Abstract:The shifting characteristics of retinal vessel oxygen saturation suggest that the pathological mechanism of retinal oxygen metabolic disorder differs by age in patients with RP.
“…However, the fact that there was no significant difference between the peripapillary oxygen saturation in the UT vessels in the disc centred image and the saturation proximally from branches on the same vessels in images centred on the vascular arcades supports that illumination had not been a biasing factor for the calculation of saturation values. It has been shown that the calculation of saturation becomes unpredictable in thin and short vessel segments,20 and therefore, only vessels with a diameter larger than six pixels, with a diameter of at least 50% of their parent vessel, and vessel segments longer than 50 pixels were considered 13. It is unlikely that the conclusions of the study had been influenced by the selection of fundus images with this specific branching pattern.…”
The regional differences in retinal lesions in vision threatening diabetic retinopathy are not reflected in regional differences in the oxygen saturation of larger retinal vessels. The development of vision threatening diabetic retinopathy depends on other factors, such as, for example, regional differences in the retinal microcirculation.
“…However, the fact that there was no significant difference between the peripapillary oxygen saturation in the UT vessels in the disc centred image and the saturation proximally from branches on the same vessels in images centred on the vascular arcades supports that illumination had not been a biasing factor for the calculation of saturation values. It has been shown that the calculation of saturation becomes unpredictable in thin and short vessel segments,20 and therefore, only vessels with a diameter larger than six pixels, with a diameter of at least 50% of their parent vessel, and vessel segments longer than 50 pixels were considered 13. It is unlikely that the conclusions of the study had been influenced by the selection of fundus images with this specific branching pattern.…”
The regional differences in retinal lesions in vision threatening diabetic retinopathy are not reflected in regional differences in the oxygen saturation of larger retinal vessels. The development of vision threatening diabetic retinopathy depends on other factors, such as, for example, regional differences in the retinal microcirculation.
It becomes evident from our combined metabolic-structural approach that a prediction model, to identify which individual is at risk of developing a photoreceptor degeneration of RCD type, can be proposed. It will take into account the peripapillary retinal oxygen saturation, the retinal vessel diameter and the RNFL thickness values.
“…Several studies have found reduced oxygen saturation values in occluded arteries and veins [14–17] and increased venous oxygen saturation in patients with exudative age-related macular degeneration (AMD) [18], advanced primary open-angle glaucoma [19–21], diabetic retinopathy[22–24], and retinitis pigmentosa [25, 26]. For patients with retinitis pigmentosa, increased arterial oxygenation saturation and increased arteriovenous oxygen saturation differences have been observed, with age seemingly affecting these values [27, 28]. Another study on primary open-angle glaucoma [29] indicated no change in venous oxygen saturation.…”
We describe the hyperspectral Image Mapping Spectrometer (IMS) which is able to acquire spectral images of the retina with no scanning components. We then utilize this technology to obtain absolute oxygen saturation measurements in four patients with retinal diseases. The IMS acquires spatial and spectral information of a scene in a single camera exposure time. The IMS is attached to the port of a Topcon TRC-50EX funduscopic camera in order to acquire images. The IMS has high spatial (350×350) and spectral sampling (40), and avoids motion artifacts associated with eye movements. Oximetry values are obtained by measuring the absorption of retinal blood. Four patients with different retinal diseases were imaged via the IMS in this study. Oxygen saturation is calculated using a least squares fit applied to the whole blood oximetry equation. Oxygen saturation was found to be 88.6% (±1.9) and 34.1% (±7.0) for the artery and vein, respectively, in a patient with non-exudative age-related macular degeneration (AMD) with borderline glaucoma, 100.0% (±0.0) and 50.4% (±8.2) in a patient with exudative AMD, 100.0% (±0.0) and 45.2% (±7.0) in a patient with retinitis pigmentosa, and 94.1% (±2.5) and 44.9% (±5.6) in a patient with chronic iridocyclitis. These values are consistent with previously published data. Based on spatial and spectral data, we created an oxygen saturation map with oxygenation data overlying retinal vasculature. Hyperspectral imaging may be a promising way to measure retinal oxygen saturation. IMS technology is advantageous in its ability to obtain images free of motion artifacts.
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