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Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 11/2013

01-11-2013 | Retinal Disorders

Outer photoreceptor layer thickness mapping in normal eyes and eyes with various macular diseases using spectral domain optical coherence tomography: A pilot study

Authors: Yong Un Shin, Hee Yoon Cho, Byung Ro Lee

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 11/2013

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Abstract

Background

To obtain a de novo map of outer photoreceptor layer (OPRL) thickness using a semiautomatic segmentation method for commercial spectral-domain optical coherence tomography (SD-OCT) and analyze the features of the resulting OPRL map in normal eyes and eyes with various inactive macular diseases.

Methods

Forty normal eyes and 50 eyes with various inactive macular diseases such as resolved central serous chorioretinopathy (20 eyes), surgically-repaired macular hole (10 eyes), epiretinal membrane (10 eyes), and reattached rhegmatogenous retinal detachment (10 eyes) were screened. All subjects underwent a 12 radial scan protocol in SD-OCT. The segmentation lines defining the OPRL were modified using built-in software. The diseased eyes were subdivided into two groups (good vision, or intermediate to poor vision) based on a visual acuity better or worse than 20/40. The map of the OPRL thickness was obtained automatically by the embedded software and was presented as the Early Treatment Diabetic Retinopathy Study (ETDRS) style.

Results

The mean OPRL thickness in normal eyes in all subfields was 40.37 ± 4.35 μm. The central subfield area showed the greatest mean OPRL thickness in normal eyes. The mean OPRL thickness of diseased eyes with good vision in the central subfield was greater than that of eyes with intermediate to poor vision. The OPRL thickness map showed various patterns according to the type of macular diseases.

