Optical coherence tomography findings and choroidal neovascular membrane detectability with optical coherence tomography angiography in different subtypes of pattern dystrophy

• Published in: Clinical and experimental optometry 2022-10, Vol.105 (7), p.740-745
• Main Authors: Uslu Doğan, Ceylan, Akbaş Özyürek, Emine Betül, Keleş Yeşiltaş, Sümeyra, Türker, İbrahim Çağrı, Düzgün, Eyüp, Güven, Dilek
• Format: Article
• Language: English
• Subjects: Adult onset vitelliform macular dystrophy; Angiography; Atrophy; choroidal neovascular membrane; Dystrophy; Eye; Fluorescein; Medical imaging; optical coherence tomography angiography; pattern dystrophy; Retina; Tomography
• ISSN: 0816-4622; 1444-0938
• DOI: 10.1080/08164622.2021.1971046

Optical coherence tomography angiography (OCTA) is a useful method for determining choroidal neovascular membranes (CNVM) in different subtypes of pattern dystrophy. We aimed to evaluate the optical coherence tomography (OCT) findings in different subtypes of pattern dystrophy and to detect CNVM not detectable by conventional method using OCTA. Of 55 eyes included in this retrospective, cross-sectional study, adult onset vitelliform macular dystrophy was present in 42 eyes (32 eyes vitelliform stage-10 eyes vitelliruptive stage), butterfly-shaped pattern dystrophy in 8 eyes, and multifocal pattern dystrophy simulating fundus flavimaculatus in 5 eyes. Fluorescein angiography (FA), fundus autofluorescence, OCT and OCTA imaging were performed in all cases. The study included 55 eyes of 29 patients, of which 21 were female and 8 were male. On OCT, 25 eyes had hyperreflective dots, 14 eyes had a disruption in the ellipsoid zone (EZ), and 6 eyes had atrophy in the outer retinal layers, and these findings were detected in all subtypes. Findings consistent with CNVM were detected in 1 eye using FA, 3 eyes using OCT and 5 eyes in OCTA. In this study, we demonstrated that in different subtypes of pattern dystrophies OCT findings such as hyperreflective dots, disruption in the EZ, atrophy in the outer retinal layers and CNVM can be seen, and that a quiescent CNVM lesion, which cannot be detected by conventional methods, can be detected by OCTA, a new imaging method.