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Lopez JM, Rabinovich M, Colantuono D, Souied EH. Multimodal and retro-mode imaging in sclerochoroidal calcification: A case report. Arch Soc Esp Oftalmol (Engl Ed) 2024:S2173-5794(24)00025-2. [PMID: 38342228 DOI: 10.1016/j.oftale.2024.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Accepted: 12/29/2023] [Indexed: 02/13/2024]
Abstract
We present a case report on sclerochoroidal calcification (SCC), a rare condition involving calcium pyrophosphate deposits in the posterior pole of the eye in a 70-year-old patient. We provide an account of the clinical presentation and its appearance in multimodal images, using color fundus photography, swept-source optical coherence tomography (SS-OCT), ocular ultrasound, and the novel retro-mode imaging (RMI) technique. Visual acuity was 20/25 in the right eye (OD) and 20/20 in the left eye (OS). Color fundus photography revealed yellowish deposits located in the upper temporal arcade of both eyes. SS-OCT demonstrated masses of scleral origin. Ocular ultrasounds confirmed the calcification of these masses. RMI detected hyper-reflective images with marked superficial elevation. Systemic laboratory results did not detect any abnormalities, leading to the diagnosis of bilateral idiopathic SCC.
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Affiliation(s)
- J M Lopez
- Institut Català de Retina, Barcelona, Spain; Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France.
| | - M Rabinovich
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | - D Colantuono
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | - E H Souied
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France
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Lopez JM, Miere A, Rabinovic M, Mehanna CJ, Crincoli E, Colantuono D, Souied EH. Torpedo maculopathy: multimodal and retromodal imaging. Can J Ophthalmol 2024; 59:e96-e99. [PMID: 37956970 DOI: 10.1016/j.jcjo.2023.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Revised: 09/18/2023] [Accepted: 10/04/2023] [Indexed: 11/21/2023]
Affiliation(s)
- Juan Manuel Lopez
- Centre Hospitalier Intercommunal de Créteil, University Paris Est Créteil, Créteil, France; Institut Català de Retina, Barcelona, Spain.
| | - Alexandra Miere
- Centre Hospitalier Intercommunal de Créteil, University Paris Est Créteil, Créteil, France
| | - Mark Rabinovic
- Centre Hospitalier Intercommunal de Créteil, University Paris Est Créteil, Créteil, France
| | - Carl-Joe Mehanna
- Centre Hospitalier Intercommunal de Créteil, University Paris Est Créteil, Créteil, France
| | - Emanuele Crincoli
- Centre Hospitalier Intercommunal de Créteil, University Paris Est Créteil, Créteil, France
| | - Donato Colantuono
- Centre Hospitalier Intercommunal de Créteil, University Paris Est Créteil, Créteil, France
| | - Eric H Souied
- Centre Hospitalier Intercommunal de Créteil, University Paris Est Créteil, Créteil, France
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Lopez JM, Rabinovic M, Mehanna CJ, Ricciotti G, Colantuono D, Souied EH. Acute zonal occult outer retinopathy (AZOOR): Case report with confocal scanning laser ophthalmoscopy retromode imaging. J Fr Ophtalmol 2024; 47:103930. [PMID: 37648550 DOI: 10.1016/j.jfo.2023.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Revised: 07/29/2023] [Accepted: 08/02/2023] [Indexed: 09/01/2023]
Affiliation(s)
- J M Lopez
- Department of Ophthalmology, centre hospitalier intercommunal de Créteil, University Paris Est Créteil, 40, avenue de Verdun, 94000 Créteil, France; Institut Català de Retina, C/de Ganduxer, 117, 08022 Barcelona, Spain.
| | - M Rabinovic
- Department of Ophthalmology, centre hospitalier intercommunal de Créteil, University Paris Est Créteil, 40, avenue de Verdun, 94000 Créteil, France
| | - C J Mehanna
- Department of Ophthalmology, centre hospitalier intercommunal de Créteil, University Paris Est Créteil, 40, avenue de Verdun, 94000 Créteil, France
| | - G Ricciotti
- Department of Ophthalmology, centre hospitalier intercommunal de Créteil, University Paris Est Créteil, 40, avenue de Verdun, 94000 Créteil, France
| | - D Colantuono
- Department of Ophthalmology, centre hospitalier intercommunal de Créteil, University Paris Est Créteil, 40, avenue de Verdun, 94000 Créteil, France
| | - E H Souied
- Department of Ophthalmology, centre hospitalier intercommunal de Créteil, University Paris Est Créteil, 40, avenue de Verdun, 94000 Créteil, France
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Ricciotti G, Miere A, Colantuono D, Souied EH. Optic Disc Drusen Using Retromode Scanning Laser Ophthalmoscopy. J Neuroophthalmol 2023:00041327-990000000-00495. [PMID: 37938040 DOI: 10.1097/wno.0000000000002035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2023]
Affiliation(s)
- Guido Ricciotti
- Department of Ophthalmology (GR, AM, DC, EHS), Centre Hospitalier Intercommunal de Creteil, Verdun, France; and Ophthalmology Unit (GR), University Hospital of Parma, Parma, Italy
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Bistour A, Mehanna CJ, Chuttarsing B, Colantuono D, Amoroso F, Beaumont W, Matri KE, Souied EH, Miere A. Widefield oct-angiography-based classification of sickle cell retinopathy. Graefes Arch Clin Exp Ophthalmol 2023; 261:2805-2812. [PMID: 37219613 DOI: 10.1007/s00417-023-06115-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Revised: 04/24/2023] [Accepted: 05/10/2023] [Indexed: 05/24/2023] Open
Abstract
PURPOSE To assess the capillary non-perfusion in different concentric sectors on widefield optical coherence tomography angiography (WF-OCTA) and to correlate the ratio of non-perfusion (RNP) to the severity of sickle cell retinopathy (SCR). METHODS This retrospective, cross-sectional study included eyes of patients with various sickle cell disease (SCD) genotypes having undergone WF-OCTA and ultra-widefield color fundus photography (UWF-CFP). Eyes were grouped as no SCR, non-proliferative SCR or proliferative SCR. RNP was assessed on WF-OCTA montage in different field-of-view (FOV) sectors centered on the fovea: 0-10-degrees circle excluding the foveal avascular zone, the 10-30-degrees circle excluding the optic nerve, the 30-60-degrees circle, and the full 60-degrees circle. RESULTS Forty-two eyes of twenty-eight patients were included. Within each SCR group, mean RNP of the FOV 30-60 sector was higher than all other sectors (p < 0.05). Mean RNP of all sectors were significatively different between no SCR group and proliferative SCR group (p < 0.05). To distinguish no SCR versus non-proliferative SCR FOV 30-60 had a good sensitivity and specificity of 41.67% and 93.33%, respectively (cutoff RNP > 22.72%, AUC = 0.75, 95% CI 0.56-0.94, p = 0.028). To differentiate non-proliferative versus proliferative SCR, FOV 0-10 had good sensitivity and specificity of 33.33% and 91.67%, respectively (cutoff RNP > 18.09, AUC = 0.73, 95% CI 0.53 to 0.93, p = 0.041). To discern no SCR versus proliferative SCR, all sectors had optimal sensitivity and specificity (p < 0.05). CONCLUSION WF OCTA-based RNP provides non-invasive diagnostic information regarding the presence and severity of SCR, and correlates with disease stage in certain FOV sectors.
