'Structural OCT changes distinguishing between myopic macular haemorrhages due to choroidal neovascularization and spontaneous Bruch's membrane rupture: the "myopic 2 binary reflective sign".


Journal

Eye (London, England)
ISSN: 1476-5454
Titre abrégé: Eye (Lond)
Pays: England
ID NLM: 8703986

Informations de publication

Date de publication:
09 Oct 2023
Historique:
received: 07 05 2023
accepted: 25 09 2023
revised: 18 09 2023
medline: 10 10 2023
pubmed: 10 10 2023
entrez: 9 10 2023
Statut: aheadofprint

Résumé

To evaluate the sensitivity and specificity of structural optical coherence tomography (OCT) in comparison to fluorescein angiography (FA) and OCT angiography (OCTA) in discerning between macular haemorrhages (MH) due to myopic choroidal neovascularization (m-CNV) and idiopathic macular haemorrhage (IMH) in myopic patients and to suggest a new OCT biomarker to discern these two entities. In this longitudinal retrospective study, patients affected by MH and pathological myopia were included. All patients underwent OCTA and FA to discern bleeding from m-CNV or IMH. Furthermore, all patients underwent a structural OCT and 2 expert graders evaluated the presence of the myopic 2 binary reflective sign as a biomarker to discern between IMH and bleeding from m-CNV. Forty-seven eyes of 47 patients were enrolled. By means of angiographic examinations, 34 out of 47 eyes with MH (57%) were diagnosed as m-CNV, whereas 13 eyes (43%) as IMH. Using structural OCT, the graders identified the presence of the myopic 2 binary reflective sign in 13 out of 13 eyes with IMH. In 33 out of 34 cases with m-CNV, the 2 graders established the absence of the sign. This accounted for 100% of sensibility and 97% of specificity of structural OCT in discerning between MH from m-CNV and IMH. Structural OCT can discern with good reliability between IMH and bleeding from m-CNV based on the presence/ absence of the myopic 2 binary reflective sign. This could be of paramount relevance in the clinical setting for the diagnosis and treatment of HM patients.

Identifiants

pubmed: 37813979
doi: 10.1038/s41433-023-02780-w
pii: 10.1038/s41433-023-02780-w
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023. The Author(s), under exclusive licence to The Royal College of Ophthalmologists.

Références

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Auteurs

Cecilia Mularoni (C)

Division of Head and Neck, Ophthalmology Unit, IRCSS Ospedale San Raffaele, Via Olgettina 60, 20132, Milan, Italy.
School of Medicine, Vita-Salute San Raffaele University, Via Olgettina 60, 20132, Milan, Italy.

Andrea Servillo (A)

Division of Head and Neck, Ophthalmology Unit, IRCSS Ospedale San Raffaele, Via Olgettina 60, 20132, Milan, Italy.
School of Medicine, Vita-Salute San Raffaele University, Via Olgettina 60, 20132, Milan, Italy.

Riccardo Sacconi (R)

Division of Head and Neck, Ophthalmology Unit, IRCSS Ospedale San Raffaele, Via Olgettina 60, 20132, Milan, Italy.
School of Medicine, Vita-Salute San Raffaele University, Via Olgettina 60, 20132, Milan, Italy.

Marco Battista (M)

Division of Head and Neck, Ophthalmology Unit, IRCSS Ospedale San Raffaele, Via Olgettina 60, 20132, Milan, Italy.
School of Medicine, Vita-Salute San Raffaele University, Via Olgettina 60, 20132, Milan, Italy.

Emanuele Crincoli (E)

Division of Head and Neck, Ophthalmology Unit, IRCSS Ospedale San Raffaele, Via Olgettina 60, 20132, Milan, Italy.
School of Medicine, Vita-Salute San Raffaele University, Via Olgettina 60, 20132, Milan, Italy.

Anna Crepaldi (A)

Division of Head and Neck, Ophthalmology Unit, IRCSS Ospedale San Raffaele, Via Olgettina 60, 20132, Milan, Italy.
School of Medicine, Vita-Salute San Raffaele University, Via Olgettina 60, 20132, Milan, Italy.

Lea Querques (L)

Division of Head and Neck, Ophthalmology Unit, IRCSS Ospedale San Raffaele, Via Olgettina 60, 20132, Milan, Italy.
School of Medicine, Vita-Salute San Raffaele University, Via Olgettina 60, 20132, Milan, Italy.

Francesco Bandello (F)

Division of Head and Neck, Ophthalmology Unit, IRCSS Ospedale San Raffaele, Via Olgettina 60, 20132, Milan, Italy.
School of Medicine, Vita-Salute San Raffaele University, Via Olgettina 60, 20132, Milan, Italy.

Giuseppe Querques (G)

Division of Head and Neck, Ophthalmology Unit, IRCSS Ospedale San Raffaele, Via Olgettina 60, 20132, Milan, Italy. giuseppe.querques@hotmail.it.
School of Medicine, Vita-Salute San Raffaele University, Via Olgettina 60, 20132, Milan, Italy. giuseppe.querques@hotmail.it.

Classifications MeSH