Document Detail


Retinal function in patients with serpiginous choroiditis: a microperimetry study.
MedLine Citation:
PMID:  20464557     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To investigate fixation pattern and retinal sensitivity in patients with serpiginous choroiditis (SC). METHODS: Twenty-eight eyes (14 patients) with SC were evaluated. Best-corrected visual acuity, color fundus photography, fundus autofluorescence, and fluorescein and indocyanine green angiography were performed. Microperimetry was used to assess fixation pattern and retinal sensitivity. RESULTS: Of 28 eyes, 16 (57%) had central, one (4%) poor central, and 11 (39%) eccentric fixation; and 18 (64%) had stable, four (14%) relatively unstable, and six (21%) unstable fixation. In patients with posterior pole symmetrically involved in both eyes, the better eye had stable and central fixation in all cases. Atrophic lesions were characterized by a dense scotoma in all cases, with a relative scotoma at their margins in ten eyes (38%). In two cases of active disease, a dense scotoma correlated to an active lesion could be detected. A relative scotoma was documented in areas not involved by the disease at the posterior pole in eight eyes (28%), and in the peripapillary area in 11 eyes (39%). CONCLUSIONS: Quantification of retinal sensitivity and fixation pattern by microperimetry offers new data about the impact of visual impairment in patients with SC. A reduction of retinal sensitivity in an apparently healthy area suggests a wider functional involvement of the retina, undetectable by morphologic evaluation alone.
Authors:
Elisabetta Pilotto; Stela Vujosevic; Vuga Ana Grgic; Patrik Sportiello; Enrica Convento; Antonio Giovanni Secchi; Edoardo Midena
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Publication Detail:
Type:  Journal Article     Date:  2010-05-13
Journal Detail:
Title:  Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv für klinische und experimentelle Ophthalmologie     Volume:  248     ISSN:  1435-702X     ISO Abbreviation:  Graefes Arch. Clin. Exp. Ophthalmol.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-07-27     Completed Date:  2010-09-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8205248     Medline TA:  Graefes Arch Clin Exp Ophthalmol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1331-7     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, University of Padova, via Giustiniani 2, Padua, Italy. elisabetta.pilotto@unipd.it
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MeSH Terms
Descriptor/Qualifier:
Choroiditis / diagnosis,  physiopathology*
Coloring Agents / diagnostic use
Fixation, Ocular / physiology
Fluorescein Angiography
Humans
Indocyanine Green / diagnostic use
Male
Middle Aged
Perimetry*
Retina / physiopathology*
Scotoma / diagnosis,  physiopathology
Visual Acuity / physiology
Chemical
Reg. No./Substance:
0/Coloring Agents; 3599-32-4/Indocyanine Green

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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