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Affiliation(s)
- Anna Bistour
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Université de Paris Est Créteil, 40 Avenue de Verdun, 94000, Créteil, France
- Faculty of Medicine, Sorbonne University, Paris, France
| | - Carl-Joe Mehanna
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Université de Paris Est Créteil, 40 Avenue de Verdun, 94000, Créteil, France
| | | | - Donato Colantuono
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Université de Paris Est Créteil, 40 Avenue de Verdun, 94000, Créteil, France
| | - Francesca Amoroso
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Université de Paris Est Créteil, 40 Avenue de Verdun, 94000, Créteil, France
| | - William Beaumont
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Université de Paris Est Créteil, 40 Avenue de Verdun, 94000, Créteil, France
| | - Khaled El Matri
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Université de Paris Est Créteil, 40 Avenue de Verdun, 94000, Créteil, France
- Department B, Institut Hédi Rais D'ophtalmologie de Tunis, 1007, Tunis, Tunisia
| | - Eric H Souied
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Université de Paris Est Créteil, 40 Avenue de Verdun, 94000, Créteil, France
| | - Alexandra Miere
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Université de Paris Est Créteil, 40 Avenue de Verdun, 94000, Créteil, France.
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Benlahbib M, Cohen SY, Torrell N, Colantuono D, Crincoli E, Amoroso F, Semoun O, Jung C, Souied EH. PHOTOBIOMODULATION THERAPY FOR LARGE SOFT DRUSEN AND DRUSENOID PIGMENT EPITHELIAL DETACHMENT IN AGE-RELATED MACULAR DEGENERATION: A Single-Center Prospective Pilot Study. Retina 2023; 43:1246-1254. [PMID: 37027819 DOI: 10.1097/iae.0000000000003805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/09/2023]
Abstract
PURPOSE To evaluate visual acuity and morphologic changes after photobiomodulation (PBM) for patients affected with large soft drusen and/or drusenoid pigment epithelial detachment associated with dry age-related macular degeneration. METHOD Twenty eyes with large soft drusen and/or drusenoid pigment epithelial detachment age-related macular degeneration were included and treated using the LumiThera Valeda Light Delivery System. All patients underwent two treatments per week for 5 weeks. Outcome measures included best-corrected visual acuity, microperimetry-scotopic testing, drusen volume, central drusen thickness, and quality of life score at baseline and month 6 (M6) follow-up. Data of best-corrected visual acuity, drusen volume, and central drusen thickness were also recorded at week 5 (W5). RESULTS Best-corrected visual acuity significantly improved at M6 with a mean score gain of 5.5 letters ( P = 0.007). Retinal sensitivity decreased by 0.1 dB ( P = 0.17). The mean fixation stability increased by 0.45% ( P = 0.72). Drusen volume decreased by 0.11 mm 3 ( P = 0.03). Central drusen thickness was reduced by a mean of 17.05 µ m ( P = 0.01). Geographic atrophy area increased by 0.06 mm 2 ( P = 0.01) over a 6-month follow-up, and quality of life score increased by 3,07 points on average ( P = 0.05). One patient presented a drusenoid pigment epithelial detachment rupture at M6 after PBM treatment. CONCLUSION The visual and anatomical improvements in our patients support previous reports on PBM. PBM may provide a valid therapeutic option for large soft drusen and drusenoid pigment epithelial detachment age-related macular degeneration and may potentially slow the natural course of the disease.
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Affiliation(s)
- Manal Benlahbib
- Department of Ophthalmology, Department of Ophthalmology, Centre Hospitaliser Intercommunal de Creteil, University of Paris Est-Creteil, Creteil, France
| | - Salomon Yves Cohen
- Department of Ophthalmology, Department of Ophthalmology, Centre Hospitaliser Intercommunal de Creteil, University of Paris Est-Creteil, Creteil, France
- Ophthalmology Center for Imaging and Laser, Paris, France; and
| | - Nuria Torrell
- Department of Ophthalmology, Department of Ophthalmology, Centre Hospitaliser Intercommunal de Creteil, University of Paris Est-Creteil, Creteil, France
| | - Donato Colantuono
- Department of Ophthalmology, Department of Ophthalmology, Centre Hospitaliser Intercommunal de Creteil, University of Paris Est-Creteil, Creteil, France
| | - Emanuele Crincoli
- Department of Ophthalmology, Department of Ophthalmology, Centre Hospitaliser Intercommunal de Creteil, University of Paris Est-Creteil, Creteil, France
| | - Francesca Amoroso
- Department of Ophthalmology, Department of Ophthalmology, Centre Hospitaliser Intercommunal de Creteil, University of Paris Est-Creteil, Creteil, France
| | - Oudy Semoun
- Department of Ophthalmology, Department of Ophthalmology, Centre Hospitaliser Intercommunal de Creteil, University of Paris Est-Creteil, Creteil, France
| | - Camille Jung
- Clinical Research Center, Centre Hospitaliser Intercommunal de Creteil, Creteil, France
| | - Eric H Souied
- Department of Ophthalmology, Department of Ophthalmology, Centre Hospitaliser Intercommunal de Creteil, University of Paris Est-Creteil, Creteil, France
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Crincoli E, Colantuono D, Miere A, Zhao Z, Ferrara S, Souied EH. Perivenular Capillary Rarefaction in Diabetic Retinopathy: Interdevice Characterization and Association to Clinical Staging. Ophthalmol Sci 2023; 3:100269. [PMID: 36875334 PMCID: PMC9978849 DOI: 10.1016/j.xops.2023.100269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Revised: 11/29/2022] [Accepted: 12/29/2022] [Indexed: 01/05/2023]
Abstract
Purpose Geometric perfusion deficit (GPD) is a newly described OCT angiography (OCTA) parameter identifying the total area of presumed retinal ischemia. The aim of our study is to characterize differences in GPD and other common quantitative OCTA parameters between macular full field, perivenular zones, and periarteriolar zones for each clinical stage of nonproliferative diabetic retinopathy (DR) and to assess the influence of ultrahigh-speed acquisition and averaging on the described differences. Design Prospective observational study. Participants Forty-nine patients, including 11 (22.4%) with no sign of DR, 12 (24.5%) with mild DR, 13 (26.5%) with moderate DR, and 13 (26.5%) with severe DR. Patients with diabetic macular edema, proliferative DR, media opacity, head tremor, and overlapping retinal diseases or systemic diseases influencing OCTA were excluded. Methods OCT angiography was performed 3 times for each patient: 1 using Solix Fullrange single volume (V1) mode, 1 using Solix Fullrange 4 volumes mode with automatically averaged scan (V4), and 1 using AngioVue. Main Outcome Measures Full macular, periarteriolar, and perivenular perfusion density (PD), vessel length density (VLD), vessel density index, and GPD for both the superficial capillary plexus (SCP) and deep capillary plexus (DCP). Results In patients showing no sign of DR, PD and VLD were significantly lower in the perivenular area in both the DCP and SCP using V1 and V4, whereas GPD was significantly higher in the perivenular zone in the DCP and SCP with all 3 devices. In patients with mild DR, all 3 measurements (PD, VLD, and GPD) were significantly different in the perivenular zone with all 3 devices. In patients with moderate DR, PD and VLD were lower in the DCP and SCP when measured with V1 and V4. Moreover, GPD was higher in the perivenular zone in the DCP with all 3 devices, whereas only V4 detected a difference in the SCP. In severe DR, only V4 detected a lower PD and VLD and a higher GPD in the DCP of the perivenular zone. V4 also detected a higher GPD in the SCP. Conclusions Geometric perfusion deficit highlights prevalent perivenular location of macular capillary ischemia in all stages of DR. In severe DR patients, only averaging technology allows detection of the same finding. Financial Disclosures The author(s) have no proprietary or commercial interest in any materials discussed in this article.