Conclusions

We suggest that our semiautomated segmentation method using a 12 radial scan protocol is simple, fast, and suitable for producing a reliable OPRL map with ETDRS. This quantitative data could be useful in clinical practice or research of various macular diseases.
Literature
1.
go back to reference Kiernan DF, Mieler WF, Hariprasad SM (2010) Spectral-domain optical coherence tomography: a comparison of modern high-resolution retinal imaging systems. Am J Ophthalmol 149:18–31PubMedCrossRef Kiernan DF, Mieler WF, Hariprasad SM (2010) Spectral-domain optical coherence tomography: a comparison of modern high-resolution retinal imaging systems. Am J Ophthalmol 149:18–31PubMedCrossRef
2.
go back to reference Spaide RF, Curcio CA (2011) Anatomical correlates to the bands seen in the outer retina by optical coherence tomography: literature review and model. Retina 31:1609–1619PubMedCrossRef Spaide RF, Curcio CA (2011) Anatomical correlates to the bands seen in the outer retina by optical coherence tomography: literature review and model. Retina 31:1609–1619PubMedCrossRef
4.
go back to reference Lu RW, Curcio CA, Zhang Y, Zhang QX, Pittler SJ, Deretic D, Yao XC (2012) Investigation of the hyper-reflective inner/outer segment band in optical coherence tomography of living frog retina. J Biomed Opt 17:060504PubMedCrossRef Lu RW, Curcio CA, Zhang Y, Zhang QX, Pittler SJ, Deretic D, Yao XC (2012) Investigation of the hyper-reflective inner/outer segment band in optical coherence tomography of living frog retina. J Biomed Opt 17:060504PubMedCrossRef
5.
go back to reference Ko TH, Fujimoto JG, Duker JS, Paunescu LA, Drexler W, Baumal CR, Puliafito CA, Reichel E, Rogers AH, Schuman JS (2004) Comparison of ultrahigh- and standard-resolution optical coherence tomography for imaging macular hole pathology and repair. Ophthalmology 111:2033–2043PubMedCrossRef Ko TH, Fujimoto JG, Duker JS, Paunescu LA, Drexler W, Baumal CR, Puliafito CA, Reichel E, Rogers AH, Schuman JS (2004) Comparison of ultrahigh- and standard-resolution optical coherence tomography for imaging macular hole pathology and repair. Ophthalmology 111:2033–2043PubMedCrossRef
6.
go back to reference Maheshwary AS, Oster SF, Yuson RM, Cheng L, Mojana F, Freeman WR (2010) The association between percent disruption of the photoreceptor inner segment-outer segment junction and visual acuity in diabetic macular edema. Am J Ophthalmol 150:63–67PubMedCrossRef Maheshwary AS, Oster SF, Yuson RM, Cheng L, Mojana F, Freeman WR (2010) The association between percent disruption of the photoreceptor inner segment-outer segment junction and visual acuity in diabetic macular edema. Am J Ophthalmol 150:63–67PubMedCrossRef
7.
go back to reference Mitamura Y, Hirano K, Baba T, Yamamoto S (2009) Correlation of visual recovery with presence of photoreceptor inner/outer segment junction in optical coherence images after epiretinal membrane surgery. Br J Ophthalmol 93:171–175PubMedCrossRef Mitamura Y, Hirano K, Baba T, Yamamoto S (2009) Correlation of visual recovery with presence of photoreceptor inner/outer segment junction in optical coherence images after epiretinal membrane surgery. Br J Ophthalmol 93:171–175PubMedCrossRef
8.
go back to reference Chang LK, Koizumi H, Spaide RF (2008) Disruption of the photoreceptor inner segment-outer segment junction in eyes with macular holes. Retina 28:969–975PubMedCrossRef Chang LK, Koizumi H, Spaide RF (2008) Disruption of the photoreceptor inner segment-outer segment junction in eyes with macular holes. Retina 28:969–975PubMedCrossRef
9.
go back to reference Wakabayashi T, Oshima Y, Fujimoto H, Murakami Y, Sakaguchi H, Kusaka S, Tano Y (2009) Foveal microstructure and visual acuity after retinal detachment repair: imaging analysis by Fourier-domain optical coherence tomography. Ophthalmology 116:519–528PubMedCrossRef Wakabayashi T, Oshima Y, Fujimoto H, Murakami Y, Sakaguchi H, Kusaka S, Tano Y (2009) Foveal microstructure and visual acuity after retinal detachment repair: imaging analysis by Fourier-domain optical coherence tomography. Ophthalmology 116:519–528PubMedCrossRef
10.
go back to reference Pappuru RR, Ouyang Y, Nittala MG, Hemmati HD, Keane PA, Walsh AC, Sadda SR (2011) Relationship between outer retinal thickness substructures and visual acuity in eyes with dry age-related macular degeneration. Invest Ophthalmol Vis Sci 52:6743–6748PubMedCrossRef Pappuru RR, Ouyang Y, Nittala MG, Hemmati HD, Keane PA, Walsh AC, Sadda SR (2011) Relationship between outer retinal thickness substructures and visual acuity in eyes with dry age-related macular degeneration. Invest Ophthalmol Vis Sci 52:6743–6748PubMedCrossRef
11.
go back to reference Ojima Y, Tsujikawa A, Yamashiro K, Ooto S, Tamura H, Yoshimura N (2010) Restoration of outer segments of foveal photoreceptors after resolution of central serous chorioretinopathy. Jpn J Ophthalmol 54:55–60PubMedCrossRef Ojima Y, Tsujikawa A, Yamashiro K, Ooto S, Tamura H, Yoshimura N (2010) Restoration of outer segments of foveal photoreceptors after resolution of central serous chorioretinopathy. Jpn J Ophthalmol 54:55–60PubMedCrossRef
