Severe macular complications in glaucoma: high-resolution multimodal imaging characteristics and review of the literature - Sorbonne Université Access content directly
Journal Articles BMC Ophthalmology Year : 2023

Severe macular complications in glaucoma: high-resolution multimodal imaging characteristics and review of the literature

Hugo Lama
  • Function : Author
Michel Pâques
  • Function : Author
Emmanuelle Brasnu
  • Function : Author
Jade Vu
  • Function : Author
Céline Chaumette
  • Function : Author
Bénédicte Dupas
  • Function : Author
Ismaël Chehaibou
  • Function : Author
Jean-François Rouland
  • Function : Author
Guillaume Besombes
  • Function : Author
Marc Labetoulle
  • Function : Author
Antoine Labbé
  • Function : Author
Antoine Rousseau
  • Function : Author
  • PersonId : 1302895

Abstract

Purpose To describe imaging characteristics of severe macular complications occurring in glaucoma and discuss available treatments. Methods Retrospective case series of glaucomatous patients with macular retinoschisis (MR) and/or serous retinal detachment (SRD). Patients underwent a complete ophthalmological examination and multimodal imaging including retinography, SD-OCT, fluorescein and indocyanine green angiography (FA & ICGA) and adaptive optics (AO). Results Ten eyes (8 patients) were included. Initial BCVA was 1.04 ± 1.12 logMAR and IOP was 24.0 ± 9.3mmHg. All eyes presented with MR while SRD was present in 5 eyes (5 patients), with a central macular thickness of 573 ± 152 μm. FA and ICGA allowed to exclude leakage in all cases. A focal lamina cribrosa defect (LCD) was found in four eyes (4 patients) using OCT, with AO providing en-face visualization of the defect in one eye. Outer retinal hole was present in 3 eyes (3 patients). No visual improvement or resolution of the macular retinoschisis was observed in eyes with medical or surgical IOP control (N = 9). Vitrectomy with internal membrane limiting peeling and gas tamponade was performed in one eye with good visual results. Conclusions Multimodal high-resolution imaging is essential to diagnose severe macular complications associated with advanced glaucoma.
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hal-04269141 , version 1 (03-11-2023)

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Hugo Lama, Michel Pâques, Emmanuelle Brasnu, Jade Vu, Céline Chaumette, et al.. Severe macular complications in glaucoma: high-resolution multimodal imaging characteristics and review of the literature. BMC Ophthalmology, 2023, 23, pp.318. ⟨10.1186/s12886-023-03068-z⟩. ⟨hal-04269141⟩
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