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Key Words
- Capillary ischemia
- DCP, deep capillary plexus
- DR, diabetic retinopathy
- Diabetic retinopathy
- GPD, geometric perfusion deficit
- Geometric perfusion density
- OCT angiography
- OCTA, OCT angiography
- PD, perfusion density
- ROIs, regions of interest
- SCP, superficial capillary plexus
- V1, single volume
- V4, 4 volumes mode with automatically averaged scan
- VDI, vessel density index
- VLD, vessel length density
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Affiliation(s)
- Emanuele Crincoli
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil 40, Créteil, France
- Catholic University of “Sacro Cuore”, Rome, Italy
| | - Donato Colantuono
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil 40, Créteil, France
| | - Alexandra Miere
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil 40, Créteil, France
- Correspondence: Alexandra Miere, MD, PhD, Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, 40, avenue de Verdun, Créteil, 94100, France.
| | - Zhanlin Zhao
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil 40, Créteil, France
| | | | - Eric H. Souied
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil 40, Créteil, France
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Herda N, Semoun O, Srour M, Amoroso F, Baker M, Capuano V, Colantuono D, Cohen SY, Querques G, Souied EH. Atypical case of perifoveal exudative vascular anomalous complex associated with pachychoroid pigment epitheliopathy. Am J Ophthalmol Case Rep 2022; 28:101691. [PMID: 36090303 PMCID: PMC9449734 DOI: 10.1016/j.ajoc.2022.101691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 07/09/2022] [Accepted: 08/22/2022] [Indexed: 11/16/2022] Open
Abstract
Purpose Observations Conclusion and importance
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Affiliation(s)
- Nabil Herda
- Department of Ophthalmology, University of Paris Est-Creteil, Créteil, France
- Corresponding author. Hopital intercommunal de Créteil, Department of Ophtalmology, 40 Avenue de Verdun, 94000, Créteil, France.
| | - Oudy Semoun
- Department of Ophthalmology, University of Paris Est-Creteil, Créteil, France
| | - Mayer Srour
- Department of Ophthalmology, University of Paris Est-Creteil, Créteil, France
| | - Francesca Amoroso
- Department of Ophthalmology, University of Paris Est-Creteil, Créteil, France
| | - May Baker
- Department of Ophthalmology, University of Paris Est-Creteil, Créteil, France
| | - Vittorio Capuano
- Department of Ophthalmology, University of Paris Est-Creteil, Créteil, France
| | - Donato Colantuono
- Department of Ophthalmology, University of Paris Est-Creteil, Créteil, France
| | - Salomon Y. Cohen
- Department of Ophthalmology, University of Paris Est-Creteil, Créteil, France
| | - Giuseppe Querques
- Department of Ophthalmology, University of Paris Est-Creteil, Créteil, France
- Department of Ophthalmology, IRCCS Ospedale San Raffaele, Vita-Salute University, Milan, Italy
| | - Eric H. Souied
- Department of Ophthalmology, University of Paris Est-Creteil, Créteil, France
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Crincoli E, De Rosa I, Miere A, Colantuono D, Mehanna CJ, Souied EH. Comparison of Multimodal Imaging for the Characterization of Geographic Atrophy. Transl Vis Sci Technol 2022; 11:21. [DOI: 10.1167/tvst.11.11.21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Emanuele Crincoli
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Creteil Cedex, France
- Ophthalmology Unit, “Fondazione Policlinico Universitario A. Gemelli IRCCS,” Rome, Italy
- Catholic University of “Sacro Cuore,” Rome, Italy
| | - Irene De Rosa
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Creteil Cedex, France
| | - Alexandra Miere
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Creteil Cedex, France
| | - Donato Colantuono
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Creteil Cedex, France
| | - Carl Joe Mehanna
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Creteil Cedex, France
| | - Eric H. Souied
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Creteil Cedex, France
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Crincoli E, Colantuono D, Zhao Z, Souied EH, Miere A. Optical coherence tomography angiography for quantitative microvascular assessment in diabetic retinopathy: inter-device and intra-device agreement and correlation with clinical staging. Acta Diabetol 2022; 59:1219-1227. [PMID: 35790606 DOI: 10.1007/s00592-022-01921-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Accepted: 06/10/2022] [Indexed: 11/01/2022]
Abstract
AIM To compare acquisitions from single-volume Solix protocol (V1), multi-volume averaged Solix protocol (V4), and AngioVue in patients with diabetic retinopathy (DR) to assess differences in quantitative parameters introduced by high-speed scanning and averaging. METHODS Thirty-eight diabetic patients were divided into 4 groups showing either no sign, mild, moderate, or severe DR at fundus examination. For optical coherence tomography angiography (OCTA) acquisitions both AngioVue, Solix V1, and V4 were used on each patient. Outcome measures were macular perfusion density (PD), vessel length density (VLD), and vessel density index (VDI) for both superficial capillary plexus (SCP) and deep capillary plexus (DCP) and flow deficits (FD) in the choriocapillaris (CC). RESULTS Our study revealed a good agreement in SCP parameters measured with all 3 devices. DCP measurements with Solix V1 showed moderate agreement with V4 and poor agreement with AngioVue measurements. Inter-device agreement in CC-FD assessment was relatively poor considering all 3 devices. The averaging process led to an underestimation of DCP and SCP parameters in all stages of DR (more evident in mild DR). AngioVue measurements compared to Solix V1 led to overestimation of SCP-PD (more pronounced in severe DR patients) and of DCP parameters (more evidently in moderate DR). The regression model derived from Solix V1 parameters was the best for categorization into the different stages. CONCLUSIONS Averaging and high-speed scanning introduce changes in OCTA quantitative parameters in DR. Solix V1 is the most suitable for early diagnosis of DR, while averaged protocol could be the preferred choice in advanced stages of the disease.
