Multimodal Image Analysis in Acquired Vitelliform Lesions and Adult-Onset Foveomacular Vitelliform Dystrophy

Purpose. To characterize vitelliform lesions (VLs) in adult-onset foveomacular vitelliform dystrophy (AOFVD) and acquired vitelliform (AVL) patients using multimodal image analysis. Methods. Retrospective study of twenty-eight eyes from nineteen patients diagnosed with AVL or AOFVD. They were evalua...

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Main Authors: Ricardo Rocha Bastos, Carla Sofia Ferreira, Elisete Brandão, Fernando Falcão-Reis, Ângela M. Carneiro
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2016/6037537
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author Ricardo Rocha Bastos
Carla Sofia Ferreira
Elisete Brandão
Fernando Falcão-Reis
Ângela M. Carneiro
author_facet Ricardo Rocha Bastos
Carla Sofia Ferreira
Elisete Brandão
Fernando Falcão-Reis
Ângela M. Carneiro
author_sort Ricardo Rocha Bastos
collection DOAJ
description Purpose. To characterize vitelliform lesions (VLs) in adult-onset foveomacular vitelliform dystrophy (AOFVD) and acquired vitelliform (AVL) patients using multimodal image analysis. Methods. Retrospective study of twenty-eight eyes from nineteen patients diagnosed with AVL or AOFVD. They were evaluated by color fundus photographs, fundus autofluorescence (FAF), fluorescein angiography (FA), and spectral-domain optical coherence tomography (SD-OCT). Results. Bilateral VLs were associated with AOFVD (p=0.013). Regular and centered VLs were associated with AOFVD (p=0.004 and p=0.016), whereas irregular and noncentered lesions were more frequent in AVL patients. Visual acuity, greatest linear dimension (GLD), lesion height (LH), and pseudohypopyon were similar between groups. Whereas median LH and GLD in AVL group diminished significantly during follow-up (p=0.009 and p=0.001), AOFVD lesions tended to become larger and thicker. Conclusions. When consulting a patient presenting a VL with unknown age of onset, familial history, or previous retinal diseases, some aspects of multimodal imaging assessment may lead the ophthalmologist to a correct diagnosis.
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institution Kabale University
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spelling doaj-art-bd060ed94b9942d5961485ac105236e42025-02-03T07:23:50ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/60375376037537Multimodal Image Analysis in Acquired Vitelliform Lesions and Adult-Onset Foveomacular Vitelliform DystrophyRicardo Rocha Bastos0Carla Sofia Ferreira1Elisete Brandão2Fernando Falcão-Reis3Ângela M. Carneiro4Department of Ophthalmology, Hospital São João, Porto, PortugalDepartment of Ophthalmology, Hospital São João, Porto, PortugalDepartment of Ophthalmology, Hospital São João, Porto, PortugalDepartment of Ophthalmology, Hospital São João, Porto, PortugalDepartment of Ophthalmology, Hospital São João, Porto, PortugalPurpose. To characterize vitelliform lesions (VLs) in adult-onset foveomacular vitelliform dystrophy (AOFVD) and acquired vitelliform (AVL) patients using multimodal image analysis. Methods. Retrospective study of twenty-eight eyes from nineteen patients diagnosed with AVL or AOFVD. They were evaluated by color fundus photographs, fundus autofluorescence (FAF), fluorescein angiography (FA), and spectral-domain optical coherence tomography (SD-OCT). Results. Bilateral VLs were associated with AOFVD (p=0.013). Regular and centered VLs were associated with AOFVD (p=0.004 and p=0.016), whereas irregular and noncentered lesions were more frequent in AVL patients. Visual acuity, greatest linear dimension (GLD), lesion height (LH), and pseudohypopyon were similar between groups. Whereas median LH and GLD in AVL group diminished significantly during follow-up (p=0.009 and p=0.001), AOFVD lesions tended to become larger and thicker. Conclusions. When consulting a patient presenting a VL with unknown age of onset, familial history, or previous retinal diseases, some aspects of multimodal imaging assessment may lead the ophthalmologist to a correct diagnosis.http://dx.doi.org/10.1155/2016/6037537
spellingShingle Ricardo Rocha Bastos
Carla Sofia Ferreira
Elisete Brandão
Fernando Falcão-Reis
Ângela M. Carneiro
Multimodal Image Analysis in Acquired Vitelliform Lesions and Adult-Onset Foveomacular Vitelliform Dystrophy
Journal of Ophthalmology
title Multimodal Image Analysis in Acquired Vitelliform Lesions and Adult-Onset Foveomacular Vitelliform Dystrophy
title_full Multimodal Image Analysis in Acquired Vitelliform Lesions and Adult-Onset Foveomacular Vitelliform Dystrophy
title_fullStr Multimodal Image Analysis in Acquired Vitelliform Lesions and Adult-Onset Foveomacular Vitelliform Dystrophy
title_full_unstemmed Multimodal Image Analysis in Acquired Vitelliform Lesions and Adult-Onset Foveomacular Vitelliform Dystrophy
title_short Multimodal Image Analysis in Acquired Vitelliform Lesions and Adult-Onset Foveomacular Vitelliform Dystrophy
title_sort multimodal image analysis in acquired vitelliform lesions and adult onset foveomacular vitelliform dystrophy
url http://dx.doi.org/10.1155/2016/6037537
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