Multimodal Imaging of Reticular Pseudodrusen in Turkish Patients

Objectives:To investigate the presence and prevalence of reticular pseudodrusen (RPD) in patients with age-related macular degeneration using multiple imaging modalities and to compare the sensitivity and specificity of these modalities in the detection of RPD.Materials and Methods:Images from a tot...

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Bibliographic Details
Main Authors: Serap Bilge Çeper, Filiz Afrashi, Cumali Değirmenci, Jale Menteş, Serhad Nalçacı, Cezmi Akkın
Format: Article
Language:English
Published: Galenos Yayinevi 2023-10-01
Series:Türk Oftalmoloji Dergisi
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Online Access: http://www.oftalmoloji.org/archives/archive-detail/article-preview/multimodal-maging-of-reticular-pseudodrusen-in-tur/62814
Description
Summary:Objectives:To investigate the presence and prevalence of reticular pseudodrusen (RPD) in patients with age-related macular degeneration using multiple imaging modalities and to compare the sensitivity and specificity of these modalities in the detection of RPD.Materials and Methods:Images from a total of 198 consecutive patients were analyzed prospectively. Color fundus photography, red-free imaging, spectral domain optical coherence tomography (SD-OCT), infrared and blue reflectance (BR) imaging, fundus autofluorescence (FAF), enhanced-depth imaging OCT (EDI-OCT), fundus fluorescein angiography (FFA) and indocyanine green angiography were performed. RPD was diagnosed in the presence of relevant findings in at least two of the imaging methods used.Results:RPD were detected in 149 eyes (37.6%). In the detection of RPD, color fundus photography, red-free photography, SD-OCT, infrared, FAF, BR, and FFA imaging had sensitivity values of 50%, 57.7%, 91.6%, 95%, 74.6%, 65.7%, and 28.2% and specificity values of 99.6%, 100%, 98.4%, 94.6%, 100%, 99.6%, and 69.8%, respectively.Conclusion:Infrared imaging had the highest sensitivity. SD-OCT combined with infrared imaging was the most sensitive imaging technique for detecting RPD. The high specificity of FAF, red-free, and BR imaging may be useful to confirm a diagnosis of RPD.
ISSN:1300-0659
2147-2661