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Dear Editor,
We would like to thank you for the opportunity to answer to the Letter to the Editor from Tan CS et al., regarding our paper about choroidal thinning occurring in Fuchs uveitis syndrome (FUS) [1]. Three recently published papers have reported this new interesting finding that could extend our knowledge about FUS [1–3]. As the authors mentioned in their comments, choroidal thickness has been reported to vary during the course of several inflammatory, and even in non-inflammatory, diseases [4–6]. Of course it would be interesting to evaluate choroidal thickness variations occurring between the acute and chronic phase of FUS, and also to correlate choroidal thickness values with the duration of the disease. Regarding our patient series, FUS duration was not homogeneous, because some patients were referred to our centre after they had been followed for a long time at other eye clinics. Previous clinical data were often inaccessible, though we decided to enrol patients that did not show any sign of active inflammation for at least 6 months prior to the OCT assessment. Further larger studies, evaluating choroidal thickness in both acute and chronic phase of FUS, might be fascinating, and the presence of a correlation between iris and choroid thinning may also be investigated. We therefore agree with Tan CS et al., about the interest in future studies conducted to evaluate choroidal thickness differences in other regions of the macula, and even in extra-macular areas. Recent advances in imaging technologies might allow further OCT applications for the evaluation of choroid and other ocular tissues typically involved in inflammatory diseases.
References
Cerquaglia A, Iaccheri B, Fiore T et al (2016) Full-thickness choroidal thinning as a feature of Fuchs uveitis syndrome: quantitative evaluation of the choroid by enhanced depth imaging optical coherence tomography in a cohort of consecutive patients. Graefes Arch Clin Exp Ophthalmol 254(10):2025–2031
Kardes E, Sezgin Akçay BI, Unlu C et al (2016) Choroidal thickness in eyes with Fuchs uveitis syndrome. Ocul Immunol Inflamm 14:1–8
Balci O, Ozsuctcu M (2016) Evaluation of retinal and choroidal thickness in Fuchs’ uveitis syndrome. J Ophtalmolol 2016:1657078
Tan CS, Ngo WK, Cheong KX (2015) Comparison of choroidal thicknesses using swept source and spectral domain optical coherence tomography in diseased and normal eyes. Br J Ophthalmol 99(3):354–358
Fiore T, Iaccheri B, Cerquaglia A et al (2016) Outer retinal and choroidal evaluation in multiple evanescent white dot syndrome (MEWDS): an enhanced depth imaging optical coherence tomography study. Ocul Immunol Inflamm 11:1–7
Fong AH, Li KK, Wong D (2011) Choroidal evaluation using enhanced depth imaging spectral-domain optical coherence tomography in Vogt-Koyanagi-Harada disease. Retina 31:502–509
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Cerquaglia, A., Iaccheri, B., Fiore, T. et al. A recent finding in Fuchs uveitis: choroidal thinning. Graefes Arch Clin Exp Ophthalmol 255, 1449 (2017). https://doi.org/10.1007/s00417-017-3666-1
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DOI: https://doi.org/10.1007/s00417-017-3666-1