Multimodal imaging of Bietti's crystalline dystrophy

Bietti's crystalline dystrophy (BCD) is a rare autosomal recessive retinal dystrophy characterized by deposition of crystals in the retina. The purpose of this article is to describe retinal abnormalities in BCD using multimodal imaging. An 18-year-old girl presented with decrease of vision and nyctalopia. She was assessed with color fundus picture, red-free photographs, short-wave autofluorescence, spectral-domain optical coherence tomography (OCT) and en face OCT and was diagnosed to have BCD based on typical presentation. Retinal crystals were better visualized on en face OCT as compared to conventional B scan OCT.

Posterior Vitreous Structures Evaluated by Swept-source Optical Coherence Tomography with En Face Imaging

PURPOSE: To evaluate posterior vitreous structures using swept-source (SS) optical coherence tomography (OCT) with en face imaging. METHODS: We retrospectively reviewed OCT images of healthy individuals who did not have intra-ocular disease. We obtained high-definition horizontal and vertical line scans crossing the fovea and 3D scans using SS-OCT, with the 3D scan centered between the fovea and the optic-nerve head. An enhanced vitreous visualization function was used to highlight vitreous structures. En face mode was used to measure the area of Martegiani (AM) and bursa premacularis (BP). We performed all measurements using a built-in function of the viewing software. RESULTS: We enrolled 24 eyes from 12 healthy individuals. The mean patient age was 28.7 ± 4.6 years (range, 24 to 39 years). The mean AM and BP areas were 5.73 ± 0.88 and 18.76 ± 6.95 mm2, respectively. In en face imaging, AM shape was most frequently a vertical oval (18 / 22, 81.8%), while the predominant BP shape was round (16 / 20, 80.0%). AM was in contact with the optic disc, either at the temporal-disc margin (13 eyes, 59.1%) or the nasal optic-disc margin (9 eyes, 40.9%). CONCLUSIONS: Posterior vitreous structures, such as AM and BP, were readily visualized using en face imaging with SS-OCT. Investigating normal vitreous configuration might help in understanding changes in vitreous structures associated with retinal pathology.

The Correlation between Preoperative En Face Optical Coherence Tomography and Postoperative Visual Prognoses in Idiopathic Epiretinal Membranes

PURPOSE: To investigate the correlation between en face optical coherence tomography and improvements in the postoperative prognoses of idiopathic epiretinal membranes. METHODS: The medical records of 59 epiretinal membrane patients who had epiretinal membrane peeling between January 2005 and January 2016, and were followed up for > 12 months, were retrospectively reviewed. The preoperative en face images were divided into four sections involving three circular areas (6,000 µm diameter circle, 3,000 µm diameter circle, and 1,000 µm diameter circle) and one square (6,000 × 6,000 µm). The surface area where no epiretinal adhesion was present was quantified by measuring the number of black pixels using image-editing software (Adobe Photoshop CS6, Adobe Systems, San Jose, CA, USA). Then the correlations among the value of black pixels, preoperative and postoperative visual acuities, and central retinal thickness were analyzed. RESULTS: The best-corrected visual acuity (BCVA) was significantly increased after epiretinal membrane peeling (p < 0.001), and the central retinal thickness was significantly decreased (p < 0.001). As the number of black pixels in the circles and the square in the en-face images increased, the postoperative BCVA significantly increased (r = 0.645, p < 0.001; r = 0.590, p < 0.001, respectively). CONCLUSIONS: As the nonadhesive surfaces of the epiretinal membrane and the retina in preoperative en face images became wider, the increments of the BCVA after surgery were greater. Therefore, en face optical coherence tomography can be used to predict prognosis after epiretinal membrane peeling.

En-face optical coherence tomography in the diagnosis and management of age-related macular degeneration and polypoidal choroidal vasculopathy.

