Fundus auto fluorescence and spectral domain ocular coherence tomography in the early detection of chloroquine retinopathy

African Vision and Eye Health

 
 
Field Value
 
Title Fundus auto fluorescence and spectral domain ocular coherence tomography in the early detection of chloroquine retinopathy
 
Creator Goodman, Megan B. Ziskind, Ari
 
Subject optometry, ophthalmology; vision science ; rheumatology ; Chloroquine Retinopathy, Fundus Auto Fluorescence, Spectral Domain Ocular Coherence Tomography,
Description Purpose: To determine the sensitivity of spectral domain ocular coherence tomography (SD-OCT) and fundus auto fluorescence (FAF) images as a screening test to detect early changes in the retina prior to the onset of chloroquine retinopathy.Method: The study was conducted using patients taking chloroquine (CQ), referred by the Rheumatology Department to the Ophthalmology Department at Tygerberg Academic Hospital. Group A consisted of 59 patients on CQ for less than 5 years, and Group B consisted of 53 patients on CQ for more than 5 years. A 200 × 200 macula thickness map, 5-line raster SD-OCT on a Carl Zeiss Meditec Cirrus HD-OCT and FAF images on a Carl Zeiss Meditec Visucam 500 were recorded for 223 eyes. Images were reviewed independently, and then those of Groups A and B compared.Results: There were no statistically significant differences between Groups A and B. The criteria included the internal limiting membrane and the retinal pigment epithelium (ILM-RPE) thickness, interdigitation zone integrity (p = 0.891, df = 1, χ² = 0.1876), ellipsoid zone integrity (p = 0.095, df = 2, χ² = 4.699) and FAF image irregularities (p = 0.479, df = 1, χ²= 4995978).Conclusion: The inclusion of SD-OCT and FAF as objective tests into the prescribed screening guidelines does not appear to simplify the detection of subclinical injury in patients on chloroquine treatment.
 
Publisher AOSIS
 
Contributor
Date 2015-08-21
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Retrospective review
Format text/html application/octet-stream text/xml application/pdf
Identifier 10.4102/aveh.v74i1.297
 
Source African Vision and Eye Health; Vol 74, No 1 (2015); 5 pages 2410-1516 2413-3183
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://avehjournal.org/index.php/aveh/article/view/297/398 https://avehjournal.org/index.php/aveh/article/view/297/399 https://avehjournal.org/index.php/aveh/article/view/297/401 https://avehjournal.org/index.php/aveh/article/view/297/367
 
Coverage Africa; South Africa; Western Cape; 2012-2013 Age; Gender; Rheumatology patients ;
Rights Copyright (c) 2015 Megan B. Goodman, Ari Ziskind https://creativecommons.org/licenses/by/4.0
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