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Affiliation(s)
- Emanuele Crincoli
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, 40, avenue de Verdun, 94100, Créteil, France
- Catholic University of "Sacro Cuore", Largo Francesco Vito 1, 00168, Rome, Italy
| | - Donato Colantuono
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, 40, avenue de Verdun, 94100, Créteil, France
| | - Zhanlin Zhao
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, 40, avenue de Verdun, 94100, Créteil, France
| | - Eric H Souied
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, 40, avenue de Verdun, 94100, Créteil, France
| | - Alexandra Miere
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, 40, avenue de Verdun, 94100, Créteil, France.
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Benlahbib M, Semoun O, Amoroso F, Colantuono D, Souied EH. Multimodal imaging of unusual macular macroaneurysm rupture after navigated retinal laser in a patient with adult onset Coats disease. Am J Ophthalmol Case Rep 2022; 26:101458. [PMID: 35282602 PMCID: PMC8914334 DOI: 10.1016/j.ajoc.2022.101458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Revised: 02/14/2022] [Accepted: 02/24/2022] [Indexed: 11/27/2022] Open
Abstract
Purpose To report the uncommon rupture of a macular macroaneurysm (MAR) during navigated retinal laser (Navilas®) focal treatment in a patient with adult onset Coats disease. Observation A 30-year-old man consulted for progressive decrease of vision in his right eye from one week. Fundoscopy examination showed macular hard exudates, aneurysms, vascular telangiectasias in the temporal inferior quadrant consistent with an adult onset Coats disease (CD). Spectral domain optical coherence tomography (SD-OCT) and fluorescein angiography (FA) revealed macular edema, vessels abnormalities associate to non-perfused areas. Ultra-widefield optical coherence tomography angiography (UWF-OCTA) clearly showed the blood flow abnormalities in both superficial and deep capillary plexus. Focal laser photocoagulation of abnormal vessels by navigated retinal laser and intravitreal injections (IVT) of aflibercept, successfully resolved macular edema. During supplemental navigated focal laser treatment, a macular macroaneurysm rupture occurred, causing intravitreal hemorrhage with a self-limiting resolution in three months. Indeed, visual acuity progressively improved during follow-up and absence of macular edema was observed at 18 months. Conclusion Adult onset CD is a rare condition. Our patient presented an unusual intravitreal hemorrhagic complication due to a MAR rupture after focal navigated laser treatment. Despite this complication, early laser photocoagulation and IVT injections of anti-VEGF, successfully resolved macular edema. UWF-OCTA follow-up clearly showed abnormal vessels in both superficial capillary plexus (SCP) and deep capillary plexus (DCP) and successfully guided additional navigated focal laser treatment.
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Affiliation(s)
- Manal Benlahbib
- Department of Ophthalmology, Hôpital Intercommunal de Créteil, Université Paris Est, Créteil, France
| | - Oudy Semoun
- Department of Ophthalmology, Hôpital Intercommunal de Créteil, Université Paris Est, Créteil, France
| | - Francesca Amoroso
- Department of Ophthalmology, Hôpital Intercommunal de Créteil, Université Paris Est, Créteil, France
| | - Donato Colantuono
- Department of Ophthalmology, Hôpital Intercommunal de Créteil, Université Paris Est, Créteil, France
| | - Eric H Souied
- Department of Ophthalmology, Hôpital Intercommunal de Créteil, Université Paris Est, Créteil, France
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Amoroso F, Pedinielli A, Cohen SY, Jung C, Chhablani J, Astroz P, Colantuono D, Semoun O, Capuano V, Souied EH, Miere A. Navigated micropulse laser for central serous chorioretinopathy: Efficacy, safety, and predictive factors of treatment response. Eur J Ophthalmol 2021; 32:2810-2818. [PMID: 34846180 DOI: 10.1177/11206721211064021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
PURPOSE There is no widely accepted treatment for persistent/chronic central serous chorioretinopathy. The present study aimed to evaluate the efficacy, safety, and factors associated to treatment response to navigated micropulse laser in chorioretinopathy. METHODS Retrospective observational case series including consecutive patients presenting with symptomatic persistent and chronic chorioretinopathy. All patients were treated with 5% navigated micropulse laser with the Navilas system (Navilas®, OD-OS GmBH, Teltwo, Germany), by overlying fluorescein angiography, indocyanine green angiography and/or spectral domain-optical coherence tomography images of visible leaking points and/or choroidal hyperpermeability/subretinal fluid to plan the laser treatment. RESULTS Thirty-nine eyes of 36 consecutive patients (29 men and 7 women, with a mean age of 51.87 years) were included. Logarithm of the minimum angle of resolution (LogMar) best-corrected visual acuity increased from 0.39 ± 0.24 at baseline to 0.24 ± 0.22 at 3 months (p < 0.0001) and to 0.20 ± 0.07 at 6 months (p < 0.0001). Subretinal fluid decreased from 166.82 ± 111.11 micron at baseline to 52.33 ± 78.97 micron (p < 0.0001) at 3 months and 34.12 ± 67.56 micron at 6 months (p < 0.0001). The presence of a hot spot on fluorescein angiography and a focal choroidal hyperpermeability on indocyanine green angiography, but not the duration of symptoms correlated significantly with the resolution of subretinal fluid at month 3 (p = 0.023 and p = 0.001). CONCLUSION Navigated micropulse laser laser treatment was found to be effective and safe for the treatment of chorioretinopathy, with significant improvement in visual and anatomical outcomes, unaccompanied by any adverse event at 3 and 6 months follow-up. Factors associated to subretinal fluid resolution may allow a better selection of likely responders to navigated micropulse laser treatment.