12.
go back to reference Inoue M, Watanabe Y, Arakawa A, Sato S, Kobayashi S, Kadonosono K (2009) Spectral-domain optical coherence tomography images of inner/outer segment junctions and macular hole surgery outcomes. Graefes Arch Clin Exp Ophthalmol 247:325–330PubMedCrossRef Inoue M, Watanabe Y, Arakawa A, Sato S, Kobayashi S, Kadonosono K (2009) Spectral-domain optical coherence tomography images of inner/outer segment junctions and macular hole surgery outcomes. Graefes Arch Clin Exp Ophthalmol 247:325–330PubMedCrossRef
13.
go back to reference Ooto S, Tsujikawa A, Mori S, Tamura H, Yamashiro K, Yoshimura N (2010) Thickness of photoreceptor layers in polypoidal choroidal vasculopathy and central serous chorioretinopathy. Graefes Arch Clin Exp Ophthalmol 248:1077–1086PubMedCrossRef Ooto S, Tsujikawa A, Mori S, Tamura H, Yamashiro K, Yoshimura N (2010) Thickness of photoreceptor layers in polypoidal choroidal vasculopathy and central serous chorioretinopathy. Graefes Arch Clin Exp Ophthalmol 248:1077–1086PubMedCrossRef
14.
go back to reference Oster SF, Mojana F, Brar M, Yuson RM, Cheng L, Freeman WR (2010) Disruption of the photoreceptor inner segment/outer segment layer on spectral domain-optical coherence tomography is a predictor of poor visual acuity in patients with epiretinal membranes. Retina 30:713–718PubMedCrossRef Oster SF, Mojana F, Brar M, Yuson RM, Cheng L, Freeman WR (2010) Disruption of the photoreceptor inner segment/outer segment layer on spectral domain-optical coherence tomography is a predictor of poor visual acuity in patients with epiretinal membranes. Retina 30:713–718PubMedCrossRef
15.
go back to reference Piccolino FC, de la Longrais RR, Ravera G, Eandi CM, Ventre L, Abdollahi A, Manea M (2005) The foveal photoreceptor layer and visual acuity loss in central serous chorioretinopathy. Am J Ophthalmol 139:87–99PubMedCrossRef Piccolino FC, de la Longrais RR, Ravera G, Eandi CM, Ventre L, Abdollahi A, Manea M (2005) The foveal photoreceptor layer and visual acuity loss in central serous chorioretinopathy. Am J Ophthalmol 139:87–99PubMedCrossRef
16.
go back to reference Landa G, Su E, Garcia PM, Seiple WH, Rosen RB (2011) Inner segment-outer segment junctional layer integrity and corresponding retinal sensitivity in dry and wet forms of age-related macular degeneration. Retina 31:364–370PubMedCrossRef Landa G, Su E, Garcia PM, Seiple WH, Rosen RB (2011) Inner segment-outer segment junctional layer integrity and corresponding retinal sensitivity in dry and wet forms of age-related macular degeneration. Retina 31:364–370PubMedCrossRef
17.
go back to reference Theodossiadis PG, Theodossiadis GP, Charonis A, Emfietzoglou I, Grigoropoulos VG, Liarakos VS (2011) The photoreceptor layer as a prognostic factor for visual acuity in the secondary epiretinal membrane after retinal detachment surgery: imaging analysis by spectral-domain optical coherence tomography. Am J Ophthalmol 151:973–980PubMedCrossRef Theodossiadis PG, Theodossiadis GP, Charonis A, Emfietzoglou I, Grigoropoulos VG, Liarakos VS (2011) The photoreceptor layer as a prognostic factor for visual acuity in the secondary epiretinal membrane after retinal detachment surgery: imaging analysis by spectral-domain optical coherence tomography. Am J Ophthalmol 151:973–980PubMedCrossRef
18.
go back to reference Nguyen QD, Shah SM, Khwaja AA, Channa R, Hatef E, Do DV, Boyer D, Heier JS, Abraham P, Thach AB, Lit ES, Foster BS, Kruger E, Dugel P, Chang T, Das A, Ciulla TA, Pollack JS, Lim JI, Eliott D, Campochiaro PA, Group R-S (2010) Two-year outcomes of the ranibizumab for edema of the mAcula in diabetes (READ-2) study. Ophthalmology 117:2146–2151PubMedCrossRef Nguyen QD, Shah SM, Khwaja AA, Channa R, Hatef E, Do DV, Boyer D, Heier JS, Abraham P, Thach AB, Lit ES, Foster BS, Kruger E, Dugel P, Chang T, Das A, Ciulla TA, Pollack JS, Lim JI, Eliott D, Campochiaro PA, Group R-S (2010) Two-year outcomes of the ranibizumab for edema of the mAcula in diabetes (READ-2) study. Ophthalmology 117:2146–2151PubMedCrossRef
19.
go back to reference Shin JW, Shin YU, Lee BR (2012) Choroidal thickness and volume mapping by a six radial scan protocol on spectral-domain optical coherence tomography. Ophthalmology 119:1017–1023PubMedCrossRef Shin JW, Shin YU, Lee BR (2012) Choroidal thickness and volume mapping by a six radial scan protocol on spectral-domain optical coherence tomography. Ophthalmology 119:1017–1023PubMedCrossRef
20.
go back to reference Yamada E (1969) Some structural features of the fovea centralis in the human retina. Arch Ophthalmol 82:151–159PubMedCrossRef Yamada E (1969) Some structural features of the fovea centralis in the human retina. Arch Ophthalmol 82:151–159PubMedCrossRef
