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...

Full description

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
Subjects:
Online Access: http://www.oftalmoloji.org/archives/archive-detail/article-preview/multimodal-maging-of-reticular-pseudodrusen-in-tur/62814
_version_ 1797646370990981120
author Serap Bilge Çeper
Filiz Afrashi
Cumali Değirmenci
Jale Menteş
Serhad Nalçacı
Cezmi Akkın
author_facet Serap Bilge Çeper
Filiz Afrashi
Cumali Değirmenci
Jale Menteş
Serhad Nalçacı
Cezmi Akkın
author_sort Serap Bilge Çeper
collection DOAJ
description 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.
first_indexed 2024-03-11T15:00:24Z
format Article
id doaj.art-0493efb2e1e444d187f759c2f2e31243
institution Directory Open Access Journal
issn 1300-0659
2147-2661
language English
last_indexed 2024-03-11T15:00:24Z
publishDate 2023-10-01
publisher Galenos Yayinevi
record_format Article
series Türk Oftalmoloji Dergisi
spelling doaj.art-0493efb2e1e444d187f759c2f2e312432023-10-30T07:36:11ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612023-10-0153527528010.4274/tjo.galenos.2023.8561613049054Multimodal Imaging of Reticular Pseudodrusen in Turkish PatientsSerap Bilge Çeper0Filiz Afrashi1Cumali Değirmenci2Jale Menteş3Serhad Nalçacı4Cezmi Akkın5 Malatya Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, Malatya, Türkiye Ege Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İzmir, Türkiye Ege Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İzmir, Türkiye Ege Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İzmir, Türkiye Ege Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İzmir, Türkiye Ege Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İzmir, Türkiye 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. http://www.oftalmoloji.org/archives/archive-detail/article-preview/multimodal-maging-of-reticular-pseudodrusen-in-tur/62814 age-related macular degenerationimaging methodsreticular pseudodrusenturkish patients
spellingShingle Serap Bilge Çeper
Filiz Afrashi
Cumali Değirmenci
Jale Menteş
Serhad Nalçacı
Cezmi Akkın
Multimodal Imaging of Reticular Pseudodrusen in Turkish Patients
Türk Oftalmoloji Dergisi
age-related macular degeneration
imaging methods
reticular pseudodrusen
turkish patients
title Multimodal Imaging of Reticular Pseudodrusen in Turkish Patients
title_full Multimodal Imaging of Reticular Pseudodrusen in Turkish Patients
title_fullStr Multimodal Imaging of Reticular Pseudodrusen in Turkish Patients
title_full_unstemmed Multimodal Imaging of Reticular Pseudodrusen in Turkish Patients
title_short Multimodal Imaging of Reticular Pseudodrusen in Turkish Patients
title_sort multimodal imaging of reticular pseudodrusen in turkish patients
topic age-related macular degeneration
imaging methods
reticular pseudodrusen
turkish patients
url http://www.oftalmoloji.org/archives/archive-detail/article-preview/multimodal-maging-of-reticular-pseudodrusen-in-tur/62814
work_keys_str_mv AT serapbilgeceper multimodalimagingofreticularpseudodruseninturkishpatients
AT filizafrashi multimodalimagingofreticularpseudodruseninturkishpatients
AT cumalidegirmenci multimodalimagingofreticularpseudodruseninturkishpatients
AT jalementes multimodalimagingofreticularpseudodruseninturkishpatients
AT serhadnalcacı multimodalimagingofreticularpseudodruseninturkishpatients
AT cezmiakkın multimodalimagingofreticularpseudodruseninturkishpatients