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Affiliation(s)
- Francesca Amoroso
- Department of Ophthalmology, 26949Centre Hospitalier Intercommunal de Créteil, Université Paris Est Créteil, France
| | - Alexandre Pedinielli
- Department of Ophthalmology, 26949Centre Hospitalier Intercommunal de Créteil, Université Paris Est Créteil, France
| | - Salomon Yves Cohen
- Department of Ophthalmology, 26949Centre Hospitalier Intercommunal de Créteil, Université Paris Est Créteil, France.,567932Ophthalmic Center for Imaging and Laser, Paris, France
| | - Camille Jung
- Department of Ophthalmology, 26949Centre Hospitalier Intercommunal de Créteil, Université Paris Est Créteil, France
| | - Jay Chhablani
- Department of Ophthalmology, University of Pittsburgh Eye and Ear Institute, Pittsburgh, PA
| | - Polina Astroz
- Department of Ophthalmology, 26949Centre Hospitalier Intercommunal de Créteil, Université Paris Est Créteil, France
| | - Donato Colantuono
- Department of Ophthalmology, 26949Centre Hospitalier Intercommunal de Créteil, Université Paris Est Créteil, France
| | - Oudy Semoun
- Department of Ophthalmology, 26949Centre Hospitalier Intercommunal de Créteil, Université Paris Est Créteil, France
| | - Vittorio Capuano
- Department of Ophthalmology, 26949Centre Hospitalier Intercommunal de Créteil, Université Paris Est Créteil, France
| | - Eric H Souied
- Department of Ophthalmology, 26949Centre Hospitalier Intercommunal de Créteil, Université Paris Est Créteil, France
| | - Alexandra Miere
- Department of Ophthalmology, 26949Centre Hospitalier Intercommunal de Créteil, Université Paris Est Créteil, France
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Rinaldi V, Bellucci G, Sforza M, Catania C, Rossini E, De Carolis L, Colantuono D, Romano A, Bozzao A, Salvetti M. suspected acute disseminated encephalomyelitis (ADEM) after ChAdOx1 nCoV-19 vaccine: A case report. J Neurol Sci 2021. [DOI: 10.1016/j.jns.2021.119796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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14
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Le HM, Souied EH, Querques G, Colantuono D, Borrelli E, Sacconi R, Amoroso F, Capuano V, Jung C, Miere A. CHORIOCAPILLARIS FLOW IMPAIRMENT IN TYPE 3 MACULAR NEOVASCULARIZATION: A Quantitative Analysis Using Swept-Source Optical Coherence Tomography Angiography. Retina 2021; 41:1819-1827. [PMID: 33464024 DOI: 10.1097/iae.0000000000003119] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE To quantitatively analyze choriocapillaris alterations using swept-source optical coherence tomography angiography in eyes presenting with Type 3 macular neovascularization (MNV) and to compare these alterations with eyes presenting with intermediate AMD (iAMD). METHODS Macular 3 × 3-mm swept-source optical coherence tomography angiography scans were retrospectively analyzed in eyes with Type 3 MNV and in eyes with iAMD. The choriocapillaris en face slabs were extracted from the swept-source optical coherence tomography angiography device after manual segmentation. En face choriocapillaris flow images were compensated with en face choriocapillaris structure images, followed by the Phansalkar local thresholding method using a window radius of 4 and 8 pixels. The percentage of flow deficits (FD%), the number, size, and total area of FDs were computed for comparison. A secondary analysis was performed in the four corners of the image to include equidistant regions in all eyes. RESULTS Twenty-six Type 3 MNV eyes of 21 patients and 26 iAMD eyes of 17 patients were included. Compared with iAMD eyes, eyes with Type 3 MNV displayed a higher FD% (41.37% ± 14.74 vs. 19.80% ± 9.63 using radius 4 pixels [P < 0.001]; 45.24% ± 11.9 vs. 26.63% ± 8.96 using radius 8 pixels [P < 0.001]). The average size of FDs was significantly larger in Type 3 MNV eyes compared with iAMD eyes (P < 0.001), whereas the number of FDs was significantly lower in Type 3 MNV compared with iAMD eyes (P < 0.001). CONCLUSION Type 3 MNV eyes present with increased choriocapillaris flow impairment compared with iAMD eyes. Reduced choriocapillaris perfusion may contribute to Type 3 MNV development and pathogenesis.
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Affiliation(s)
- Hoang Mai Le
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, France
- Sorbonne University, Faculty of Medicine, Paris, France
| | - Eric H Souied
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, France
- Clinical Research Center, GRC Macula, and Biological Ressources Center, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | - Giuseppe Querques
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, France
- Department of Ophthalmology, IRCCS San Raffaele Scientific Institute, University Vita-Salute San Raffaele, Milan, Italy ; and
| | - Donato Colantuono
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, France
| | - Enrico Borrelli
- Department of Ophthalmology, IRCCS San Raffaele Scientific Institute, University Vita-Salute San Raffaele, Milan, Italy ; and
| | - Riccardo Sacconi
- Department of Ophthalmology, IRCCS San Raffaele Scientific Institute, University Vita-Salute San Raffaele, Milan, Italy ; and
| | - Francesca Amoroso
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, France
| | - Vittorio Capuano
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, France
| | - Camille Jung
- Clinical Research Center, GRC Macula, and Biological Ressources Center, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | - Alexandra Miere
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, France
- Laboratory of Images, Signals and Intelligent Systems (LISSI, EA No. 3956), University Paris-Est Créteil, France
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Amoroso F, Pedinielli A, Colantuono D, Jung C, Capuano V, Souied EH, Miere A. Selective Photocoagulation of Capillary Macroaneurysms by Navigated Focal Laser. Ophthalmic Surg Lasers Imaging Retina 2021; 52:366-373. [PMID: 34309425 DOI: 10.3928/23258160-20210628-02] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND AND OBJECTIVE To evaluate the anatomical and functional outcome of selective photocoagulation of capillary macroaneurysms (CMAs) by navigated focal laser. PATIENTS AND METHODS Consecutive patients with solitary or secondary CMAs greater than 150 mm in diameter were included in this analysis. All patients were treated with navigated focal laser and received multimodal imaging. RESULTS Seventeen eyes of 17 patients were retrospectively analyzed. Navigated laser photocoagulation of the CMAs successfully occluded 100% of the CMAs, inducing significative improvement in best-corrected visual acuity at 3 (P = .002) and 6 months (P = .001) and a decrease in central macular thickness (CMT) at 3 (P = .0004) and 6 months (P = .0004). CONCLUSIONS Solitary or secondary CMAs arising from retinal capillaries are candidates for navigated laser treatment. Navigated focal treatment was able to close all CMAs in this series with an improvement in vision and CMT. [Ophthalmic Surg Lasers Imaging Retina. 2021;52:366-373.].
