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Patterns of macular edema in patients with uveitis: qualitative and quantitative assessment using optical coherence tomography.
Ophthalmology. 2004 May; 111(5):946-53.O

Abstract

PURPOSE

To describe the morphologic characteristics of uveitic macular edema by the use of optical coherence tomography (OCT) and to investigate the correlation between tomographic features and visual acuity (VA).

DESIGN

Cross-sectional study.

PARTICIPANTS

Seventy consecutive patients with uveitis in a university-based practice with a clinical diagnosis of macular edema in at least one eye. Inclusion criteria were: (1) verification of macular edema by OCT, (2) adequate media clarity for fundus visualization, and (3) absence of coexisting ocular disease limiting visual potential.

METHODS

Complete ophthalmic examination: best-corrected Snellen VA, slit-lamp examination, fundus biomicroscopy, indirect ophthalmoscopy, and OCT. Fluorescein angiography was performed in selected cases.

MAIN OUTCOME MEASURES

Best-corrected Snellen VA and tomographic features of the macula, including macular thickness measurement and correlation of macular thickness with VA.

RESULTS

Eighty-four eyes of 60 patients met the inclusion criteria. The mean VA (Snellen test) was 20/36. There were 3 patterns of macular edema: diffuse macular edema (DME), cystoid macular edema (CME), and serous retinal detachment (RD). Serous retinal detachment was detected in 17 eyes (20.2%). Patients were classified into the following groups: DME (46 eyes, 54.8%), CME (21 eyes, 25%), DME and RD (5 eyes, 5.9%), CME and RD (12 eyes, 14.3%). Epiretinal membrane was detected by OCT in 34 eyes (40.5%). Eight eyes (9.5%) demonstrated vitreomacular traction. The mean retinal thickness at the central fovea was 333+/-171 microm (mean +/- standard deviation). Macular edema was located mainly in the outer retinal layers. Eyes with CME had significantly greater retinal thickness measurements than eyes with DME (P<0.001). Multivariate analysis revealed that VA was negatively correlated with increased macular thickness, presence of CME, and RD (P<0.05).

CONCLUSIONS

Optical coherence tomography demonstrated 3 patterns of macular edema in patients with uveitis: DME, CME, and RD. Epiretinal membrane coexisted in a significant percentage of patients. In patients with uveitis with clear media, the morphologic features of macular edema and macular thickness correlated with VA.

Authors+Show Affiliations

Ocular Immunology and Inflammation Service, Department of Ophthalmology General Hospital of Athens, Athens, Greece. marnik@otenet.grNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15121373

Citation

Markomichelakis, Nikos N., et al. "Patterns of Macular Edema in Patients With Uveitis: Qualitative and Quantitative Assessment Using Optical Coherence Tomography." Ophthalmology, vol. 111, no. 5, 2004, pp. 946-53.
Markomichelakis NN, Halkiadakis I, Pantelia E, et al. Patterns of macular edema in patients with uveitis: qualitative and quantitative assessment using optical coherence tomography. Ophthalmology. 2004;111(5):946-53.
Markomichelakis, N. N., Halkiadakis, I., Pantelia, E., Peponis, V., Patelis, A., Theodossiadis, P., & Theodossiadis, G. (2004). Patterns of macular edema in patients with uveitis: qualitative and quantitative assessment using optical coherence tomography. Ophthalmology, 111(5), 946-53.
Markomichelakis NN, et al. Patterns of Macular Edema in Patients With Uveitis: Qualitative and Quantitative Assessment Using Optical Coherence Tomography. Ophthalmology. 2004;111(5):946-53. PubMed PMID: 15121373.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Patterns of macular edema in patients with uveitis: qualitative and quantitative assessment using optical coherence tomography. AU - Markomichelakis,Nikos N, AU - Halkiadakis,Ioannis, AU - Pantelia,Eugenia, AU - Peponis,Vasilios, AU - Patelis,Andreas, AU - Theodossiadis,Panagiotis, AU - Theodossiadis,George, PY - 2003/03/21/received PY - 2003/08/23/accepted PY - 2004/5/4/pubmed PY - 2004/5/21/medline PY - 2004/5/4/entrez SP - 946 EP - 53 JF - Ophthalmology JO - Ophthalmology VL - 111 IS - 5 N2 - PURPOSE: To describe the morphologic characteristics of uveitic macular edema by the use of optical coherence tomography (OCT) and to investigate the correlation between tomographic features and visual acuity (VA). DESIGN: Cross-sectional study. PARTICIPANTS: Seventy consecutive patients with uveitis in a university-based practice with a clinical diagnosis of macular edema in at least one eye. Inclusion criteria were: (1) verification of macular edema by OCT, (2) adequate media clarity for fundus visualization, and (3) absence of coexisting ocular disease limiting visual potential. METHODS: Complete ophthalmic examination: best-corrected Snellen VA, slit-lamp examination, fundus biomicroscopy, indirect ophthalmoscopy, and OCT. Fluorescein angiography was performed in selected cases. MAIN OUTCOME MEASURES: Best-corrected Snellen VA and tomographic features of the macula, including macular thickness measurement and correlation of macular thickness with VA. RESULTS: Eighty-four eyes of 60 patients met the inclusion criteria. The mean VA (Snellen test) was 20/36. There were 3 patterns of macular edema: diffuse macular edema (DME), cystoid macular edema (CME), and serous retinal detachment (RD). Serous retinal detachment was detected in 17 eyes (20.2%). Patients were classified into the following groups: DME (46 eyes, 54.8%), CME (21 eyes, 25%), DME and RD (5 eyes, 5.9%), CME and RD (12 eyes, 14.3%). Epiretinal membrane was detected by OCT in 34 eyes (40.5%). Eight eyes (9.5%) demonstrated vitreomacular traction. The mean retinal thickness at the central fovea was 333+/-171 microm (mean +/- standard deviation). Macular edema was located mainly in the outer retinal layers. Eyes with CME had significantly greater retinal thickness measurements than eyes with DME (P<0.001). Multivariate analysis revealed that VA was negatively correlated with increased macular thickness, presence of CME, and RD (P<0.05). CONCLUSIONS: Optical coherence tomography demonstrated 3 patterns of macular edema in patients with uveitis: DME, CME, and RD. Epiretinal membrane coexisted in a significant percentage of patients. In patients with uveitis with clear media, the morphologic features of macular edema and macular thickness correlated with VA. SN - 0161-6420 UR - https://www.unboundmedicine.com/medline/citation/15121373/Patterns_of_macular_edema_in_patients_with_uveitis:_qualitative_and_quantitative_assessment_using_optical_coherence_tomography_ DB - PRIME DP - Unbound Medicine ER -