Influence of Orthostasis and Daytime on Retinal Thickness in Uveitis-Associated Cystoid Macular Edema

Munk, Marion R.; Kiss, Christopher; Ekmekçioğlu, Cem; Huf, Wolfgang; Sulzbacher, Florian; Gerendas, Bianca S.; Simader, Christian; Schmidt‐Erfurth, Ursula

doi:10.3109/02713683.2013.845227

Cited by 4 publications

(1 citation statement)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several studies have identified significant diurnal variation of DME on OCT, with the zenith of edema occurring in the morning and tapering to a nadir as the day progresses [ 5 – 9 ]. Similar diurnal variation of macular edema is also seen on OCT in patients with branch and central retinal vein occlusions (RVO) and in patients with uveitis [ 10 , 11 ]. However, to our knowledge, no studies have investigated potential diurnal variation in eAMD.…”

Section: Introductionmentioning

confidence: 80%

Diurnal variation of optical coherence tomography–based macular fluid in exudative age-related macular degeneration

Fortes,

Fairbanks,

Nirmalan

et al. 2023

Int J Retin Vitr

View full text Add to dashboard Cite

Background Significant diurnal fluctuation of optical coherence tomography (OCT)-based macular fluid occurs in patients with several macular conditions including diabetic macular edema (DME) and cystoid macular edema due to retinal venous occlusion (RVO). OCT imaging and analysis of macular fluid status plays a central role in clinical management of exudative age-related macular degeneration (eAMD), however diurnal variation of eAMD OCT findings has not yet been formally studied. Herein, we investigate whether clinically meaningful fluctuation of OCT-based macular fluid occurs in patients with eAMD. Methods Prospective observational study. Patients with eAMD and intra- and/or sub-retinal fluid on early AM OCT were enrolled to receive two consecutive OCT scans at least four hours later. Retinal layers were manually segmented on all OCT rasters and AM-to-PM and PM-to-PM image pairs were analyzed for total retinal and neurosensory retinal volume changes within the central 1 and 3 mm ETDRS subfields. Finally, two masked retinal specialists analyzed all OCT image pairs for qualitative differences that may impact clinical management. Results 21 patients with eAMD and fluid on OCT were recruited between January 2020 and November 2021. There was no mean difference between AM and PM central 3 mm total retinal volume (p = 0.56), central 3 mm neurosensory retinal volume (p = 0.25), central 1 mm total retinal mean thickness (p = 0.96), or central 1 mm neurosensory retinal mean thickness (p = 0.63), nor were any differences identified in PM-to-PM control comparisons. Qualitative analysis by two masked experts identified no clinically significant differences between any AM-to-PM OCT image pairs. Conclusions No significant diurnal variation in OCT-based macular fluid or thickness was identified in patients with eAMD, either quantitatively or qualitatively.

show abstract