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Colantuono D, Seknazi D, Miere A, Amoroso F, Glacet-Bernard A, Souied EH. Sutureless intrascleral fixation using a uniquely designed intraocular lens. J Fr Ophtalmol 2021; 44:957-961. [PMID: 34154871 DOI: 10.1016/j.jfo.2020.10.025] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2020] [Revised: 10/25/2020] [Accepted: 10/26/2020] [Indexed: 11/27/2022]
Abstract
We report our experience in the surgical technique of sutureless intrascleral posterior chamber intraocular lens (PC IOL) fixation in patients with insufficient capsular support using a uniquely designed, foldable, acrylic Carlevale IOL. It is specifically designed for sutureless scleral fixation and is equipped with a small plug attached to each of two haptics to anchor the lens to the sclera with a self-retaining mechanism. This surgery does not require creation of a scleral tunnel or transscleral exposure or excessive manipulation of the haptics. The harpoon-like plugs provide great stability to this implant, which can be injected through a 2.2mm incision. The characteristics of this IOL and the relative simplicity of this implantation technique makes it widely applicable in aphakic patients after previous complicated cataract surgery.
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Affiliation(s)
- D Colantuono
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Université Paris Est, 40, avenue Verdun, 94010 Créteil, France.
| | - D Seknazi
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Université Paris Est, 40, avenue Verdun, 94010 Créteil, France
| | - A Miere
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Université Paris Est, 40, avenue Verdun, 94010 Créteil, France
| | - F Amoroso
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Université Paris Est, 40, avenue Verdun, 94010 Créteil, France
| | - A Glacet-Bernard
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Université Paris Est, 40, avenue Verdun, 94010 Créteil, France
| | - E H Souied
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Université Paris Est, 40, avenue Verdun, 94010 Créteil, France
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Denys P, Miere A, Colantuono D, Jung C, Souied EH. Intravitreal injections during COVID-19 outbreak: Protective measures, total duration of care and perceived quality of care in a tertiary retina center. Eur J Ophthalmol 2021; 32:372-376. [PMID: 33752454 PMCID: PMC7992096 DOI: 10.1177/11206721211003488] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Purpose: To assess patient satisfaction regarding the sudden reorganization of care
during the COVID-19 pandemic in the outpatient intravitreal injection (IVI)
clinic. Methods: A survey of patients with ongoing IVIs for retinal diseases was carried out
between April 23rd and May 12th, 2020. We designed a questionnaire to assess
patient satisfaction concerning: personal protective equipment (PPE), social
distancing, the perceived quality of care, and the total time spent in the
department, using a Likert scale. We also collected the time spent per
patients in the outpatient IVI clinic. Results: A hundred and twenty-seven eyes of 108 patients were included. The mean time
spent in the IVI outpatient clinic was 31.87 +/− 16.61 min. In our survey,
99.1% of the patients were satisfied (highly satisfied or satisfied) with
the new type of care provided, 89.8% with the duration of care, and 93.5%
with the PPE. Satisfaction was associated with total time spent in hospital
(p = 0.005), with dissatisfied patients spending about
50% more time in the hospital than satisfied patients (43.91 min vs
30.50 min). Conclusion: Despite the crisis-related adjustment, our survey revealed high patient
satisfaction with PPE, quality of care, and total time spent in outpatient
IVI clinic.
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Affiliation(s)
- Paul Denys
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, University Paris Est Créteil, Créteil, France
| | - Alexandra Miere
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, University Paris Est Créteil, Créteil, France
| | - Donato Colantuono
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, University Paris Est Créteil, Créteil, France
| | - Camille Jung
- Clinical Research Center, GRC Macula, and Biological Resources Center, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | - Eric H Souied
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, University Paris Est Créteil, Créteil, France
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18
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Querques G, Sacconi R, Capuano V, Carnevali A, Colantuono D, Battista M, Borrelli E, Miere A, Parravano M, Costanzo E, Querques L, Souied EH, Bandello F. Treatment-naïve quiescent macular neovascularization secondary to AMD: The 2019 Young Investigator Lecture of Macula Society. Eur J Ophthalmol 2021; 31:3164-3176. [PMID: 33445977 DOI: 10.1177/1120672120986370] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE To analyze different clinical and anatomical features in treatment-naïve non-exudative macular neovascularizations (MNVs) secondary to age-related macular disease (AMD). METHODS In this retrospective longitudinal study with a minimum follow-up of 1 year, 31 eyes of 28 consecutive AMD patients (mean age 75 ± 9 years) with treatment-naïve non-exudative MNV were enrolled. Patients were divided in: short-term activated MNV group (exudation before 6-month) and quiescent MNV group (per definition no exudation during a minimum 6-month follow-up) showing no or late activation during follow-up (persistently quiescent and long-term activated MNV group, respectively). RESULTS During the follow-up (mean duration: 22 ± 9 months) four eyes (13%) showed exudation before 6-month follow-up (short-term activated MNV group), whereas 21 eyes (68%) did not develop signs of exudation (persistently quiescent group), and six eyes (19%) developed exudation after the minimum 6-month follow-up (long-term activated MNV group). Monthly MNV growth rate was significantly higher in the short-term activated MNV group (growth rate of 13.30%/month), vs persistently quiescent MNV group (0.64%/month, p < 0.001) and long-term activated quiescent MNV group (1.07%/month, p < 0.001). Furthermore, at the baseline, perfusion density of short-term activated MNV group was significantly greater in comparison to persistently quiescent MNV group (p = 0.001) and long-term activated MNV group (p = 0.106). CONCLUSION We reported two different patterns for subclinical MNVs: subclinical MNVs characterized by short-term activation which could represent simply a pre-exudative stage in the development of an ordinary type 1 MNV, and quiescent MNVs characterized by low rate of growth and possible long-term activation. Analysis of OCT-A features may predict short-term activation for subclinical MNV but no features could predict the long-term activation.
