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Multimodal imaging characterization of peripheral drusen

  • Retinal Disorders
  • Published:
Graefe's Archive for Clinical and Experimental Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To provide an integrate multimodal imaging characterization of peripheral drusen in the eyes with and without macular signs of age-related macular degeneration (AMD) and to analyze their association with macular findings.

Methods

In this retrospective, cross-sectional study, subjects with peripheral drusen were imaged with the Optos (Optos PLC, Dunfermline, Scotland, UK) and Spectralis devices to obtain referenced spectral domain optical coherence tomography (SD-OCT) images. Two experienced graders independently graded the ultra-widefield (UWF) pseudocolor and fundus autofluorescence (FAF) images for the presence of peripheral drusen and analyzed peripheral druse features using OCT. Main outcome measures included quantitative and qualitative assessment of peripheral drusen.

Results

Fifty-seven eyes (30 subjects) were included in the analysis. Mean ± SD age was 77.6 ± 9.2 years (range 54–97 years). On pseudocolor images, graders identified the presence of drusen in all the enrolled eyes (Cohen’s kappa was 1.0). On FAF images, Cohen’s kappa was 0.71. In the topographical assessment, peripheral drusen were detected in 23 cases in the temporal region, in 40 cases in the nasal region, in 40 cases in the inferior region, and in 42 cases in the superior region. On SD-OCT images, peripheral drusen had a high reflective core in 97.1% of cases, while remaining drusen were characterized by a low reflective core. The macula was affected by early/intermediate AMD in 23 eyes (43.5%) and late AMD in 6 eyes (10.5%).

Conclusions

We provided an integrate multimodal imaging assessment of peripheral drusen in the eyes with and without AMD. Peripheral drusen were characterized by distinguished features that may suggest that these lesions constitute a distinct disease, rather than representing an expansion of AMD.

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Funding

The research for this paper was in part financially supported by the Italian Ministry of Health and Fondazione Roma.

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Author notes

  1. Eleonora Corbelli and Enrico Borrelli contributed equally to this work.

Authors and Affiliations

  1. Department of Ophthalmology, University Vita-Salute Raffaele, Via Olgettina 60, Milan, Italy

    Eleonora Corbelli, Enrico Borrelli, Riccardo Sacconi, Michele Cavalleri, Lea Querques, Francesco Bandello & Giuseppe Querques

  2. IRCCS- Fondazione Bietti, Rome, Italy

    Mariacristina Parravano, Marta Gilardi & Eliana Costanzo

Authors
  1. Eleonora Corbelli
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  2. Enrico Borrelli
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Corresponding author

Correspondence to Giuseppe Querques.

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Conflicts of interest

Eleonora Corbelli, Enrico Borrelli, Marta Gilardi, Mariacristina Parravano, Riccardo Sacconi, Michele Cavalleri, Lea Querques, Eliana Costanzo have no conflicts of interest.

Francesco Bandello is a consultant for Alcon (Fort Worth, Texas, USA), Alimera Sciences (Alpharetta, Georgia, USA), Allergan Inc. (Irvine, California, USA), Farmila-Thea (Clermont-Ferrand, France), Bayer Shering-Pharma (Berlin, Germany), Bausch And Lomb (Rochester, New York, USA), Genentech (San Francisco, California, USA), Hoffmann-La-Roche (Basel, Switzerland), NovagaliPharma (Évry, France), Novartis (Basel, Switzerland), Sanofi-Aventis (Paris, France), Thrombogenics (Heverlee, Belgium), and Zeiss (Dublin, USA).

Giuseppe Querques is a consultant for Alimera Sciences (Alpharetta, Georgia, USA), Allergan Inc. (Irvine, California, USA), Heidelberg (Germany), Novartis (Basel, Switzerland), Bayer Shering-Pharma (Berlin, Germany), and Zeiss (Dublin, USA).

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The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the University Vita-Salute San Raffaele (Milan, Italy) and IRCCS-Fondazione Bietti (Rome, Italy) IRB and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Corbelli, E., Borrelli, E., Parravano, M. et al. Multimodal imaging characterization of peripheral drusen. Graefes Arch Clin Exp Ophthalmol 258, 543–549 (2020). https://doi.org/10.1007/s00417-019-04586-7

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  • DOI: https://doi.org/10.1007/s00417-019-04586-7

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