Review of spectral domain enhanced depth imaging optical coherence tomography of tumors of the choroid

Background: Spectral domain enhanced depth imaging optical coherence tomography (EDI-OCT) can provide anatomic localization of intraocular tumors. Aims: The aim was to identify topographical and intrinsic patterns of choroidal tumors on EDI-OCT. Settings and Design: Retrospective review. Materials a...

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Main Authors: Carol L Shields, Janet Manalac, Chandana Das, Jarin Saktanasate, Jerry A Shields
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2015;volume=63;issue=2;spage=117;epage=121;aulast=Shields
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author Carol L Shields
Janet Manalac
Chandana Das
Jarin Saktanasate
Jerry A Shields
author_facet Carol L Shields
Janet Manalac
Chandana Das
Jarin Saktanasate
Jerry A Shields
author_sort Carol L Shields
collection DOAJ
description Background: Spectral domain enhanced depth imaging optical coherence tomography (EDI-OCT) can provide anatomic localization of intraocular tumors. Aims: The aim was to identify topographical and intrinsic patterns of choroidal tumors on EDI-OCT. Settings and Design: Retrospective review. Materials and Methods: Analysis of published reports and personal observations using office based EDI-OCT. Results: Using EDI-OCT, choroidal nevus displayed a smooth, dome-shaped topography with overlying retinal pigment epithelium alterations, drusen, and occasional subretinal cleft demonstrating photoreceptor loss. Small choroidal melanoma showed smooth, moderately dome-shaped topography, commonly with overlying shallow subretinal fluid that often depicted "shaggy" photoreceptors. Choroidal metastasis showed a minimally "lumpy, bumpy" surface topography and with overlying subretinal fluid and shaggy photoreceptors. Choroidal hemangioma showed a smooth, dome-shaped topography, with expansion of the affected small, medium, and large choroidal vessels. Choroidal lymphoma showed varying topography with increasing tumor thickness as "flat, rippled, or undulating (seasick)" surface. Choroidal osteoma displayed a smooth undulating surface with visible intralesional horizontal lines suggestive of bone lamellae and occasional horizontal and vertical tubules with intralesional "spongy" flecks. Choroidal melanocytosis appeared as uniformly thickened choroid with increased stromal density surrounding the normal choroidal vascular structures. Conclusions: Enhanced depth imaging-OCT can depict characteristic patterns that are suggestive of various choroidal tumors.
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spelling doaj.art-529d983785cf4e1794121156cdee50912022-12-22T03:40:47ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892015-01-0163211712110.4103/0301-4738.154377Review of spectral domain enhanced depth imaging optical coherence tomography of tumors of the choroidCarol L ShieldsJanet ManalacChandana DasJarin SaktanasateJerry A ShieldsBackground: Spectral domain enhanced depth imaging optical coherence tomography (EDI-OCT) can provide anatomic localization of intraocular tumors. Aims: The aim was to identify topographical and intrinsic patterns of choroidal tumors on EDI-OCT. Settings and Design: Retrospective review. Materials and Methods: Analysis of published reports and personal observations using office based EDI-OCT. Results: Using EDI-OCT, choroidal nevus displayed a smooth, dome-shaped topography with overlying retinal pigment epithelium alterations, drusen, and occasional subretinal cleft demonstrating photoreceptor loss. Small choroidal melanoma showed smooth, moderately dome-shaped topography, commonly with overlying shallow subretinal fluid that often depicted "shaggy" photoreceptors. Choroidal metastasis showed a minimally "lumpy, bumpy" surface topography and with overlying subretinal fluid and shaggy photoreceptors. Choroidal hemangioma showed a smooth, dome-shaped topography, with expansion of the affected small, medium, and large choroidal vessels. Choroidal lymphoma showed varying topography with increasing tumor thickness as "flat, rippled, or undulating (seasick)" surface. Choroidal osteoma displayed a smooth undulating surface with visible intralesional horizontal lines suggestive of bone lamellae and occasional horizontal and vertical tubules with intralesional "spongy" flecks. Choroidal melanocytosis appeared as uniformly thickened choroid with increased stromal density surrounding the normal choroidal vascular structures. Conclusions: Enhanced depth imaging-OCT can depict characteristic patterns that are suggestive of various choroidal tumors.http://www.ijo.in/article.asp?issn=0301-4738;year=2015;volume=63;issue=2;spage=117;epage=121;aulast=ShieldsCiliary bodychoroideyeirismelanomametastasisprognosistumoruveaChemotherapyintravitreal chemotherapyintra-arterial chemotherapyintravenous chemotherapyperiocular chemotherapyretinoblastomaSubtenon′s chemotherapytreatmentAutoflouroscenceenhanced depth imagingeyegene expression profilingmalignancymetastasismonosomy 3nevusoptical coherence tomographytumoruveal melanomaChoroidenhanced depth imaging optical coherence tomographyhemangiomalymphomamelanocytosismelanomametastasisnevusosteomatumor
spellingShingle Carol L Shields
Janet Manalac
Chandana Das
Jarin Saktanasate
Jerry A Shields
Review of spectral domain enhanced depth imaging optical coherence tomography of tumors of the choroid
Indian Journal of Ophthalmology
Ciliary body
choroid
eye
iris
melanoma
metastasis
prognosis
tumor
uvea
Chemotherapy
intravitreal chemotherapy
intra-arterial chemotherapy
intravenous chemotherapy
periocular chemotherapy
retinoblastoma
Subtenon′s chemotherapy
treatment
Autoflouroscence
enhanced depth imaging
eye
gene expression profiling
malignancy
metastasis
monosomy 3
nevus
optical coherence tomography
tumor
uveal melanoma
Choroid
enhanced depth imaging optical coherence tomography
hemangioma
lymphoma
melanocytosis
melanoma
metastasis
nevus
osteoma
tumor
title Review of spectral domain enhanced depth imaging optical coherence tomography of tumors of the choroid
title_full Review of spectral domain enhanced depth imaging optical coherence tomography of tumors of the choroid
title_fullStr Review of spectral domain enhanced depth imaging optical coherence tomography of tumors of the choroid
title_full_unstemmed Review of spectral domain enhanced depth imaging optical coherence tomography of tumors of the choroid
title_short Review of spectral domain enhanced depth imaging optical coherence tomography of tumors of the choroid
title_sort review of spectral domain enhanced depth imaging optical coherence tomography of tumors of the choroid
topic Ciliary body
choroid
eye
iris
melanoma
metastasis
prognosis
tumor
uvea
Chemotherapy
intravitreal chemotherapy
intra-arterial chemotherapy
intravenous chemotherapy
periocular chemotherapy
retinoblastoma
Subtenon′s chemotherapy
treatment
Autoflouroscence
enhanced depth imaging
eye
gene expression profiling
malignancy
metastasis
monosomy 3
nevus
optical coherence tomography
tumor
uveal melanoma
Choroid
enhanced depth imaging optical coherence tomography
hemangioma
lymphoma
melanocytosis
melanoma
metastasis
nevus
osteoma
tumor
url http://www.ijo.in/article.asp?issn=0301-4738;year=2015;volume=63;issue=2;spage=117;epage=121;aulast=Shields
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