Stratus optical coherence tomography findings in patients with retinopathy of prematurity

Lago, Aline do; Matieli, Licia C V; Gomes, Michele Zukauskas de Andrade; Baba, Natalia Tamie; Farah, Michel Eid; Belfort, Rubens; Moraes, Nilva Simeren Bueno de

doi:10.1590/s0004-27492007000100004

Cited by 15 publications

(7 citation statements)

References 6 publications

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“…Furthermore, previous studies reporting the SD-OCT findings of premature infants did not document this phenomenon. [4][5][6][7][8][9][10]21 Infants with bilateral subretinal fluid did not significantly differ from infants without bilateral subretinal fluid in the prevalence of persistent inner retinal layers at the foveal center, an important sign of premature retinal development [26][27][28] .…”

Section: Discussionmentioning

confidence: 91%

“…1 Hand-held OCT is well tolerated by children and infants, and is more sensitive than clinical examination in detecting macular pathology. 2,3 OCT has been used to identify clinically important retinal pathologies in premature infants, including retinoschisis, [4][5][6] foveal hypoplasia, 6,7 intraretinal cysts, 6,8 preretinal neovascularization, 5,9 and retinal detachment. 5,10 Macular holes, 11 hemorrhagic retinoschisis, 12,13 vitreoretinal traction and epiretinal membranes 11,12 were identified in Shaken Baby Syndrome using OCT, and in some cases influenced surgical management.…”

Section: Introductionmentioning

confidence: 99%

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Subfoveal fluid in healthy full-term newborns observed by handheld spectral domain optical coherence tomography

Cabrera¹,

O’Connell²,

Toth³

et al. 2012

Journal of American Association for Pediatric Ophthalmology and

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Purpose-To report retinal findings for healthy newborn infants imaged with hand held Spectral Domain Optical Coherence Tomography (SD-OCT). Design-Prospective observational case series.Methods-Thirty-nine full term newborn infants had dilated retinal examinations by indirect ophthalmoscopy and retinal imaging by handheld SD-OCT, without sedation, at the Duke Birthing Center.Results-Of the 39 infants imaged, 44% (17/39) were male. Race/ethnicity composition was 56% white, 38% black, 3% Asian, and 3% Hispanic. Median gestational age was 39 weeks (range 36 to 41). Six of the 39 infants (15%) had bilateral subfoveal fluid on SD-OCT not seen by indirect ophthalmoscopy. Eight infants (21%) had retinal hemorrhages noted on dilated retinal examination, 1 of which had subretinal fluid on SD-OCT. Subretinal fluid was noted on follow up examination to have resolved on SD-OCT 1 to 4 months later. Infants with bilateral subretinal fluid had an older gestational age compared to infants without subretinal fluid (median 40.4 vs. 39.1 weeks, respectively, P=0.03) and were more likely to have had mothers with diabetes (2/6 vs. 0/33, respectively, P=0.02). Vaginal versus C-section delivery was not significantly different between the two groups.Conclusions-Some healthy full term infants have bilateral subfoveal fluid not obvious on dilated retinal examination. This fluid resolves within several months. The visual significance of this finding is unknown, but clinicians should be aware it is common when evaluating newborn infants for retinal pathology using SD-OCT.

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Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Subfoveal fluid in healthy full-term newborns observed by handheld spectral domain optical coherence tomography

Cabrera¹,

O’Connell²,

Toth³

et al. 2012

Journal of American Association for Pediatric Ophthalmology and

View full text Add to dashboard Cite

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“…In the pediatric population, reports using a posterior segment OCT system (820 nm) demonstrated mean values to the foveal thickness (186 microns) and nervous fiber layer thickness (108.27 microns), additionally allowing an analysis of the optical disc [8, 9] and a detailed morphological description of the macula in premature children [10]. The observation of prevalent intraocular tumors and simulatory lesions in children was also validated with posterior segment OCT method [5, 11].…”

Section: Discussionmentioning

confidence: 99%

Application of Anterior Segment Optical Coherence Tomography in Pediatric Ophthalmology