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Affiliation(s)
- Giuseppe Querques
- School of Medicine, Vita-Salute San Raffaele University, Milan, Italy.,Division of Head and Neck, Ophthalmology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.,Department of Ophthalmology, Centre Hospitalier Intercommunal Creteil University Paris Est, Creteil, France
| | - Riccardo Sacconi
- School of Medicine, Vita-Salute San Raffaele University, Milan, Italy.,Division of Head and Neck, Ophthalmology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - Vittorio Capuano
- Department of Ophthalmology, Centre Hospitalier Intercommunal Creteil University Paris Est, Creteil, France
| | - Adriano Carnevali
- Division of Head and Neck, Ophthalmology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.,Department of Ophthalmology, University Hospital "Magna Graecia," Catanzaro, Italy
| | - Donato Colantuono
- Department of Ophthalmology, Centre Hospitalier Intercommunal Creteil University Paris Est, Creteil, France
| | - Marco Battista
- School of Medicine, Vita-Salute San Raffaele University, Milan, Italy.,Division of Head and Neck, Ophthalmology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - Enrico Borrelli
- School of Medicine, Vita-Salute San Raffaele University, Milan, Italy.,Division of Head and Neck, Ophthalmology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - Alexandra Miere
- Department of Ophthalmology, Centre Hospitalier Intercommunal Creteil University Paris Est, Creteil, France
| | | | | | - Lea Querques
- Division of Head and Neck, Ophthalmology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - Eric H Souied
- Department of Ophthalmology, Centre Hospitalier Intercommunal Creteil University Paris Est, Creteil, France
| | - Francesco Bandello
- School of Medicine, Vita-Salute San Raffaele University, Milan, Italy.,Division of Head and Neck, Ophthalmology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
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Miere A, Capuano V, Kessler A, Zambrowski O, Jung C, Colantuono D, Pallone C, Semoun O, Petit E, Souied E. Deep learning-based classification of retinal atrophy using fundus autofluorescence imaging. Comput Biol Med 2020; 130:104198. [PMID: 33383315 DOI: 10.1016/j.compbiomed.2020.104198] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Revised: 12/14/2020] [Accepted: 12/19/2020] [Indexed: 01/20/2023]
Abstract
PURPOSE To automatically classify retinal atrophy according to its etiology, using fundus autofluorescence (FAF) images, using a deep learning model. METHODS In this study, FAF images of patients with advanced dry age-related macular degeneration (AMD), also called geographic atrophy (GA), and genetically confirmed inherited retinal diseases (IRDs) in late atrophic stages [Stargardt disease (STGD1) and Pseudo-Stargardt Pattern Dystrophy (PSPD)] were included. The FAF images were used to train a multi-layer deep convolutional neural network (CNN) to differentiate on FAF between atrophy in the context of AMD (GA) and atrophy secondary to IRDs. Three-hundred fourteen FAF images were included, of which 110 images were of GA eyes and 204 were eyes with genetically confirmed STGD1 or PSPD. In the first approach, the CNN was trained and validated with 251 FAF images. Established augmentation techniques were used and an Adam optimizer was used for training. For the subsequent testing, the built classifiers were then tested with 63 untrained FAF images. The visualization method was integrated gradient visualization. In the second approach, 10-fold cross-validation was used to determine the model's performance. RESULTS In the first approach, the best performance of the model was obtained using 10 epochs, with an accuracy of 0.92 and an area under the curve for Receiver Operating Characteristic (AUC-ROC) of 0.981. Mean accuracy was 87.30 ± 2.96. In the second approach, a mean accuracy of 0.79 ± 0.06 was obtained. CONCLUSION This study describes the use of a deep learning-based algorithm to automatically classify atrophy on FAF imaging according to its etiology. Accurate differential diagnosis between GA and late-onset IRDs masquerading as GA on FAF can be performed with good accuracy and AUC-ROC values.
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Affiliation(s)
- Alexandra Miere
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France; Laboratory of Images, Signals and Intelligent Systems (LISSI), (EA N° 3956), University Paris-Est, Créteil, France.
| | - Vittorio Capuano
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | | | - Olivia Zambrowski
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | - Camille Jung
- Clinical Research Center, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | - Donato Colantuono
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | - Carlotta Pallone
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | - Oudy Semoun
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | - Eric Petit
- Laboratory of Images, Signals and Intelligent Systems (LISSI), (EA N° 3956), University Paris-Est, Créteil, France
| | - Eric Souied
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France
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Colantuono D, Souied EH, Borrelli E, Capuano V, Amoroso F, Sacconi R, Jung C, Querques G, Miere A. Quantitative deep vascular complex analysis of different AMD stages on optical coherence tomography angiography. Eur J Ophthalmol 2020; 31:2474-2480. [DOI: 10.1177/1120672120968758] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Aims: To investigate alterations in deep retinal vascular complex (DVC) in patients with non-neovascular intermediate AMD (iAMD), treatment-naïve quiescent macular neovascularization (qMNV), exudative AMD (eAMD) by means of OCT angiography (OCTA). Methods: Patients with iAMD, qMNV, eAMD and healthy controls presenting in the Department of Ophthalmology of the Centre Hospitalier Intercommunal de Créteil between January 2016 and January 2018, were retrospectively included. 3 × 3-mm OCTA (AngioVue RTVue XR Avanti) perfusion density (PD) of DVC was computed in all groups at baseline and follow up (12.0 ± 1.1 months). Results: A total of 46 eyes of 45 patients were enrolled: 11/46 iAMD, 10/46 qMNV, 13/46 eAMD, 12/46 control eyes. PD showed a significant decrease during follow-up in qMNV ( p = 0.0059) and iAMD ( p = 0.0076) eyes. PD in eAMD and healthy controls didn’t show significant changes. Conclusion: PD decreases at the level of DVC in eyes with qMNV and iAMD, while in eAMD eyes, PD is stable throughout follow up, suggesting that repeated anti-vascular endothelial growth factor (VEGF) injections do not impact on the DVC PD.
