RETINAL NONPERFUSION IN THE EARLY TREATMENT DIABETIC RETINOPATHY STUDY SEVEN FIELDS COMPARED WITH WIDEFIELD FLUORESCEIN ANGIOGRAPHY: Correlation and Use of Extrapolation Factor.


Journal

Retina (Philadelphia, Pa.)
ISSN: 1539-2864
Titre abrégé: Retina
Pays: United States
ID NLM: 8309919

Informations de publication

Date de publication:
01 08 2022
Historique:
pubmed: 8 4 2022
medline: 28 7 2022
entrez: 7 4 2022
Statut: ppublish

Résumé

In previous landmark studies on central retinal vein occlusion, retinal nonperfusion assessments were obtained using 7-field (7F) angiography. The widespread current use of widefield imaging allows better visualization of the peripheral retina and more comprehensive estimation of the total area of nonperfusion. The relationship between nonperfusion measurement of 7F and widefield angiography (WFA) in central retinal vein occlusion has not been studied. We aim to identify the correlation of retinal nonperfusion measured within the 7F and on WFA in eyes with central retinal vein occlusion. Retinal nonperfusion in participants with central retinal vein occlusion was determined using a 7F Early Treatment Diabetic Retinopathy Study template and the concentric rings method. A total of 153 eyes were included. Pearson correlation test showed a near-perfect positive, linear correlation between the nonperfusion found in the 7F and total retinal nonperfusion on WFA (0.985 95% CI [0.793, 0.999]) The regression line equation for nonperfusion on 7F and WFA was y = 37 + 3.2x. Eyes with 0 disk areas (DA), >0 DA to 10 DA and >10 DA of nonperfusion on 7-fields had on average 23 DA 95% CI (19.20, 27.06), 45 DA 95% CI (35.75, 55.18), and 115 DA 95% CI (88.89, 142.05) on widefield respectively. There is a positive and linear relationship between nonperfusion measured by 7F and WFA in central retinal vein occlusion with more than 3-times the amount of nonperfusion identified on WFA. Despite <10 DA no areas of nonperfusion on 7F, there is typically at least 35 DA of nonperfusion on WFA whereas eyes with >10 DA of nonperfusion on 7F had at least 88 DA on WFA.

Sections du résumé

BACKGROUND
In previous landmark studies on central retinal vein occlusion, retinal nonperfusion assessments were obtained using 7-field (7F) angiography. The widespread current use of widefield imaging allows better visualization of the peripheral retina and more comprehensive estimation of the total area of nonperfusion. The relationship between nonperfusion measurement of 7F and widefield angiography (WFA) in central retinal vein occlusion has not been studied. We aim to identify the correlation of retinal nonperfusion measured within the 7F and on WFA in eyes with central retinal vein occlusion.
METHODS
Retinal nonperfusion in participants with central retinal vein occlusion was determined using a 7F Early Treatment Diabetic Retinopathy Study template and the concentric rings method.
RESULTS
A total of 153 eyes were included. Pearson correlation test showed a near-perfect positive, linear correlation between the nonperfusion found in the 7F and total retinal nonperfusion on WFA (0.985 95% CI [0.793, 0.999]) The regression line equation for nonperfusion on 7F and WFA was y = 37 + 3.2x. Eyes with 0 disk areas (DA), >0 DA to 10 DA and >10 DA of nonperfusion on 7-fields had on average 23 DA 95% CI (19.20, 27.06), 45 DA 95% CI (35.75, 55.18), and 115 DA 95% CI (88.89, 142.05) on widefield respectively.
CONCLUSION
There is a positive and linear relationship between nonperfusion measured by 7F and WFA in central retinal vein occlusion with more than 3-times the amount of nonperfusion identified on WFA. Despite <10 DA no areas of nonperfusion on 7F, there is typically at least 35 DA of nonperfusion on WFA whereas eyes with >10 DA of nonperfusion on 7F had at least 88 DA on WFA.

