Abstract
• AIM: To characterize spectral-domain optical coherence tomography (SD-OCT) features of chorioretinal folds in orbital mass imaged using enhanced depth imaging (EDI). • METHODS: Prospective observational case-control study was conducted in 20 eyes of 20 patients, the uninvolved eye served as a control. All the patients underwent clinical fundus photography, computed tomography, EDI SD-OCT imaging before and after surgery. Two patients with cavernous hemangiomas underwent intratumoral injection of bleomycin A5; the remaining patients underwent tumor excision. Patients were followed 1 to 14mo following surgery (average follow up, 5.8mo). • RESULTS: Visual acuity prior to surgery ranged from 20/20 to 20/200. Following surgery, 5 patients’ visual acuity remained unchanged while the remaining 15 patients had a mean letter improvement of 10 (range 4 to 26 letters). Photoreceptor inner/outer segment defects were found in 10 of 15 patients prior to surgery. Following surgical excision, photoreceptor inner/outer segment defects fully resolved in 8 of these 10 patients. • CONCLUSION: Persistence of photoreceptor inner/ outer segment defects caused by compression of the globe by an orbital mass can be associated with reduced visual prognosis. Our findings suggest that photoreceptor inner/ outer segment defects on EDI SD-OCT could be an indicator for immediate surgical excision of an orbital mass causing choroidal compression.
Original language | English (US) |
---|---|
Pages (from-to) | 233-237 |
Number of pages | 5 |
Journal | International Journal of Ophthalmology |
Volume | 16 |
Issue number | 2 |
DOIs | |
State | Published - Feb 18 2023 |
Keywords
- chorioretinal folds
- choroidal thickness
- enhanced depth imaging optical coherence tomography
- inner/outer segment defects
- orbital mass
ASJC Scopus subject areas
- Ophthalmology