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Graefe's Archive for Clinical and Experimental Ophthalmology

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01-03-2009 | Retinal Disorders

Evaluation of macular abnormalities in Stargardt’s disease using optical coherence tomography and scanning laser ophthalmoscope microperimetry

Authors: Fatmire Berisha, Gilbert T. Feke, Shakhsanam Aliyeva, Koji Hirai, Norbert Pfeiffer, Tatsuo Hirose

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 3/2009

Abstract

Background

The purpose of this study is to evaluate the diagnostic value of optical coherence tomography (Stratus OCT) and scanning laser ophthalmoscope (SLO) microperimetry in patients with Stargardt’s disease (STGD), and the correlation between macular morphology and visual function in these patients.

Methods

Twenty-two patients with STGD (mean age 44 years, range 11 to 71 years) and 20 age-matched healthy control subjects were included in the study. OCT imaging was performed using six radial line scans manually centered on the fovea. SLO microperimetry was used to assess central scotoma and fixation behavior in patients with STGD.

Results

Mean best corrected Snellen visual acuity (BCVA) was 20/80, range 20/25 to 20/300 (log MAR 0.6, range 0.1 to 1.2) in the STGD group and 20/20 (log MAR 0.0) in the control group. Foveal thickness was significantly reduced in patients with STGD (119.0 ± 19.6 μm) compared to controls (210.7 ± 19.6 μm, P < 0.0001). A significant correlation between foveal thickness and BCVA was observed within the STGD group (R² = 0.62, P < 0.0001). Photoreceptor loss in the macular area and a corresponding central scotoma were observed in all STGD patients.

Conclusions

OCT findings, particularly reduced foveomacular thickness and photoreceptor loss in the macular area may be useful in the diagnosis of STGD. Furthermore, a strong correlation between foveal thickness and visual function was observed in our patients. Assessment of central visual function using SLO microperimetry provides additional useful information, important in the management of STGD.

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Title: Evaluation of macular abnormalities in Stargardt’s disease using optical coherence tomography and scanning laser ophthalmoscope microperimetry
Authors: Fatmire Berisha
Gilbert T. Feke
Shakhsanam Aliyeva
Koji Hirai
Norbert Pfeiffer
Tatsuo Hirose
Publication date: 01-03-2009
Publisher: Springer-Verlag
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 3/2009
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-008-0963-8

At a glance: The STEP trials

Springer Medicine

Evaluation of macular abnormalities in Stargardt’s disease using optical coherence tomography and scanning laser ophthalmoscope microperimetry

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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