Optical coherence tomography (OCT) is a noninvasive imaging modality providing high‑resolution images of the central retina that has completely transformed the field of ophthalmology. While traditional OCT has produced longitudinal cross‑sectional images, advancements in data processing have led to the development of en‑face OCT, which produces transverse images of retinal and choroidal layers at any specified depth. This offers additional benefit on top of longitudinal cross‑sections because it provides an extensive overview of pathological structures in a single image. The aim of this review was to discuss the utility of en‑face OCT in the diagnosis and management of age‑related macular degeneration (AMD) and polypoidal choroidal vasculopathy (PCV). En‑face imaging of the inner segment/outer segment junction of retinal photoreceptors has been shown to be a useful indicator of visual acuity and a predictor of the extent of progression of geographic atrophy. En‑face OCT has also enabled high‑resolution analysis and quantification of pathological structures such as reticular pseudodrusen (RPD) and choroidal neovascularization, which have the potential to become useful markers for disease monitoring. En‑face Doppler OCT enables subtle changes in the choroidal vasculature to be detected in eyes with RPD and AMD, which has significantly advanced our understanding of their pathogenesis. En‑face Doppler OCT has also been shown to be useful for detecting the polypoid lesions and branching vascular networks diagnostic of PCV. It may therefore serve as a noninvasive alternative to fluorescein and indocyanine green angiography for the diagnosis of PCV and other forms of the exudative macular disease.

Uso do extrato de folhas de Mangifera indica L. e da mangiferina na lesão aterosclerótica em camundongos ApoE-/- / Use of Mangifera indica L. leaves extract and mangiferin on the atherosclerotic lesion in ApoE-/- mice

As folhas de Mangifera indica L são importantes como fonte de compostos fenólicos, especialmente mangiferina, que apresentam propriedades antidiabética, hipolipemiante, antioxidante e anti-inflamatória. O estudo teve como objetivo avaliar os efeitos do extrato etanólico de folhas de M. indica e da mangiferina isolada sobre a lesão aterosclerótica em camundongos ApoE-/-. Métodos: Camundongos ApoE-/- com 15 semanas de idade foram divididos aleatoriamente em 4 grupos de acordo com o tratamento, por gavagem, durante 56 dias: controle (veículo, dimetil sulfóxido); E200 (200 mg/kg/dia de extrato da folha de M. indica), E400 (400 mg/kg/dia de extrato da folha de M. indica); M40 (40 mg/kg/dia de mangiferina). Parâmetros sanguíneos foram dosados utilizando-se kits enzimáticos e as lesões ateroscleróticas foram avaliadas pelo método en face. Resultados: O extrato seco apresentou 17% de mangiferina. Os níveis sanguíneos de colesterol total, frações HDLc e LDLc e triacilgliceróis, bem como o percentual de deposição lipídica no arco aórtico e aorta torácica não diferiram significativamente entre os grupos (p>0,05). Conclusão: A administração do extrato de folhas de M. indica e da mangiferina em camundongos ApoE-/- não afetou a lipidemia e não diminuiu as lesões ateroscleróticas pré-existentes.

Mangifera indica L leaf are an important source of phenolic compounds, especially mangiferin, that exhibits antidiabetic, hypolipidemic, anti-oxidant and anti-inflammatory activities. This study aimed to evaluate the effects of mangiferin and ethanolic extract of M. indica leaf on atherosclerotic lesions in mice ApoE-/-. Methods: Fifteenweek- old ApoE-/- mice were randomly divided into 4 groups according to the treatment giving by gavage during 56 days: control - vehicle (dimethyl sulfoxide); E200 - 200 mg/kg/day M. indica leaf extract; E400 - 400 mg/kg/day M. indica leaf extract, M40 - 40 mg/kg/day mangiferin. Administrations of vehicle, extracts and mangiferin were performed every day by gavage during 8 weeks. Blood parameters were measured using enzymatic kits and atherosclerotic lesions were evaluated by en face method. Results: The dired extract showed 17% of mangiferin. Total cholesterol, HDLc, LDLc and triglycerides blood levels, as well as the percentage of lipid deposition in the aortic arch and thoracic aorta were not significantly different between the groups (p> 0.05). Conclusion: The administration of M. indica leaf extract and mangiferin in ApoE-/- mice did not affect serum lipids and did not decreased pre-existing atherosclerotic lesions