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Affiliation(s)
- Donato Colantuono
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | - Eric H Souied
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | - Enrico Borrelli
- Department of Ophthalmology, IRCCS San Raffaele Scientific Institute, University Vita-Salute San Raffaele, Milan, Italy
| | - Vittorio Capuano
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | - Francesca Amoroso
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | - Riccardo Sacconi
- Department of Ophthalmology, IRCCS San Raffaele Scientific Institute, University Vita-Salute San Raffaele, Milan, Italy
| | - Camille Jung
- Clinical Research Center, GRC Macula, and Biological Ressources Center, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | - Giuseppe Querques
- Department of Ophthalmology, IRCCS San Raffaele Scientific Institute, University Vita-Salute San Raffaele, Milan, Italy
| | - Alexandra Miere
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Créteil, France
- Laboratory of Images, Signals and Intelligent Systems (LISSI, (EA N ° 3956), University Paris-Est Créteil, Créteil, France
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Colantuono D, Miere A, Semoun O, Amoroso F, Souied EH. AMD Management During the COVID-19 Pandemic. Acta Ophthalmol 2020; 98:e925. [PMID: 32410325 PMCID: PMC7273087 DOI: 10.1111/aos.14469] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Accepted: 04/21/2020] [Indexed: 01/14/2023]
Affiliation(s)
- Donato Colantuono
- Department of OphthalmologyCentre Hospitalier Intercommunal de CréteilCréteilFrance
| | - Alexandra Miere
- Department of OphthalmologyCentre Hospitalier Intercommunal de CréteilCréteilFrance,Laboratory of ImagesSignals and Intelligent Systems (LISSI, EA N ° 3956)University Paris‐Est CréteilCréteilFrance
| | - Oudy Semoun
- Department of OphthalmologyCentre Hospitalier Intercommunal de CréteilCréteilFrance
| | - Francesca Amoroso
- Department of OphthalmologyCentre Hospitalier Intercommunal de CréteilCréteilFrance
| | - Eric H. Souied
- Department of OphthalmologyCentre Hospitalier Intercommunal de CréteilCréteilFrance
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Forte R, Coscas F, Serra R, Cabral D, Colantuono D, Souied EH. Long-term follow-up of quiescent choroidal neovascularisation associated with age-related macular degeneration or pachychoroid disease. Br J Ophthalmol 2020; 104:1057-1063. [PMID: 31662311 DOI: 10.1136/bjophthalmol-2019-315189] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2019] [Revised: 10/04/2019] [Accepted: 10/13/2019] [Indexed: 12/27/2022]
Abstract
AIMS To evaluate the long-term progression of quiescent type 1 choroidal neovascularisation (CNV) associated with age-related macular degeneration (AMD) or with pachychoroid disease. METHODS All cases of quiescent type 1 CNV with a minimum follow-up of 12 months seen at the Department of Ophthalmology of University Paris Est, Creteil and at the Centre Ophtalmologique de l'Odeon, Paris, between June 2009 and December 2018 were retrospectively reviewed. Optical coherence tomography angiography (OCT-A) of eyes not showing CNV activation during 24 months was evaluated for quantitative analyses of CNV status biomarkers (fractal dimension, lacunarity, vessel density, aspect ratio, CNV area). RESULTS A total of 67 eyes (65 patients, 43 females, mean age 76.63±9.7 years) with quiescent CNV and a mean follow-up of 49.56±27.3 (12-112) months were included. Of 28 eyes showing activation of quiescent CNV, 12 eyes with pachychoroid-associated CNV showed reduced visual loss (-3.28 ETDRS letters, p=0.7 vs -13.03 ETDRS letters, p=0.02), greater choroidal thinning (-59.5 µm, p=0.03 vs - 16.36 µm, p=0.3) and needed less antivascular endothelial growth factor intravitreal injections (IVI) (0.09 vs 0.21, p=0.01) than 16 eyes with AMD-associated CNV. CNV area was the only OCT-A biomarker to significantly change during 24 months in inactive quiescent CNV (+29.5%, p=0.01, in pachychoroid group and +27.1%, p=0.03, in the AMD group). CONCLUSION In the long-term follow-up, inactive quiescent CNV showed an increase of CNV area without significant changes of the other OCT-A biomarkers. Quiescent type 1 CNV undergoing activation showed greater response to IVI when associated to pachychoroid.
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Affiliation(s)
- Raimondo Forte
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Creteil, University Paris Est Creteil XII, Creteil, France
| | - Florence Coscas
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Creteil, University Paris Est Creteil XII, Creteil, France
- Centre ophtalmologique de l'Odéon, Saint Germain, Paris, France
| | - Rita Serra
- Centre ophtalmologique de l'Odéon, Saint Germain, Paris, France
- Department of Surgical Sciences, Eye Clinic, University of Cagliari, Cagliari, Italy
| | - Diogo Cabral
- Centre ophtalmologique de l'Odéon, Saint Germain, Paris, France
- NOVA Medical School, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal
| | - Donato Colantuono
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Creteil, University Paris Est Creteil XII, Creteil, France
| | - Eric H Souied
- Department of Ophthalmology, Centre Hospitalier Intercommunal de Creteil, University Paris Est Creteil XII, Creteil, France
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Affiliation(s)
| | - Eric Souied
- Centre Hospitalier Intercommunal de Créteil, Créteil, France
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Ohayon A, De Rosa I, Semoun O, Jung C, Colantuono D, El Ameen A, Srour M, Souied EH. Subretinal pigment epithelium fibrotic tissue morphological changes after a single anti-vascular endothelial growth factor injection in age-related macular degeneration. Br J Ophthalmol 2019; 104:1085-1088. [DOI: 10.1136/bjophthalmol-2019-314923] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2019] [Revised: 10/21/2019] [Accepted: 11/07/2019] [Indexed: 01/09/2023]
Abstract
AimsTo demonstrate and evaluate the morphological changes of multilayered fibrovascular pigment epithelial detachment (PED) to a single anti-vascular endothelial growth factor (VEGF) injection in age-related macular degeneration (AMD).MethodsWe retrospectively analysed the morphological changes of 30 eyes with exudative AMD showing fibrotic multilayered PED, between two consecutive visits. All patients had one anti-VEGF intravitreal injection at the first visit. We quantitatively analysed the different compartments within the PED and their morphological response.ResultsThe mean follow-up time interval between the first and the second visit was 32.46±4.64 days. We defined three optical coherence tomography zones within the PED: a subretinal pigment epithelium inhomogeneous hyporeflective space (layer 1), a hyper-reflective band beneath layer 1 (layer 2), and a hyporeflective space between the Bruch’s membrane and layer 2 (layer 3). The mean height of layer 1 was 142±44.63 and 99.30±39.79 µm at visits 1 and 2, respectively. The mean thickness of layer 2 was 101.42±46.66 and 82.76±35.24 µm at visits 1 and 2, respectively. The mean height of layer 3 was 35.77±32.77 and 5.66±8.68 µm at visits 1 and 2, respectively (p=0.009). The mean height change for layer 1 was statistically significantly higher than for layer 2 (p=0.0002).ConclusionsFibrovascular PED was compartmented into three layers with different reflectivities that morphologically responded differently to a single anti-VEGF injection. Layer 2 had a statistically significantly lower response compared with layer 1, suggesting the hypothesis of a fibrotic component in layer 2.
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Taibouni K, Chenoune Y, Miere A, Colantuono D, Souied E, Petit E. Automated quantification of choroidal neovascularization on Optical Coherence Tomography Angiography images. Comput Biol Med 2019; 114:103450. [DOI: 10.1016/j.compbiomed.2019.103450] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2019] [Revised: 09/06/2019] [Accepted: 09/14/2019] [Indexed: 11/25/2022]
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