Peripheral retinopathy under intraoperative optical coherence tomography_Chinese Journal of Ocular Fundus Diseases

Authors：

 Wang Wenzhan , Song Degong , Li Long , Deng Xianming , Shi Jing

Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Henan Provincial Ophthalmic Hospital , Zhengzhou 450052, China;

Corresponding author：

Wang Wenzhan, Email: 18003857188@189.cn

Keywords：

Peripheral retinopathy; Intraoperative optical coherence tomography; Vitreoretinal surgery; Retinal degeneration

DOI：

10.3760/cma.j.cn511434-20220706-00394

Video：

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Objective To observe the histopathological changes in peripheral retinal lesions under intraoperative optical coherence tomography (iOCT). Methods A retrospective case series study. Eighty-eight patients (194 eyes) who underwent vitreoretinal surgery in the Department of Ophthalmology at the East Ward of the First Affiliated Hospital of Zhengzhou University from October 2021 to May 2022 in 94 eyes were included in the study. Among them, 49 cases were male and 39 cases were female, with the mean age of (50.93±17.55) years. Ninety-four eyes included 32 eyes with retinal detachment, 6 eyes with proliferative diabetic retinopathy, 28 eyes with vitreous hemorrhage, 8 eyes with ocular trauma, 14 eyes with the macular lesion, 1 eye with uveitis, 1 eye with family exudative vitreoretinopathy (FEVR), 1 eye with acute retinal necrosis (ARN), and 3 eyes with lens dislocation. All affected eyes were examined with iOCT during vitreoretinal surgery. The iOCT scanning of the peripheral retina was performed with the help of episcleral pressure. The pre-equatorial and serrated edge anterior and posterior of retinas were scanned according to the characteristics of different fundus diseases. Various abnormal fundus manifestations were recorded. Results In 94 eyes, 53 eyes (56.38%, 53/94) have different types of retinopathy in the peripheral retina. Of these, 7 eyes (7.45%) have retinal cystoid degeneration; 19 eyes (20.21%) have lattice degeneration; and 8 eyes (8.51%) have pigment degeneration; 9 eyes (9.57%) have pavement-like degeneration; 7 eyes (7.45%) have small occult holes; 1 eye (1.06%) has familial exudative vitreoretinopathy (FEVR) serrated edge "dyke-like" proliferative degeneration; 4 eyes (4.26%) have vitreous and retinopathy adhesions; and one eye (1.06%) has ARN. Conclusion With clear refractive media, iOCT can provide clear scans of different peripheral retinal lesions.

Citation： Wang Wenzhan, Song Degong, Li Long, Deng Xianming, Shi Jing. Peripheral retinopathy under intraoperative optical coherence tomography. Chinese Journal of Ocular Fundus Diseases, 2023, 39(4): 318-323. doi: 10.3760/cma.j.cn511434-20220706-00394 Copy