21.
go back to reference Yuodelis C, Hendrickson A (1986) A qualitative and quantitative analysis of the human fovea during development. Vision Res 26:847–855PubMedCrossRef Yuodelis C, Hendrickson A (1986) A qualitative and quantitative analysis of the human fovea during development. Vision Res 26:847–855PubMedCrossRef
22.
go back to reference Christensen UC, Kroyer K, Thomadsen J, Jorgensen TM, la Cour M, Sander B (2008) Normative data of outer photoreceptor layer thickness obtained by software image enhancing based on Stratus optical coherence tomography images. Br J Ophthalmol 92:800–805PubMedCrossRef Christensen UC, Kroyer K, Thomadsen J, Jorgensen TM, la Cour M, Sander B (2008) Normative data of outer photoreceptor layer thickness obtained by software image enhancing based on Stratus optical coherence tomography images. Br J Ophthalmol 92:800–805PubMedCrossRef
23.
go back to reference Bagci AM, Shahidi M, Ansari R, Blair M, Blair NP, Zelkha R (2008) Thickness profiles of retinal layers by optical coherence tomography image segmentation. Am J Ophthalmol 146:679–687PubMedCrossRef Bagci AM, Shahidi M, Ansari R, Blair M, Blair NP, Zelkha R (2008) Thickness profiles of retinal layers by optical coherence tomography image segmentation. Am J Ophthalmol 146:679–687PubMedCrossRef
24.
go back to reference Loduca AL, Zhang C, Zelkha R, Shahidi M (2010) Thickness mapping of retinal layers by spectral-domain optical coherence tomography. Am J Ophthalmol 150:849–855PubMedCrossRef Loduca AL, Zhang C, Zelkha R, Shahidi M (2010) Thickness mapping of retinal layers by spectral-domain optical coherence tomography. Am J Ophthalmol 150:849–855PubMedCrossRef
25.
go back to reference Chan A, Duker JS, Ishikawa H, Ko TH, Schuman JS, Fujimoto JG (2006) Quantification of photoreceptor layer thickness in normal eyes using optical coherence tomography. Retina 26:655–660PubMedCrossRef Chan A, Duker JS, Ishikawa H, Ko TH, Schuman JS, Fujimoto JG (2006) Quantification of photoreceptor layer thickness in normal eyes using optical coherence tomography. Retina 26:655–660PubMedCrossRef
26.
go back to reference Maldonado RS, O’Connell RV, Sarin N, Freedman SF, Wallace DK, Cotten CM, Winter KP, Stinnett S, Chiu SJ, Izatt JA, Farsiu S, Toth CA (2011) Dynamics of human foveal development after premature birth. Ophthalmology 118:2315–2325PubMedCrossRef Maldonado RS, O’Connell RV, Sarin N, Freedman SF, Wallace DK, Cotten CM, Winter KP, Stinnett S, Chiu SJ, Izatt JA, Farsiu S, Toth CA (2011) Dynamics of human foveal development after premature birth. Ophthalmology 118:2315–2325PubMedCrossRef
27.
go back to reference Ho J, Sull AC, Vuong LN, Chen Y, Liu J, Fujimoto JG, Schuman JS, Duker JS (2009) Assessment of artifacts and reproducibility across spectral- and time-domain optical coherence tomography devices. Ophthalmology 116:1960–1970PubMedCrossRef Ho J, Sull AC, Vuong LN, Chen Y, Liu J, Fujimoto JG, Schuman JS, Duker JS (2009) Assessment of artifacts and reproducibility across spectral- and time-domain optical coherence tomography devices. Ophthalmology 116:1960–1970PubMedCrossRef
28.
go back to reference Sadda SR, Joeres S, Wu Z, Updike P, Romano P, Collins AT, Walsh AC (2007) Error correction and quantitative subanalysis of optical coherence tomography data using computer-assisted grading. Invest Ophthalmol Vis Sci 48:839–848PubMedCrossRef Sadda SR, Joeres S, Wu Z, Updike P, Romano P, Collins AT, Walsh AC (2007) Error correction and quantitative subanalysis of optical coherence tomography data using computer-assisted grading. Invest Ophthalmol Vis Sci 48:839–848PubMedCrossRef
29.
go back to reference Sadda SR, Wu Z, Walsh AC, Richine L, Dougall J, Cortez R, LaBree LD (2006) Errors in retinal thickness measurements obtained by optical coherence tomography. Ophthalmology 113:285–293PubMedCrossRef Sadda SR, Wu Z, Walsh AC, Richine L, Dougall J, Cortez R, LaBree LD (2006) Errors in retinal thickness measurements obtained by optical coherence tomography. Ophthalmology 113:285–293PubMedCrossRef
30.
go back to reference Song Y, Lee BR, Shin YW, Lee YJ (2012) Overcoming segmentation errors in measurements of macular thickness made by spectral-domain optical coherence tomography. Retina 32:569–580PubMedCrossRef Song Y, Lee BR, Shin YW, Lee YJ (2012) Overcoming segmentation errors in measurements of macular thickness made by spectral-domain optical coherence tomography. Retina 32:569–580PubMedCrossRef
Metadata
Title
Outer photoreceptor layer thickness mapping in normal eyes and eyes with various macular diseases using spectral domain optical coherence tomography: A pilot study
Authors
Yong Un Shin
Hee Yoon Cho
Byung Ro Lee
Publication date
01-11-2013
Publisher
Springer Berlin Heidelberg
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 11/2013
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-013-2352-1

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