Identifiants

pubmed: 35389969
doi: 10.1097/IAE.0000000000003498
pii: 00006982-202208000-00019
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1592-1598

Références

Klein R, Klein BEK, Moss SE, Linton KLP. The Beaver Dam Eye Study. Ophthalmology 1992;99:58–62.
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Baseline and early natural history report: the central vein occlusion study. Arch Ophthalmol 1993,111:1087–1095.
Schmidt-Erfurth U, Garcia-Arumi J, Gerendas BS, et al. Guidelines for the management of retinal vein occlusion by the European Society of Retina Specialists (EURETINA). Ophthalmologica 2019;242:123–162.
Hykin P, Prevost AT, Vasconcelos JC, et al. Clinical effectiveness of intravitreal therapy with ranibizumab vs aflibercept vs bevacizumab for macular edema secondary to central retinal vein occlusion: a randomized clinical trial. JAMA Ophthalmol 2019;137:1256–1264.
Oishi A, Holz FG. Validation of concentric rings method as a topographic measure of retinal nonperfusion in ultra-widefield fluorescein angiography. Am J Ophthalmol 2016;161:220.
Silva PS, Cavallerano JD, Sun JK, et al. Peripheral lesions identified by mydriatic ultrawide field imaging: distribution and potential impact on diabetic retinopathy severity. Ophthalmology 2013;120:2587–2595.
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Tsui I, Kaines A, Havunjian MA, et al. Ischemic index and neovascularization in central retinal vein occlusion. Retina 2011;31:105–110.
Nicholson L, Vazquez-Alfageme C, Ramu J, et al. Validation of concentric rings method as a topographic measure of retinal nonperfusion in ultra-widefield fluorescein angiography. Am J Ophthalmol 2015;160:1217–1225.e2.
Nicholson L, Vazquez-Alfageme C, Sen P, et al. The clinical relevance of ultra-widefield angiography findings in patients with central retinal vein occlusion and macular oedema receiving anti-VEGF therapy. Eye 2022;36:1086–1093.
Blodi BA, Domalpally A, Scott IU, et al. Standard care vs corticosteroid for retinal vein occlusion (SCORE) Study system for evaluation of stereoscopic color fundus photographs and fluorescein angiograms: SCORE study report 9. Arch Ophthalmol 2010;128:1140–1145.

Auteurs

Maria P Martin-Gutierrez (MP)

NIHR Biomedical Centre at Moorfields Eye Hospital, London, United Kingdom.

Sandra Vermeirsch (S)

NIHR Biomedical Centre at Moorfields Eye Hospital, London, United Kingdom.

Shruti Chandra (S)

NIHR Biomedical Centre at Moorfields Eye Hospital, London, United Kingdom.

Aditi A K Agarwal (AAK)

NIHR Biomedical Centre at Moorfields Eye Hospital, London, United Kingdom.

Senthil Selvam (S)

NIHR Biomedical Centre at Moorfields Eye Hospital, London, United Kingdom.

Sridevi Thottarath (S)

NIHR Biomedical Centre at Moorfields Eye Hospital, London, United Kingdom.

Clara Vazquez-Alfageme (C)

Royal Eye Unit, Kingston Hospital, Kingston upon Thames, United Kingdom; and.

Piyali Sen (P)

NIHR Biomedical Centre at Moorfields Eye Hospital, London, United Kingdom.

Sobha Sivaprasad (S)

NIHR Biomedical Centre at Moorfields Eye Hospital, London, United Kingdom.
Institute of Ophthalmology, University College London, London, United Kingdom.

Philip G Hykin (PG)

NIHR Biomedical Centre at Moorfields Eye Hospital, London, United Kingdom.
Institute of Ophthalmology, University College London, London, United Kingdom.

Luke Nicholson (L)

NIHR Biomedical Centre at Moorfields Eye Hospital, London, United Kingdom.

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