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8.	Nishitsuka K, Nishi K, Namba H, et al. Peripheral cystoid degeneration finding using intraoperative optical coherence tomography in rhegmatogenous retinal detachment[J]. Clin Ophthalmol, 2021, 15: 1183-1187. DOI: 10.2147/OPTH.S306623.
9.	王文战, 宋德弓, 邓先明, 等. 术中OCT导航下的视网膜手术[J]. 中华眼外伤职业眼病杂志, 2022, 44(5): 392-395. DOI: 10.3760/cma.j.cn116022-20220130-00031.Wang WZ, Song DG, Deng XM, et al. Intraoperative navigating with optical coherence tomography in retinal surgery[J]. Chin J Ocul Traum Occupat Eye Dis, 2022, 44(5): 392-395. DOI: 10.3760/cma.j.cn116022-20220130-00031.
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13.	王文战, 宋德弓, 邓先明, 等. 玻璃体切除术中应用光学相干断层扫描成像术的手术策略选择[J]. 中华眼外伤职业眼病杂志, 2022, 44(12): 922-928. DOI: 10.3760/cma.j.cn116022-20220730-00323.Wang WZ, Song DG, Deng XM, et al. Selection of surgical strategy for application of intraoperative optical coherence tomography in vitrectomy surgery[J]. Chin J Ocul Traum Occupat Eye Dis, 2022, 44(12): 922-928. DOI: 10.3760/cma.j.cn116022-20220730-00323.
14.	陈桂芬, 王长龄, 李素芬, 等. 先天性视网膜色素上皮肥厚2例[J]. 中国实用眼科杂志, 2006, 24(2): 223-224. DOI: 10.3760/cma.j.issn.1006-4443.2006.02.053.Chen GF, Wang CL, Li SF, et al. Two cases of congenital hypertrophy of retinal pigment epithelium[J]. Chin J Pract Ophthalmol, 2006, 24(2): 223-224. DOI: 10.3760/cma.j.issn.1006-4443.2006.02.053.
15.	佟柏楠, 肖骏, 杨波. 先天性视网膜色素上皮增生一例[J]. 中华眼底病杂志, 2013, 29(4): 434. DOI: 10.3760/cma.j.issn.1005-1015.2013.04.021.Tong BN, Xiao J, Yang B. A case of congenital retinal pigment epithelial hyperplasia[J]. Chin J Ocul Fundus Dis, 2013, 29(4): 434. DOI: 10.3760/cma.j.issn.1005-1015.2013.04.021.
16.	Criswick VG, Schepens CL. Familial exudative vitreoretinopathy[J]. Am J Ophthalmol, 1969, 68(4): 578-594. DOI: 10.1016/0002-9394(69)91237-9.
17.	张琦, 赵培泉, 蔡璇, 等. 家族性渗出性玻璃体视网膜病变的临床特征[J]. 中华眼底病杂志, 2014, 30(4): 374-377. DOI: 10.3760/cma.j.issn.1005-1015.2014.04.010.Zhang Q, Zhao PQ, Cai X, et al. Clinical features of familial exudative vitreoretinopathy[J]. Chin J Ocul Fundus Dis, 2014, 30(4): 374-377. DOI: 10.3760/cma.j.issn.1005-1015.2014.04.010.
18.	Nishitsuka K, Nishi K, Namba H, et al. Quantification of the peripheral vitreous after vitreous shaving using intraoperative optical coherence tomography[J]. BMJ Open Ophthalmol, 2021, 6(1): e605. DOI: 10.1136/bmjophth-2020-000605.

