Thermography in posterior scleritis
<p> <b>A. Kawali, S. Sanjay, P. Mahendradas, R. Shetty</b> </p> <p> <b>Narayana Nethralaya Eye Hospital, Bangalore, India</b> </p> <p> <br> </p> <p> <i><b>Aim</b>: to eva...
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Format: | Article |
Language: | Russian |
Published: |
Prime-Media
2020-11-01
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Series: | РМЖ "Клиническая офтальмология" |
Online Access: | http://clinopht.com/upload/iblock/b43/b43ee44419f69f090cd7a64a306c5e58.pdf |
Summary: | <p>
<b>A. Kawali, S. Sanjay, P. Mahendradas, R. Shetty</b>
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<b>Narayana Nethralaya Eye Hospital, Bangalore, India</b>
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<i><b>Aim</b>: to evaluate the utility of thermography in posterior scleritis (PS).</i>
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<i>Patients and Methods: this prospective observational case-control study included 6 patients with monolateral PS (study group) and 10 healthy volunteers (control group). Ocular surface temperature (OST) was measured in all participants using a non-contact thermal camera (FLIR<sup>TM</sup>) integrated onto a smartphone (CAT S 60). The difference in OST between the affected eye and the healthy (fellow) eye on thermograms (Δt) <br>
was measured at each visit in both groups. Maximum (ΔtMax) and minimum (ΔtMin) Δt for each eye as well as the amplitude of fluctuations </i><i>(ampΔt) referred to as the difference between ΔtMax and ΔtMin were calculated for each eye. AmpΔt was compared between the groups.</i>
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<i><b>Results</b>: in a total of 6 PS patients, B-scan ultrasonography revealed the thickening of the posterior sclera. Choroidal folds (n=4), internal limiting membrane fold (n=2), subretinal fluid (n=3), and optic disc edema (n=2) were identified by eye fundus exam. At presentation, Δt was maximum in all PS patients and reduced unequally after starting treatment. Mean ampΔt was 1.21 °C (1.47–1.04 °C) in PS group and 0.44 °C (0.13–0.63 °C) in the control group. 3 out 6 PS patients were diagnosed with recurrences as demonstrated by OST spikes compared to previous measurements.</i>
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<i><b>Conclusion</b>: this article describes a novel technique of the measurement and monitoring of OST. It was demonstrated that PS is associated with the increase in OST measured by thermography. Further large-scale studies are needed to evaluate the potentialities of thermography for detecting occult or subclinical intraocular inflammation.</i>
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<i><b>Keywords</b>: ocular thermography, posterior scleritis, ocular surface temperature, eye temperature, occult inflammation.</i>
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<i><b>For citation:</b> Kawali A., Sanjay S., Mahendradas P., Shetty R. Thermography in posterior scleritis. Russian Journal of Clinical Ophthalmology. 2020;20(4):204–208. DOI: 10.32364/2311-7729-2020-20-4-204-208.</i>
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ISSN: | 2311-7729 2619-1571 |