Retromode Imaging in Age-Related Macular Degeneration

<i>Background and Objectives</i>: Retromode is a relatively new retinal-imaging technique that is based on the transillumination principle and is obtained with a scanning laser ophthalmoscope that uses light in the infrared spectrum. The laser light penetrates into the deep retinal layer...

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Main Authors: Antonia-Elena Ranetti, Horia Tudor Stanca, Bogdana Tăbăcaru, Adrian Teodoru, Mihnea Munteanu, Simona Stanca
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/59/4/647
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author Antonia-Elena Ranetti
Horia Tudor Stanca
Bogdana Tăbăcaru
Adrian Teodoru
Mihnea Munteanu
Simona Stanca
author_facet Antonia-Elena Ranetti
Horia Tudor Stanca
Bogdana Tăbăcaru
Adrian Teodoru
Mihnea Munteanu
Simona Stanca
author_sort Antonia-Elena Ranetti
collection DOAJ
description <i>Background and Objectives</i>: Retromode is a relatively new retinal-imaging technique that is based on the transillumination principle and is obtained with a scanning laser ophthalmoscope that uses light in the infrared spectrum. The laser light penetrates into the deep retinal layers and the choroid. Retromode images are captured with a laterally displaced aperture, and the detector captures only the scattered light. The result is a high-contrast pseudo-three-dimensional image. Age-related macular degeneration (AMD) is a disabling retinal disease. AMD is characterized in its early stage by small and intermediate drusen formation, while the signs of intermediate AMD are large drusen and/or pigmentary abnormalities. Late AMD has two forms, geographic atrophy, which is the advanced form of dry AMD, and wet AMD. Most of the lesions of AMD are located in the outer layers of the retina. This new imaging method can provide a glimpse of the deep retinal layers’ topographic changes in a non-invasive, fast, and effective way that can match the other imaging tools available. <i>Materials and Methods</i>: The literature review was performed by searching the PubMed database using the following combination of keywords: retromode imaging and age-related macular degeneration. Relevant images similar to the ones in the literature were identified and used as models. <i>Results</i>: The purpose of this article is to highlight the utility of incorporating retromode imaging into the multimodal evaluation of the retina in patients with AMD and to gather and integrate these findings into a brief but comprehensive paper. <i>Conclusions:</i> Retromode imaging is a good screening, diagnosis, and monitoring tool for patients with AMD.
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spelling doaj.art-dbb43bc96b074b3e964dd55fa4dc30912023-11-17T20:19:54ZengMDPI AGMedicina1010-660X1648-91442023-03-0159464710.3390/medicina59040647Retromode Imaging in Age-Related Macular DegenerationAntonia-Elena Ranetti0Horia Tudor Stanca1Bogdana Tăbăcaru2Adrian Teodoru3Mihnea Munteanu4Simona Stanca5Doctoral School, University of Medicine and Pharmacy “Carol Davila”, 020021 București, RomaniaDoctoral School, University of Medicine and Pharmacy “Carol Davila”, 020021 București, RomaniaClinical Department of Ophthalmology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, RomaniaClinical Surgical Department, Faculty of Medicine, “Lucian Blaga” University Sibiu, 550169 Sibiu, RomaniaDepartment of Ophthalmology, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, RomaniaClinical Department of Pediatrics, University of Medicine and Pharmacy “Carol Davila”, 020021 București, Romania<i>Background and Objectives</i>: Retromode is a relatively new retinal-imaging technique that is based on the transillumination principle and is obtained with a scanning laser ophthalmoscope that uses light in the infrared spectrum. The laser light penetrates into the deep retinal layers and the choroid. Retromode images are captured with a laterally displaced aperture, and the detector captures only the scattered light. The result is a high-contrast pseudo-three-dimensional image. Age-related macular degeneration (AMD) is a disabling retinal disease. AMD is characterized in its early stage by small and intermediate drusen formation, while the signs of intermediate AMD are large drusen and/or pigmentary abnormalities. Late AMD has two forms, geographic atrophy, which is the advanced form of dry AMD, and wet AMD. Most of the lesions of AMD are located in the outer layers of the retina. This new imaging method can provide a glimpse of the deep retinal layers’ topographic changes in a non-invasive, fast, and effective way that can match the other imaging tools available. <i>Materials and Methods</i>: The literature review was performed by searching the PubMed database using the following combination of keywords: retromode imaging and age-related macular degeneration. Relevant images similar to the ones in the literature were identified and used as models. <i>Results</i>: The purpose of this article is to highlight the utility of incorporating retromode imaging into the multimodal evaluation of the retina in patients with AMD and to gather and integrate these findings into a brief but comprehensive paper. <i>Conclusions:</i> Retromode imaging is a good screening, diagnosis, and monitoring tool for patients with AMD.https://www.mdpi.com/1648-9144/59/4/647age-related macular degenerationretromode imagingpseudo-three-dimensionalscanning laser ophthalmoscopemultimodal imaging
spellingShingle Antonia-Elena Ranetti
Horia Tudor Stanca
Bogdana Tăbăcaru
Adrian Teodoru
Mihnea Munteanu
Simona Stanca
Retromode Imaging in Age-Related Macular Degeneration
Medicina
age-related macular degeneration
retromode imaging
pseudo-three-dimensional
scanning laser ophthalmoscope
multimodal imaging
title Retromode Imaging in Age-Related Macular Degeneration
title_full Retromode Imaging in Age-Related Macular Degeneration
title_fullStr Retromode Imaging in Age-Related Macular Degeneration
title_full_unstemmed Retromode Imaging in Age-Related Macular Degeneration
title_short Retromode Imaging in Age-Related Macular Degeneration
title_sort retromode imaging in age related macular degeneration
topic age-related macular degeneration
retromode imaging
pseudo-three-dimensional
scanning laser ophthalmoscope
multimodal imaging
url https://www.mdpi.com/1648-9144/59/4/647
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AT bogdanatabacaru retromodeimaginginagerelatedmaculardegeneration
AT adrianteodoru retromodeimaginginagerelatedmaculardegeneration
AT mihneamunteanu retromodeimaginginagerelatedmaculardegeneration
AT simonastanca retromodeimaginginagerelatedmaculardegeneration