Evaluation of spectral domain and time domain optical coherence tomography findings in toxoplasmic retinochoroiditis

Bruno Diniz, Caio Regatieri, Rafael Andrade, Andre MaiaDepartment of Ophthalmology, Federal University of São Paulo, São Paulo, BrazilPurpose: To investigate spectral domain optical coherence tomography (SD-OCT) findings and compare them with time domain (TD)-OCT imagin...

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Autores principales: Diniz B, Regatieri C, Andrade R, Maia A
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Publicado: Dove Medical Press 2011
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spelling oai:doaj.org-article:ff463d43aa974cccb95c05792fa17c722021-12-02T00:30:19ZEvaluation of spectral domain and time domain optical coherence tomography findings in toxoplasmic retinochoroiditis1177-54671177-5483https://doaj.org/article/ff463d43aa974cccb95c05792fa17c722011-05-01T00:00:00Zhttp://www.dovepress.com/evaluation-of-spectral-domain-and-time-domain-optical-coherence-tomogr-a7479https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Bruno Diniz, Caio Regatieri, Rafael Andrade, Andre MaiaDepartment of Ophthalmology, Federal University of São Paulo, São Paulo, BrazilPurpose: To investigate spectral domain optical coherence tomography (SD-OCT) findings and compare them with time domain (TD)-OCT imaging of macula and retinochoroiditis lesions of patients with toxoplasmosis.Design: Prospective cross-sectional study.Methods: Ten eyes of 10 patients with active toxoplasmic retinochoroiditis were included. Morphologic features from the macula and retinochoroiditis lesions were obtained at baseline and at 6-week follow up. Scan acquisition protocols for TD-OCT included raster and radial lines through the retinochoroiditis lesion, fast macular, and a linear scan from the lesion to the fovea, whereas the acquisition protocols for SD-OCT also included horizontal volume scans at the lesion site and at the macula. Thickness measurements obtained by SD-OCT were analyzed.Results: At baseline, macular serous retinal detachment was observed in five patients; two of them only seen by SD-OCT. Retinochoroidal lesions were 4260 µm distant from the fovea on average (R = 681–7130) and this distance had an indirect correlation to the presence of macular detachment. Epiretinal membrane and vitreo-macular traction were also observed. The posterior hyaloid was not identified in four patients by TD-OCT and only in one by SD-OCT at baseline. Perilesional subretinal fluid was observed in two patients. The median retinal thickness significantly decreased at the retinochoroiditis lesion (P = 0.0004), and all the patients remained with disorganized retinal layers reflectivity at follow up.Conclusion: SD-OCT is a useful tool in the diagnosis of macular changes related with toxoplasmic retinochoroiditis. SD-OCT is superior in evaluating retinal changes associated with ocular toxoplasmosis.Keywords: toxoplasmosis, retinochoroiditis, optical coherence tomographyDiniz BRegatieri CAndrade RMaia ADove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 645-650 (2011)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Diniz B
Regatieri C
Andrade R
Maia A
Evaluation of spectral domain and time domain optical coherence tomography findings in toxoplasmic retinochoroiditis
description Bruno Diniz, Caio Regatieri, Rafael Andrade, Andre MaiaDepartment of Ophthalmology, Federal University of São Paulo, São Paulo, BrazilPurpose: To investigate spectral domain optical coherence tomography (SD-OCT) findings and compare them with time domain (TD)-OCT imaging of macula and retinochoroiditis lesions of patients with toxoplasmosis.Design: Prospective cross-sectional study.Methods: Ten eyes of 10 patients with active toxoplasmic retinochoroiditis were included. Morphologic features from the macula and retinochoroiditis lesions were obtained at baseline and at 6-week follow up. Scan acquisition protocols for TD-OCT included raster and radial lines through the retinochoroiditis lesion, fast macular, and a linear scan from the lesion to the fovea, whereas the acquisition protocols for SD-OCT also included horizontal volume scans at the lesion site and at the macula. Thickness measurements obtained by SD-OCT were analyzed.Results: At baseline, macular serous retinal detachment was observed in five patients; two of them only seen by SD-OCT. Retinochoroidal lesions were 4260 µm distant from the fovea on average (R = 681–7130) and this distance had an indirect correlation to the presence of macular detachment. Epiretinal membrane and vitreo-macular traction were also observed. The posterior hyaloid was not identified in four patients by TD-OCT and only in one by SD-OCT at baseline. Perilesional subretinal fluid was observed in two patients. The median retinal thickness significantly decreased at the retinochoroiditis lesion (P = 0.0004), and all the patients remained with disorganized retinal layers reflectivity at follow up.Conclusion: SD-OCT is a useful tool in the diagnosis of macular changes related with toxoplasmic retinochoroiditis. SD-OCT is superior in evaluating retinal changes associated with ocular toxoplasmosis.Keywords: toxoplasmosis, retinochoroiditis, optical coherence tomography
format article
author Diniz B
Regatieri C
Andrade R
Maia A
author_facet Diniz B
Regatieri C
Andrade R
Maia A
author_sort Diniz B
title Evaluation of spectral domain and time domain optical coherence tomography findings in toxoplasmic retinochoroiditis
title_short Evaluation of spectral domain and time domain optical coherence tomography findings in toxoplasmic retinochoroiditis
title_full Evaluation of spectral domain and time domain optical coherence tomography findings in toxoplasmic retinochoroiditis
title_fullStr Evaluation of spectral domain and time domain optical coherence tomography findings in toxoplasmic retinochoroiditis
title_full_unstemmed Evaluation of spectral domain and time domain optical coherence tomography findings in toxoplasmic retinochoroiditis
title_sort evaluation of spectral domain and time domain optical coherence tomography findings in toxoplasmic retinochoroiditis
publisher Dove Medical Press
publishDate 2011
url https://doaj.org/article/ff463d43aa974cccb95c05792fa17c72
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