Cauduro

Ferraz²,

Morales

et al. 2012

Journal of Ophthalmology

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Purpose. Application of anterior segment optical coherence (AS-OCT) in pediatric ophthalmology. Methods. Retrospective clinical study case series of 26 eyes of 19 pediatric patients throughout a 21-month period, presenting anterior segment pathologies, were submitted to AS-OCT examination (OCT Visante, 1310 nm, Zeiss), noncontact technique, no sedation requirement. Results. AS-OCT images were obtained from 19 patients (range: 2 months to 12 years). Clinical diagnosis of anterior segment abnormalities included cornea disease (n = 7), congenital anterior segment conditions (n = 10), ocular trauma (n = 1), anterior segment surgeries (n = 2), iridocorneal angle abnormalities (n = 4), intermediate uveitis (n = 2). The most common OCT findings were corneal hyperreflectivity and thickening (n = 15), shallow anterior chamber with iris-lens diaphragm anterior displacement (n = 4), atypical corneal curvature (n = 4), corneal thinning (n = 4), peripheral synechiae with angle closure (n = 3), increased anterior chamber depth (n = 2), and proximal portion of glaucoma drainage tube (n = 2). Conclusion. In the present study, noncontact AS-OCT demonstrated to be a feasible technique to evaluate the anterior segment providing anatomic details and useful to clarify diagnosis in the pediatric population.

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“…OCT has been used to identify clinically important retinal pathologies in premature infants, including retinoschisis, 4–6 foveal hypoplasia, 6, 7 intraretinal cysts, 6, 8 preretinal neovascularization, 5, 9 and retinal detachment. 5, 10 Macular holes, 11 hemorrhagic retinoschisis, 12, 13 vitreoretinal traction and epiretinal membranes 11, 12 were identified in Shaken Baby Syndrome using OCT, and in some cases influenced surgical management.…”

Section: Introductionmentioning

confidence: 99%

Subfoveal Fluid in Healthy Full-term Newborns Observed by Handheld Spectral-Domain Optical Coherence Tomography

Cabrera¹,

Maldonado²,

Toth³

et al. 2012

American Journal of Ophthalmology

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Purpose To report retinal findings for healthy newborn infants imaged with hand held Spectral Domain Optical Coherence Tomography (SD-OCT). Design Prospective observational case series. Methods Thirty-nine full term newborn infants had dilated retinal examinations by indirect ophthalmoscopy and retinal imaging by handheld SD-OCT, without sedation, at the Duke Birthing Center. Results Of the 39 infants imaged, 44% (17/39) were male. Race/ethnicity composition was 56% white, 38% black, 3% Asian, and 3% Hispanic. Median gestational age was 39 weeks (range 36 to 41). Six of the 39 infants (15%) had bilateral subfoveal fluid on SD-OCT not seen by indirect ophthalmoscopy. Eight infants (21%) had retinal hemorrhages noted on dilated retinal examination, 1 of which had subretinal fluid on SD-OCT. Subretinal fluid was noted on follow up examination to have resolved on SD-OCT 1 to 4 months later. Infants with bilateral subretinal fluid had an older gestational age compared to infants without subretinal fluid (median 40.4 vs. 39.1 weeks, respectively, P=0.03) and were more likely to have had mothers with diabetes (2/6 vs. 0/33, respectively, P=0.02). Vaginal versus C-section delivery was not significantly different between the two groups. Conclusions Some healthy full term infants have bilateral subfoveal fluid not obvious on dilated retinal examination. This fluid resolves within several months. The visual significance of this finding is unknown, but clinicians should be aware it is common when evaluating newborn infants for retinal pathology using SD-OCT.

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Stratus optical coherence tomography findings in patients with retinopathy of prematurity

Cited by 15 publications

References 6 publications

Subfoveal fluid in healthy full-term newborns observed by handheld spectral domain optical coherence tomography

Subfoveal fluid in healthy full-term newborns observed by handheld spectral domain optical coherence tomography

Application of Anterior Segment Optical Coherence Tomography in Pediatric Ophthalmology

Subfoveal Fluid in Healthy Full-term Newborns Observed by Handheld Spectral-Domain Optical Coherence Tomography

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