Saratov JOURNAL of Medical and Scientific Research

The possibilities of optical coherence tomography in En Face mode in planning and conducting computer-assisted laser surgery for central serous chorioretinopathy

Year: 2019, volume 15 Issue: №2 Pages: 433-442
Heading: Ophtalmology Article type: Original article
Authors: Volodin P.L., Ivanova E.V., Fomin A.V., Agafonov S.G., Polyakova E.Yu.
Organization: The S. Fyodorov Eye Microsurgery Federal State Institution

Purpose: to assess the diagnostic capabilities of optical coherence tomography (OCT) in En Face mode for planning and conducting surgical navigation using Navilas 577s laser system in patients with central serous chorioretinopa-thy (CSC). Material and Methods. 12 patients (12 eyes) with CSC underwent high-resolution OCT in En Face mode showing morphological changes in the retinal pigment epithelium (RPE). The treatment was performed on Navilas 577s laser device with an individual selection of the necessary energy parameters in the micropulse mode. The follow-up was performed at 1, 3 and 6 months. Results. According to the OCT data in the En Face mode, all patients had morphological changes in RPE, which made it possible to plan and perform computer-assisted laser surgery. 1, 3 and 6 months after treatment, positive dynamics was observed in all cases. Conclusion. The OCT method in En Face mode allows detailed study of architectonics and identifes pathological changes in RPE, which play an important role in the manifestation of CSC, as it enables planning and implementation of topographic-oriented treatment using the Navilas 577s navigation laser system in the areas of RPE detachments.

1 Iacono P, Toto L, Costanzo E, et al. Pharmacotherapy of Central Serous Chorioretinopathy: A Review of the Current Treatments. Curr Pharm Des 2018; 24 (41): 4864–73
2 Bonini Filho MA, de Carlo TE, Ferrara D, et al. Association of Choroidal Neovascularization and CentralSerous Chorioretinopathy with Optical Coherence Tomography Angiography. JAMA Ophthalmol 2015; 133 (8): 899–906
3 Costanzo E, Cohen SY, Miere A, et al. Optical Coherence Tomography Angiography in Central Serous Chorioretinopathy. JAMA Ophthalmol 2015; 2015 (8): 134783
4 Huang D, Jia Y, Gao SS, et al. Optical coherence tomography angiography using the Optovue device. Dev Ophthalmol 2016; 56: 6–12
5 Schellevis RL, van Dijk EHC, Breukink MB, et al. Exome sequencing in families with chronic central serous chorioretinopathy. Mol Genet Genomic Med 2019 Apr; 7 (4): e00576. Epub 2019 Feb 6
6 Shin YI, Won YK, Shin KS, et al. Efect of Serous Retinal Detachment on the Measurement of Axial Length in Central Serous Chorioretinopathy. Korean J Ophthalmol 2019 Feb; 33 (1): 63–9
7 Maltsev DS, Kulikov AN. Topographic identifcation of the percolation point of central serous chorioretinopathy: an advanced approach. Modern technology in ophthalmology 2018; 1: 249–52
8 Volodin PL, Doga AV, Ivanova EV, et al. The Personalized Approach to the Chronic Central Serous Chorioretinopathy Treatment Based on the Navigated Micropulse Laser Technology. Ophthalmology in Russia 2018; 15 (4): 394– 404
9 Volodin PL, Ivanova EV, Solomin VA. The possibilities of modern diagnostic methods and computer data processing using the FemtoScan program to identify weak thermal damage of retinal pigment epithelium cells. Laser Medicine 2018; 1: 52–7
10 Hamada M, Ohkoshi K, Inagaki K, et al. Correction to: Visualization of microaneurysms using optical coherence tomography angiography: comparison of OCTA en face, OCT B-scan, OCT en face, FA, and IA images. Jpn J Ophthalmol 2018; 62 (2): 176–8
11 Panova IE, Shaimov TB, Shaimova VA. Morphometric and angiographic parallel with diferent variants of the course of Central serous chorioretinopathy. Vestnik of ophthalmology 2017; 2: 11

2019_02-1_433-442.pdf5.02 MB

No votes yet