| 발표일자: |
2014년 4월 12일(토) ~ 4월 13일(일) |
| 발표번호: |
P(e-poster)-036 |
| 발표장소: |
킨텍스 제2전시장 7B홀 |
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| Acute Retinal Pigment Epitheliitis: Spectral Domain Optical Coherence Tomography Findings in 18 cases |
| Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Konyang University College of Medicine, Seoul, South Korea |
| Sangyoun Han, Sung Won Cho, Dong Won Lee, Tae Gon Lee, Chul Gu Kim, Jong Woo Kim, Han Joo Cho |
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목적 : To describe the imaging characteristics of acute retinal pigment epitheliitis.
방법 : Participants: A total of 18 patients (18 eyes) with acute retinal pigment epitheliitis. Methods: Chart review, fundus photography, ancillary imaging (including fluorescence angiography or indocyanine green angiography), and spectral-domain optical coherence tomography (SD-OCT).
Main Outcome Measures: Features of acute retinal pigment epitheliitis as analyzed by SD-OCT.
결과 : SD-OCT images obtained at baseline revealed abnormal reflectivity in the RPE inner layer in every case. The line corresponding to the RPE inner layer, IS/OS junction showed abnormal reflectivity in 16 cases (89%). Among patients with IS/OS junction abnormalities, 3 eyes (17%) also showed ELM disruption, and 2 had expanded abnormal reflectivity in the ONL. Sixteen eyes (89%) fully recovered their BCVA within 2 months. However, 2 eyes (11%) with involvement of the ELM or ONL at baseline, with BCVA of less than 20/70 at baseline, showed incomplete BCVA recovery after more than 1 year of follow-up
결론 : SD-OCT findings indicated that the initial lesion in acute retinal pigment epitheliitis is located at the junction between the photoreceptor outer segments and the apical sides of the RPE cells. Poor visual acuity at baseline and involvement of the ELM or ONL on SD-OCT at baseline were associated with the incomplete recovery of visual acuity.
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