Progression of Rare Inherited Retinal Dystrophies May Be Monitored by Adaptive Optics Imaging

Inherited retinal dystrophies (IRDs) are bilateral genetic conditions of the retina, leading to irreversible vision loss. This study included 55 eyes afflicted with IRDs affecting the macula. The diseases examined encompassed Stargardt disease (STGD), cone dystrophy (CD), and cone–rod dystrophy (CRD...

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Main Authors: Katarzyna Samelska, Jacek Paweł Szaflik, Barbara Śmigielska, Anna Zaleska-Żmijewska
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Life
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Online Access:https://www.mdpi.com/2075-1729/13/9/1871
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author Katarzyna Samelska
Jacek Paweł Szaflik
Barbara Śmigielska
Anna Zaleska-Żmijewska
author_facet Katarzyna Samelska
Jacek Paweł Szaflik
Barbara Śmigielska
Anna Zaleska-Żmijewska
author_sort Katarzyna Samelska
collection DOAJ
description Inherited retinal dystrophies (IRDs) are bilateral genetic conditions of the retina, leading to irreversible vision loss. This study included 55 eyes afflicted with IRDs affecting the macula. The diseases examined encompassed Stargardt disease (STGD), cone dystrophy (CD), and cone–rod dystrophy (CRD) using adaptive optics (Rtx1™; Imagine Eyes, Orsay, France). Adaptive optics facilitate high-quality visualisation of retinal microstructures, including cones. Cone parameters, such as cone density (DM), cone spacing (SM), and regularity (REG), were analysed. The best corrected visual acuity (BCVA) was assessed as well. Examinations were performed twice over a 6-year observation period. A significant change was observed in DM (<inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mn>1282.73</mn></mrow></semantics></math></inline-formula>/mm<inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><msup><mrow></mrow><mn>2</mn></msup></semantics></math></inline-formula> vs. 10,073.42/mm<inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><msup><mrow></mrow><mn>2</mn></msup></semantics></math></inline-formula>, <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mi>p</mi><mo><</mo></mrow></semantics></math></inline-formula> 0.001) and SM (9.83 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>m vs. 12.16 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>m, <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mi>p</mi><mo><</mo></mrow></semantics></math></inline-formula> 0.001) during the follow-up. BCVA deterioration was also significant (<inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mn>0.16</mn></mrow></semantics></math></inline-formula> vs. <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mn>0.12</mn></mrow></semantics></math></inline-formula>, <i>p</i> = 0.001), albeit uncorrelated with the change in cone parameters. No significant difference in REG was detected between the initial examination and the follow-up (<i>p</i> = 0.089).
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spelling doaj.art-74bd8cae65d942c2bee4a088d723435b2023-11-19T11:37:27ZengMDPI AGLife2075-17292023-09-01139187110.3390/life13091871Progression of Rare Inherited Retinal Dystrophies May Be Monitored by Adaptive Optics ImagingKatarzyna Samelska0Jacek Paweł Szaflik1Barbara Śmigielska2Anna Zaleska-Żmijewska3Department of Ophthalmology, Medical University of Warsaw, 02-091 Warsaw, PolandDepartment of Ophthalmology, Medical University of Warsaw, 02-091 Warsaw, PolandDepartment of Ophthalmology, Medical University of Warsaw, 02-091 Warsaw, PolandDepartment of Ophthalmology, Medical University of Warsaw, 02-091 Warsaw, PolandInherited retinal dystrophies (IRDs) are bilateral genetic conditions of the retina, leading to irreversible vision loss. This study included 55 eyes afflicted with IRDs affecting the macula. The diseases examined encompassed Stargardt disease (STGD), cone dystrophy (CD), and cone–rod dystrophy (CRD) using adaptive optics (Rtx1™; Imagine Eyes, Orsay, France). Adaptive optics facilitate high-quality visualisation of retinal microstructures, including cones. Cone parameters, such as cone density (DM), cone spacing (SM), and regularity (REG), were analysed. The best corrected visual acuity (BCVA) was assessed as well. Examinations were performed twice over a 6-year observation period. A significant change was observed in DM (<inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mn>1282.73</mn></mrow></semantics></math></inline-formula>/mm<inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><msup><mrow></mrow><mn>2</mn></msup></semantics></math></inline-formula> vs. 10,073.42/mm<inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><msup><mrow></mrow><mn>2</mn></msup></semantics></math></inline-formula>, <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mi>p</mi><mo><</mo></mrow></semantics></math></inline-formula> 0.001) and SM (9.83 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>m vs. 12.16 <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mi mathvariant="sans-serif">μ</mi></semantics></math></inline-formula>m, <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mi>p</mi><mo><</mo></mrow></semantics></math></inline-formula> 0.001) during the follow-up. BCVA deterioration was also significant (<inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mn>0.16</mn></mrow></semantics></math></inline-formula> vs. <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mn>0.12</mn></mrow></semantics></math></inline-formula>, <i>p</i> = 0.001), albeit uncorrelated with the change in cone parameters. No significant difference in REG was detected between the initial examination and the follow-up (<i>p</i> = 0.089).https://www.mdpi.com/2075-1729/13/9/1871adaptive opticscone dystrophycone–rod dystrophyinherited retinal diseasesinherited retinal dystrophiesocular imaging
spellingShingle Katarzyna Samelska
Jacek Paweł Szaflik
Barbara Śmigielska
Anna Zaleska-Żmijewska
Progression of Rare Inherited Retinal Dystrophies May Be Monitored by Adaptive Optics Imaging
Life
adaptive optics
cone dystrophy
cone–rod dystrophy
inherited retinal diseases
inherited retinal dystrophies
ocular imaging
title Progression of Rare Inherited Retinal Dystrophies May Be Monitored by Adaptive Optics Imaging
title_full Progression of Rare Inherited Retinal Dystrophies May Be Monitored by Adaptive Optics Imaging
title_fullStr Progression of Rare Inherited Retinal Dystrophies May Be Monitored by Adaptive Optics Imaging
title_full_unstemmed Progression of Rare Inherited Retinal Dystrophies May Be Monitored by Adaptive Optics Imaging
title_short Progression of Rare Inherited Retinal Dystrophies May Be Monitored by Adaptive Optics Imaging
title_sort progression of rare inherited retinal dystrophies may be monitored by adaptive optics imaging
topic adaptive optics
cone dystrophy
cone–rod dystrophy
inherited retinal diseases
inherited retinal dystrophies
ocular imaging
url https://www.mdpi.com/2075-1729/13/9/1871
work_keys_str_mv AT katarzynasamelska progressionofrareinheritedretinaldystrophiesmaybemonitoredbyadaptiveopticsimaging
AT jacekpawełszaflik progressionofrareinheritedretinaldystrophiesmaybemonitoredbyadaptiveopticsimaging
AT barbarasmigielska progressionofrareinheritedretinaldystrophiesmaybemonitoredbyadaptiveopticsimaging
AT annazaleskazmijewska progressionofrareinheritedretinaldystrophiesmaybemonitoredbyadaptiveopticsimaging