Near-Infrared Confocal Reflectance Scanning Laser Ophthalmoscopy (SLO) and Short-Wavelength Autofluorescence Imaging in Cystic Diabetic Macular Edema

Objective. To characterize results of short-wavelength autofluorescent (SW-AF) and near-infrared confocal reflectance scanning laser ophthalmoscopy (NIR-cR SLO) imaging in cystic diabetic macular edema (DME). Design. Cross-sectional study. Participants: 104 eyes from 52 naïve treatment patients with...

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Main Authors: Fariba Ghassemi, Fatemeh Bazvand, Houshang Faghihi, Ramak Roohipourmoallai, Maryam Masoumi, Sepide Jamali, Masoumeh Mohebbi, Siamak Sabour
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2022/6831396
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author Fariba Ghassemi
Fatemeh Bazvand
Houshang Faghihi
Ramak Roohipourmoallai
Maryam Masoumi
Sepide Jamali
Masoumeh Mohebbi
Siamak Sabour
author_facet Fariba Ghassemi
Fatemeh Bazvand
Houshang Faghihi
Ramak Roohipourmoallai
Maryam Masoumi
Sepide Jamali
Masoumeh Mohebbi
Siamak Sabour
author_sort Fariba Ghassemi
collection DOAJ
description Objective. To characterize results of short-wavelength autofluorescent (SW-AF) and near-infrared confocal reflectance scanning laser ophthalmoscopy (NIR-cR SLO) imaging in cystic diabetic macular edema (DME). Design. Cross-sectional study. Participants: 104 eyes from 52 naïve treatment patients with DME and mild to moderate nonproliferative diabetic retinopathy (NPDR) Methods: complete ocular examination, best-corrected visual acuity (BCVA), and imaging were performed. Results. In NIR-cR SLO, small/medium and large-sized cysts presented with decreased and increased reflectance, respectively. In SW-AF, increased and decreased autofluorescence, corresponding to medium-/large- and small-sized cysts were noted. Mainly, the lower NIR reflectance was associated with petaloid edema pattern in SW-AF (P=0.011), BCVA (logMAR) (P=0.056), subretinal fluid (P=0.035), and the involved layers of retina by cysts (P<0.001) in Pearson chi-square test. Fair agreement of 0.31 (P<0.001) between NIR-cR SLO and late FA leakage was found by the weighted kappa test. In regression analysis, NIR-cR SLO abnormality is highly correlated with outer and inner nuclear layers location of the cystic changes. Conclusions. The size of cysts and involved layers affect presenting features of SW-AF and NIR reflectance.
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spelling doaj-art-6482b8b6220d448f87f0f42034701c0a2025-08-20T03:34:25ZengWileyJournal of Ophthalmology2090-00582022-01-01202210.1155/2022/6831396Near-Infrared Confocal Reflectance Scanning Laser Ophthalmoscopy (SLO) and Short-Wavelength Autofluorescence Imaging in Cystic Diabetic Macular EdemaFariba Ghassemi0Fatemeh Bazvand1Houshang Faghihi2Ramak Roohipourmoallai3Maryam Masoumi4Sepide Jamali5Masoumeh Mohebbi6Siamak Sabour7Eye Research CenterEye Research CenterEye Research CenterDepartmant of OphthalmologyEye Research CenterEye Research CenterEye Research CenterSafety Promotion and Injury Prevention Research CenterObjective. To characterize results of short-wavelength autofluorescent (SW-AF) and near-infrared confocal reflectance scanning laser ophthalmoscopy (NIR-cR SLO) imaging in cystic diabetic macular edema (DME). Design. Cross-sectional study. Participants: 104 eyes from 52 naïve treatment patients with DME and mild to moderate nonproliferative diabetic retinopathy (NPDR) Methods: complete ocular examination, best-corrected visual acuity (BCVA), and imaging were performed. Results. In NIR-cR SLO, small/medium and large-sized cysts presented with decreased and increased reflectance, respectively. In SW-AF, increased and decreased autofluorescence, corresponding to medium-/large- and small-sized cysts were noted. Mainly, the lower NIR reflectance was associated with petaloid edema pattern in SW-AF (P=0.011), BCVA (logMAR) (P=0.056), subretinal fluid (P=0.035), and the involved layers of retina by cysts (P<0.001) in Pearson chi-square test. Fair agreement of 0.31 (P<0.001) between NIR-cR SLO and late FA leakage was found by the weighted kappa test. In regression analysis, NIR-cR SLO abnormality is highly correlated with outer and inner nuclear layers location of the cystic changes. Conclusions. The size of cysts and involved layers affect presenting features of SW-AF and NIR reflectance.http://dx.doi.org/10.1155/2022/6831396
spellingShingle Fariba Ghassemi
Fatemeh Bazvand
Houshang Faghihi
Ramak Roohipourmoallai
Maryam Masoumi
Sepide Jamali
Masoumeh Mohebbi
Siamak Sabour
Near-Infrared Confocal Reflectance Scanning Laser Ophthalmoscopy (SLO) and Short-Wavelength Autofluorescence Imaging in Cystic Diabetic Macular Edema
Journal of Ophthalmology
title Near-Infrared Confocal Reflectance Scanning Laser Ophthalmoscopy (SLO) and Short-Wavelength Autofluorescence Imaging in Cystic Diabetic Macular Edema
title_full Near-Infrared Confocal Reflectance Scanning Laser Ophthalmoscopy (SLO) and Short-Wavelength Autofluorescence Imaging in Cystic Diabetic Macular Edema
title_fullStr Near-Infrared Confocal Reflectance Scanning Laser Ophthalmoscopy (SLO) and Short-Wavelength Autofluorescence Imaging in Cystic Diabetic Macular Edema
title_full_unstemmed Near-Infrared Confocal Reflectance Scanning Laser Ophthalmoscopy (SLO) and Short-Wavelength Autofluorescence Imaging in Cystic Diabetic Macular Edema
title_short Near-Infrared Confocal Reflectance Scanning Laser Ophthalmoscopy (SLO) and Short-Wavelength Autofluorescence Imaging in Cystic Diabetic Macular Edema
title_sort near infrared confocal reflectance scanning laser ophthalmoscopy slo and short wavelength autofluorescence imaging in cystic diabetic macular edema
url http://dx.doi.org/10.1155/2022/6831396
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