Spectral-domain optical coherence tomography for evaluating palisades of Vogt in ocular surface disorders with limbal involvement

Abstract Spectral-domain optical coherence tomography (SD-OCT) has been used to observe the morphology of the palisades of Vogt (POV) with satisfactory resolutions. In this study, we used SD-OCT to examine the microstructure of the POV in ocular surface disorders with limbal involvement. We detect s...

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Autores principales: Ying-Yi Chen, Yi-Chen Sun, Chia-Ying Tsai, Hsiao-Sang Chu, Jo-Hsuan Wu, Huai-Wen Chang, Wei-Li Chen
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/f273f3c6d9174b13a20457ddbe87090f
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spelling oai:doaj.org-article:f273f3c6d9174b13a20457ddbe87090f2021-12-02T17:41:10ZSpectral-domain optical coherence tomography for evaluating palisades of Vogt in ocular surface disorders with limbal involvement10.1038/s41598-021-91999-22045-2322https://doaj.org/article/f273f3c6d9174b13a20457ddbe87090f2021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-91999-2https://doaj.org/toc/2045-2322Abstract Spectral-domain optical coherence tomography (SD-OCT) has been used to observe the morphology of the palisades of Vogt (POV) with satisfactory resolutions. In this study, we used SD-OCT to examine the microstructure of the POV in ocular surface disorders with limbal involvement. We detect subclinical limbal pathologies based on five parameters, including (1) decreased epithelial thickness, (2) loss of the sharp stromal tip, (3) loss of the smooth epithelial-stromal interface, (4) dilated stromal vessels, and (5) decreased POV density. Eighteen eyes of 10 patients with advancing wavelike epitheliopathy (AWE) and 15 eyes of 9 patients with phlyctenular keratitis/ocular rosacea were recruited. SD-OCT could detect abnormal changes in the POV in 100% of the lesion sites. In presumed-healthy areas of the diseased eyes diagnosed by slit-lamp biomicroscopy, SD-OCT detected abnormal changes in the POV in 100% of the eyes in both groups. In patients with unilateral disease, abnormal changes in the POV were detected by SD-OCT in 50% and 100% of presumed-healthy eyes diagnosed by slit-lamp biomicroscopy in the AWE group and phlyctenular keratitis/ocular rosacea group, respectively. SD-OCT is powerful in detecting POV changes in ocular surface disorders and can provide useful information that cannot be provided by slit-lamp biomicroscopy.Ying-Yi ChenYi-Chen SunChia-Ying TsaiHsiao-Sang ChuJo-Hsuan WuHuai-Wen ChangWei-Li ChenNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Ying-Yi Chen
Yi-Chen Sun
Chia-Ying Tsai
Hsiao-Sang Chu
Jo-Hsuan Wu
Huai-Wen Chang
Wei-Li Chen
Spectral-domain optical coherence tomography for evaluating palisades of Vogt in ocular surface disorders with limbal involvement
description Abstract Spectral-domain optical coherence tomography (SD-OCT) has been used to observe the morphology of the palisades of Vogt (POV) with satisfactory resolutions. In this study, we used SD-OCT to examine the microstructure of the POV in ocular surface disorders with limbal involvement. We detect subclinical limbal pathologies based on five parameters, including (1) decreased epithelial thickness, (2) loss of the sharp stromal tip, (3) loss of the smooth epithelial-stromal interface, (4) dilated stromal vessels, and (5) decreased POV density. Eighteen eyes of 10 patients with advancing wavelike epitheliopathy (AWE) and 15 eyes of 9 patients with phlyctenular keratitis/ocular rosacea were recruited. SD-OCT could detect abnormal changes in the POV in 100% of the lesion sites. In presumed-healthy areas of the diseased eyes diagnosed by slit-lamp biomicroscopy, SD-OCT detected abnormal changes in the POV in 100% of the eyes in both groups. In patients with unilateral disease, abnormal changes in the POV were detected by SD-OCT in 50% and 100% of presumed-healthy eyes diagnosed by slit-lamp biomicroscopy in the AWE group and phlyctenular keratitis/ocular rosacea group, respectively. SD-OCT is powerful in detecting POV changes in ocular surface disorders and can provide useful information that cannot be provided by slit-lamp biomicroscopy.
format article
author Ying-Yi Chen
Yi-Chen Sun
Chia-Ying Tsai
Hsiao-Sang Chu
Jo-Hsuan Wu
Huai-Wen Chang
Wei-Li Chen
author_facet Ying-Yi Chen
Yi-Chen Sun
Chia-Ying Tsai
Hsiao-Sang Chu
Jo-Hsuan Wu
Huai-Wen Chang
Wei-Li Chen
author_sort Ying-Yi Chen
title Spectral-domain optical coherence tomography for evaluating palisades of Vogt in ocular surface disorders with limbal involvement
title_short Spectral-domain optical coherence tomography for evaluating palisades of Vogt in ocular surface disorders with limbal involvement
title_full Spectral-domain optical coherence tomography for evaluating palisades of Vogt in ocular surface disorders with limbal involvement
title_fullStr Spectral-domain optical coherence tomography for evaluating palisades of Vogt in ocular surface disorders with limbal involvement
title_full_unstemmed Spectral-domain optical coherence tomography for evaluating palisades of Vogt in ocular surface disorders with limbal involvement
title_sort spectral-domain optical coherence tomography for evaluating palisades of vogt in ocular surface disorders with limbal involvement
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/f273f3c6d9174b13a20457ddbe87090f
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