery and the Department of Ophthalmology, Rudolph Foundation Clinic.

Accepted for publication March 14, 2008.

The Cirrus OCT was loaned to the Rudolf Foundation Clinic by Carl Zeiss Meditec, Inc., Dublin, CA.

Supported by an unrestricted research grant from the L. Boltzmann Institute to Dr. Binder.

The authors have no financial or proprietary interest in the materials presented herein.

Address correspondence to Ilse Krebs, MD, Department of Ophthalmology, Rudolf Foundation Clinic, Juchgasse 25, 1030 Vienna, Austria.

doi: 10.9999/15428877-20090430-10

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