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Morphologic features of focal choroidal excavation on spectral domain optical coherence tomography with simultaneous angiography.
Retina. 2014 Jul; 34(7):1407-14.R

Abstract

PURPOSE

To reveal clinically relevant morphologic findings in patients with focal choroidal excavation (FCE) using enhanced depth imaging optical coherence tomography.

METHODS

Thirty-one FCE lesions in 29 eyes of 26 patients (21 men, 23 eyes; 5 women, 6 eyes) were studies. In all 26 patients, color fundus photographs were obtained, and fluorescein angiography and indocyanine green angiography with simultaneous enhanced depth imaging optical coherence tomography were performed. Twenty-five eyes also underwent angiographic video recording.

RESULTS

Focal choroidal excavation was detected in eyes with typical age-related macular degeneration, central serous chorioretinopathy, polypoidal choroidal vasculopathy, and idiopathic choroidal neovascularization, whereas in 8 eyes, FCE was considered to be idiopathic. Morphologically, FCE lesions were classified into 3 types: cone-shaped, bowl-shaped, and mixed. The cone-shaped type was detected in 17 lesions, bowl-shaped in 8, and mixed in 6, on optical coherence tomography findings. All bowl-shaped and mixed types had retinal pigment epithelial irregularities within the FCE lesion. The cone-shaped type was not observed in eyes with typical age-related macular degeneration.

CONCLUSIONS

Morphologically, FCE lesions were classified into cone-shaped, bowl-shaped, and mixed types, based on optical coherence tomography findings. Focal choroidal excavation formation may be associated in part with chorioretinal diseases such as age-related macular degeneration and central serous chorioretinopathy, whereas some eyes are considered to have idiopathic FCE.

Authors+Show Affiliations

Department of Ophthalmology, School of Medicine, Nihon University, Tokyo, Japan.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24830823

Citation

Shinojima, Ari, et al. "Morphologic Features of Focal Choroidal Excavation On Spectral Domain Optical Coherence Tomography With Simultaneous Angiography." Retina (Philadelphia, Pa.), vol. 34, no. 7, 2014, pp. 1407-14.
Shinojima A, Kawamura A, Mori R, et al. Morphologic features of focal choroidal excavation on spectral domain optical coherence tomography with simultaneous angiography. Retina (Philadelphia, Pa). 2014;34(7):1407-14.
Shinojima, A., Kawamura, A., Mori, R., & Yuzawa, M. (2014). Morphologic features of focal choroidal excavation on spectral domain optical coherence tomography with simultaneous angiography. Retina (Philadelphia, Pa.), 34(7), 1407-14. https://doi.org/10.1097/IAE.0000000000000108
Shinojima A, et al. Morphologic Features of Focal Choroidal Excavation On Spectral Domain Optical Coherence Tomography With Simultaneous Angiography. Retina (Philadelphia, Pa). 2014;34(7):1407-14. PubMed PMID: 24830823.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Morphologic features of focal choroidal excavation on spectral domain optical coherence tomography with simultaneous angiography. AU - Shinojima,Ari, AU - Kawamura,Akiyuki, AU - Mori,Ryusaburo, AU - Yuzawa,Mitsuko, PY - 2014/5/17/entrez PY - 2014/5/17/pubmed PY - 2014/12/17/medline SP - 1407 EP - 14 JF - Retina (Philadelphia, Pa.) JO - Retina (Philadelphia, Pa.) VL - 34 IS - 7 N2 - PURPOSE: To reveal clinically relevant morphologic findings in patients with focal choroidal excavation (FCE) using enhanced depth imaging optical coherence tomography. METHODS: Thirty-one FCE lesions in 29 eyes of 26 patients (21 men, 23 eyes; 5 women, 6 eyes) were studies. In all 26 patients, color fundus photographs were obtained, and fluorescein angiography and indocyanine green angiography with simultaneous enhanced depth imaging optical coherence tomography were performed. Twenty-five eyes also underwent angiographic video recording. RESULTS: Focal choroidal excavation was detected in eyes with typical age-related macular degeneration, central serous chorioretinopathy, polypoidal choroidal vasculopathy, and idiopathic choroidal neovascularization, whereas in 8 eyes, FCE was considered to be idiopathic. Morphologically, FCE lesions were classified into 3 types: cone-shaped, bowl-shaped, and mixed. The cone-shaped type was detected in 17 lesions, bowl-shaped in 8, and mixed in 6, on optical coherence tomography findings. All bowl-shaped and mixed types had retinal pigment epithelial irregularities within the FCE lesion. The cone-shaped type was not observed in eyes with typical age-related macular degeneration. CONCLUSIONS: Morphologically, FCE lesions were classified into cone-shaped, bowl-shaped, and mixed types, based on optical coherence tomography findings. Focal choroidal excavation formation may be associated in part with chorioretinal diseases such as age-related macular degeneration and central serous chorioretinopathy, whereas some eyes are considered to have idiopathic FCE. SN - 1539-2864 UR - https://www.unboundmedicine.com/medline/citation/24830823/Morphologic_features_of_focal_choroidal_excavation_on_spectral_domain_optical_coherence_tomography_with_simultaneous_angiography_ L2 - http://dx.doi.org/10.1097/IAE.0000000000000108 DB - PRIME DP - Unbound Medicine ER -