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. 2009 Dec;13(6):563-6.
doi: 10.1016/j.jaapos.2009.09.019.

Spectral domain optical coherence tomography for detection of foveal morphology in patients with nystagmus

Affiliations

Spectral domain optical coherence tomography for detection of foveal morphology in patients with nystagmus

Tara H Cronin et al. J AAPOS. 2009 Dec.

Abstract

Purpose: To evaluate the feasibility of spectral domain optical coherence tomography (SD-OCT) macular scanning as a means of studying the afferent visual system in nystagmus patients.

Methods: Nystagmus patients who underwent SD-OCT, clinical evaluation, and eye movement recordings were recruited for this prospective, single-center, noncomparative study. Three SD-OCT macular three-dimensional cube scans per eye (200 x 200 x 1024 samplings in a 6 x 6 mm region) were obtained for qualitative retinal morphology analysis.

Results: Nineteen patients (6-68 years; average, 19 years) were analyzed. Of these, 17 patients had infantile nystagmus syndrome, and 2 had fusion maldevelopment nystagmus; 17 patients (89%) had associated sensory system abnormalities, including 9 (47%) with albinism. Macular images were successfully obtained in all but 1 patient (95%). Of the 8 successfully imaged oculocutaneous patients, 7 patients demonstrated "fovea plana," and all demonstrated abnormal morphology.

Conclusion: SD-OCT reliably provides detailed structural imaging of the fovea in nystagmus patients.

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Figures

FIG 1
FIG 1
Spectral domain optical coherence tomography image demonstrating (A) foveal plana in oculocutaneous albinism (Patient 4), (B) slight foveal differentiation in oculocutaneous albinism (Patient 6), and (C) normal foveal morphology in a patient with infantile nystagmus syndrome and no identifiable sensory abnormality (Patient 3).

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