Stratus optical coherence tomography findings in patients with retinopathy of prematurity

Aline do Lago1, Lícia Matieli, Michele Gomes

  • 1Setor de Retina e Vítreo, Departamento de Oftalmologia, Universidade Federal de São Paulo, São Paulo, SP, Brazil. alinelago@oftalmo.epm.br

Insights

Optical coherence tomography (OCT) reveals distinct macular changes in premature infants with retinopathy of prematurity (ROP). These changes include a condensed retinal pigmented epithelial layer and poorly differentiated retinal layers in the macular region.

Area of Science:

  • Ophthalmology
  • Neonatology
  • Medical Imaging

Background:

  • Retinopathy of prematurity (ROP) is a significant cause of visual impairment in premature infants.
  • Understanding the macula's morphological changes in ROP is crucial for early diagnosis and management.

Purpose of the Study:

  • To characterize the morphological features of the macula in premature infants diagnosed with retinopathy of prematurity.
  • To investigate the utility of optical coherence tomography (OCT) in visualizing these changes.

Main Methods:

  • A cohort of twelve premature infants with ROP (grades I, II, and III) was recruited.
  • Dilated fundus examinations and optical coherence tomography (OCT) evaluations were performed on thirteen eyes.

Main Results:

  • OCT imaging demonstrated a condensed retinal pigmented epithelial (RPE) layer with increased reflectivity in the macular-foveal area of all affected eyes.
  • Retinal layers were poorly differentiated in these eyes.
  • Foveal depression was observed in 23% of the evaluated eyes.

Conclusions:

  • OCT imaging reveals characteristic macular abnormalities in premature infants with ROP.
  • These abnormalities include a condensed RPE layer and poorly differentiated retinal structures, particularly in the RPE-choriocapillaris zone.
Abstract