Geographic atrophy in retinal angiomatous proliferation.

PURPOSE: To describe the occurrence of geographic atrophy in patients with retinal angiomatous proliferation (RAP). METHODS: Demographics, visual acuity, color fundus photographs, fluorescein and indocyanine green angiograms, and fundus autofluorescence and near-infrared autofluorescence images wer...

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Main Authors: McBain, V, Kumari, R, Townend, J, Lois, N
Format: Journal article
Language:English
Published: 2011
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author McBain, V
Kumari, R
Townend, J
Lois, N
author_facet McBain, V
Kumari, R
Townend, J
Lois, N
author_sort McBain, V
collection OXFORD
description PURPOSE: To describe the occurrence of geographic atrophy in patients with retinal angiomatous proliferation (RAP). METHODS: Demographics, visual acuity, color fundus photographs, fluorescein and indocyanine green angiograms, and fundus autofluorescence and near-infrared autofluorescence images were reviewed in 53 patients (66 eyes) with RAP. RESULTS: Of 53 treatment-naive eyes, 19 (36%) had atrophy at baseline. Of 66 eyes, 57 (86%) developed de novo atrophy or enlargement of preexisting areas of atrophy during the follow-up (median, 17 months; range, 3-53 months) after treatment. Areas of atrophy were observed at the site of the RAP (58 of 66 eyes, 88%) of a previously existing pigment epithelial detachment (18 of 44 eyes; 41%) and elsewhere (43 of 66 eyes, 65%). At presentation, RAP was found to be frequently associated with increased autofluorescence at the fovea because of cystoid macular edema (36 of 53 eyes, 68%) and reduced autofluorescence because of hard exudation (38 of 53 eyes, 72%) and intraretinal hemorrhages (32 of 53 eyes, 60%). Background reticular (39%) and homogeneous (36%) autofluorescence were most commonly observed. CONCLUSION: Geographic atrophy occurs frequently in patients with RAP after treatment. This information, if confirmed in other cohorts, would be valuable for the counseling of patients with this disease and for the understanding of the pathogenesis of this condition and its progression after treatment.
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spelling oxford-uuid:06182092-0d84-4626-9b7f-e189b91f2dec2022-03-26T09:00:51ZGeographic atrophy in retinal angiomatous proliferation.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:06182092-0d84-4626-9b7f-e189b91f2decEnglishSymplectic Elements at Oxford2011McBain, VKumari, RTownend, JLois, N PURPOSE: To describe the occurrence of geographic atrophy in patients with retinal angiomatous proliferation (RAP). METHODS: Demographics, visual acuity, color fundus photographs, fluorescein and indocyanine green angiograms, and fundus autofluorescence and near-infrared autofluorescence images were reviewed in 53 patients (66 eyes) with RAP. RESULTS: Of 53 treatment-naive eyes, 19 (36%) had atrophy at baseline. Of 66 eyes, 57 (86%) developed de novo atrophy or enlargement of preexisting areas of atrophy during the follow-up (median, 17 months; range, 3-53 months) after treatment. Areas of atrophy were observed at the site of the RAP (58 of 66 eyes, 88%) of a previously existing pigment epithelial detachment (18 of 44 eyes; 41%) and elsewhere (43 of 66 eyes, 65%). At presentation, RAP was found to be frequently associated with increased autofluorescence at the fovea because of cystoid macular edema (36 of 53 eyes, 68%) and reduced autofluorescence because of hard exudation (38 of 53 eyes, 72%) and intraretinal hemorrhages (32 of 53 eyes, 60%). Background reticular (39%) and homogeneous (36%) autofluorescence were most commonly observed. CONCLUSION: Geographic atrophy occurs frequently in patients with RAP after treatment. This information, if confirmed in other cohorts, would be valuable for the counseling of patients with this disease and for the understanding of the pathogenesis of this condition and its progression after treatment.
spellingShingle McBain, V
Kumari, R
Townend, J
Lois, N
Geographic atrophy in retinal angiomatous proliferation.
title Geographic atrophy in retinal angiomatous proliferation.
title_full Geographic atrophy in retinal angiomatous proliferation.
title_fullStr Geographic atrophy in retinal angiomatous proliferation.
title_full_unstemmed Geographic atrophy in retinal angiomatous proliferation.
title_short Geographic atrophy in retinal angiomatous proliferation.
title_sort geographic atrophy in retinal angiomatous proliferation
work_keys_str_mv AT mcbainv geographicatrophyinretinalangiomatousproliferation
AT kumarir geographicatrophyinretinalangiomatousproliferation
AT townendj geographicatrophyinretinalangiomatousproliferation
AT loisn geographicatrophyinretinalangiomatousproliferation