1. Fujimoto J, Swanson E. The development, commercialization, and impact of optical coherence tomography[J]. Invest Ophthalmol Vis Sci, 2016, 57(9): 1-13. DOI: 10.1167/iovs.16-19963.
2. 吴鹏伟, 柳慧, 吴瑛洁, 等. 高度近视周边视网膜异常的光相干断层扫描影像特征观察[J]. 中华眼底病杂志, 2022, 38(6): 478-483. DOI: 10.3760/cma.j.cn511434-20220110-00023.Wu PW, Liu H, Wu YJ, et al. Optical coherence tomography imaging features of peripheral retinal abnormalities in high myopia[J]. Chin J Ocul Fundus Dis, 2022, 38(6): 478-483. DOI: 10.3760/cma.j.cn511434-20220110-00023.
3. Choudhry N, Golding J, Manry MW, et al. Ultra-widefield steering-based spectral-domain optical coherence tomography imaging of the retinal periphery[J]. Ophthalmology, 2016, 123(6): 1368-1374. DOI: 10.1016/j.ophtha.2016.01.045.
4. 徐斌, 李程良, 袁巧玲. 视网膜周边部OCT的方法[M]//李满, 王冬梅. 视网膜周边部病变图集. 成都: 四川科学技术出版社, 2021: 33-38.Xu B, Li CL, Yuan QL. Method of OCT of the peripheral part of the retina[M]//Li M, Wang DM. Atlas of peripheral retinal diseases. Chengdu: Sichuan Science and Technology Press, 2021: 33-38.
5. Falkner-Radler CI, Glittenberg C, Gabriel M, et al. Intrasurgical microscope-integrated spectral domain optical coherence tomography-assisted membrane peeling[J]. Retina, 2015, 35(10): 2100-2106. DOI: 10.1097/IAE.0000000000000596.
6. 陶继伟, 陈焕, 沈丽君, 等. 术中光相干断层扫描在玻璃体视网膜手术中的应用价值评估[J]. 中华实验眼科杂志, 2022, 40(1): 35-40. DOI: 10.3760/cma.j.cn115989-20190715-00309.Tao JW, Chen H, Shen LJ, et al. Evaluation of the application value of intraoperative optical coherence tomography in vitreoretinal surgery[J]. Chin J Exp Ophthalmol, 2022, 40(1): 35-40. DOI: 10.3760/cma.j.cn115989-20190715-00309.
7. Tao JW, Wu HF, Chen YQ, et al. Use of ioct in vitreoretinal surgery for dense vitreous hemorrhage in a Chinese population[J]. Curr Eye Res, 2019, 44(2): 219-224. DOI: 10.1080/02713683.2018.1533982.
8. Nishitsuka K, Nishi K, Namba H, et al. Peripheral cystoid degeneration finding using intraoperative optical coherence tomography in rhegmatogenous retinal detachment[J]. Clin Ophthalmol, 2021, 15: 1183-1187. DOI: 10.2147/OPTH.S306623.
9. 王文战, 宋德弓, 邓先明, 等. 术中OCT导航下的视网膜手术[J]. 中华眼外伤职业眼病杂志, 2022, 44(5): 392-395. DOI: 10.3760/cma.j.cn116022-20220130-00031.Wang WZ, Song DG, Deng XM, et al. Intraoperative navigating with optical coherence tomography in retinal surgery[J]. Chin J Ocul Traum Occupat Eye Dis, 2022, 44(5): 392-395. DOI: 10.3760/cma.j.cn116022-20220130-00031.
10. Leisser C, Hackl C, Hirnschall N, et al. Visualizing macular structures during membrane peeling surgery with an intraoperative spectral-domain optical coherence tomography device[J]. Ophthalmic Surg Lasers Imaging Retina, 2016, 47(4): 328-332. DOI: 10.3928/23258160-20160324-04.
11. Ehlers JP, Modi YS, Pecen PE, et al. The discover study 3-year results: feasibility and usefulness of microscope-integrated intraoperative oct during ophthalmic surgery[J]. Ophthalmology, 2018, 125(7): 1014-1027. DOI: 10.1016/j.ophtha.2017.12.037.
12. Ung C, Miller JB. Intraoperative optical coherence tomography in vitreoretinal surgery[J]. Semin Ophthalmol, 2019, 34(4): 312-316. DOI: 10.1080/08820538.2019.1620811.
13. 王文战, 宋德弓, 邓先明, 等. 玻璃体切除术中应用光学相干断层扫描成像术的手术策略选择[J]. 中华眼外伤职业眼病杂志, 2022, 44(12): 922-928. DOI: 10.3760/cma.j.cn116022-20220730-00323.Wang WZ, Song DG, Deng XM, et al. Selection of surgical strategy for application of intraoperative optical coherence tomography in vitrectomy surgery[J]. Chin J Ocul Traum Occupat Eye Dis, 2022, 44(12): 922-928. DOI: 10.3760/cma.j.cn116022-20220730-00323.
14. 陈桂芬, 王长龄, 李素芬, 等. 先天性视网膜色素上皮肥厚2例[J]. 中国实用眼科杂志, 2006, 24(2): 223-224. DOI: 10.3760/cma.j.issn.1006-4443.2006.02.053.Chen GF, Wang CL, Li SF, et al. Two cases of congenital hypertrophy of retinal pigment epithelium[J]. Chin J Pract Ophthalmol, 2006, 24(2): 223-224. DOI: 10.3760/cma.j.issn.1006-4443.2006.02.053.
15. 佟柏楠, 肖骏, 杨波. 先天性视网膜色素上皮增生一例[J]. 中华眼底病杂志, 2013, 29(4): 434. DOI: 10.3760/cma.j.issn.1005-1015.2013.04.021.Tong BN, Xiao J, Yang B. A case of congenital retinal pigment epithelial hyperplasia[J]. Chin J Ocul Fundus Dis, 2013, 29(4): 434. DOI: 10.3760/cma.j.issn.1005-1015.2013.04.021.
16. Criswick VG, Schepens CL. Familial exudative vitreoretinopathy[J]. Am J Ophthalmol, 1969, 68(4): 578-594. DOI: 10.1016/0002-9394(69)91237-9.
17. 张琦, 赵培泉, 蔡璇, 等. 家族性渗出性玻璃体视网膜病变的临床特征[J]. 中华眼底病杂志, 2014, 30(4): 374-377. DOI: 10.3760/cma.j.issn.1005-1015.2014.04.010.Zhang Q, Zhao PQ, Cai X, et al. Clinical features of familial exudative vitreoretinopathy[J]. Chin J Ocul Fundus Dis, 2014, 30(4): 374-377. DOI: 10.3760/cma.j.issn.1005-1015.2014.04.010.
18. Nishitsuka K, Nishi K, Namba H, et al. Quantification of the peripheral vitreous after vitreous shaving using intraoperative optical coherence tomography[J]. BMJ Open Ophthalmol, 2021, 6(1): e605. DOI: 10.1136/bmjophth-2020-000605.

Chinese Journal of Ocular Fundus Diseases

Peripheral retinopathy under intraoperative optical coherence tomography

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