Abstract
Purpose
To investigate optic nerve head involvement in patients with Fuchs uveitis syndrome (FUS).
Methods
Optic nerve head of 43 FUS eyes without clinical optic disc edema and 37 unaffected fellow eyes were evaluated using optical coherence tomography (OCT) of peripapillary retina and retinal nerve fiber layer (RNFL) and fundus fluorescein angiography.
Results
Seventy-one percent of FUS eyes showed optic nerve head hyperfluorescence. The mean average RNFL thickness in FUS eyes was 115.0 ± 11.9 μm, which was thicker than unaffected eyes (103.0 ± 10.7 μm, p < 0.001). Mean average of peripapillary retinal thicknesses in FUS eyes was also greater than unaffected eyes (p < 0.001). In addition, RNFL and peripapillary retinal thicknesses in FUS eyes without optic nerve hyperfluorescence were thicker than unaffected eyes (all p = < 0.001).
Conclusions
OCT demonstrates peripapillary total retinal and nerve fiber layer thickening in FUS eyes without clinical swelling of optic disc that is not always associated with optic nerve head leakage.
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References
Nalçacıoğlu P, Çakar Özdal P, Şimşek M (2016) Clinical characteristics of Fuchs’ uveitis syndrome. Turk J Ophthalmol 46:52–57
Bonfioli AA, Curi AL, Orefice F (2005) Fuchs’ heterochromic cyclitis. Semin Ophthalmol 20:143–146
Cho H, Pillai P, Nicholson L, Sobrin L (2016) Inflammatory papillitis in uveitis: response to treatment and use of optic nerve optical coherence tomography for monitoring. Ocul Immunol Inflamm 24:194–206
Philiponnet A, Vardanian C, Malcles A, Pochat C, Sallit R, Kodjikian L (2017) Detection of mild papilledema in posterior uveitis using spectral domain optical coherence tomography. Br J Ophthalmol 101:401–405
Regatieri CV, Alwassia A, Zhang JY, Vora R, Duker JS (2012) Use of optical coherence tomography in the diagnosis and management of uveitis. Int Ophthalmol Clin 52:33–43
Simavli H, Que CJ, Akduman M et al (2015) Diagnostic capability of peripapillary retinal thickness in glaucoma using 3D volume scans. Am J Ophthalmol 159:545–556
Fard MA, Fakhree S, Abdi P, Hassanpoor N, Subramanian PS (2014) Quantification of peripapillary total retinal volume in pseudopapilledema and mild papilledema using spectral-domain optical coherence tomography. Am J Ophthalmol 158:136–143
Bouchenaki N, Herbort CP (2009) Fuchs’ uveitis: failure to associate vitritis and disc hyperfluorescence with the disease is the major factor for misdiagnosis and diagnostic delay. Middle East Afr J Ophthalmol 16:239–244
Bouchenaki N, Herbort CP (2010) Fluorescein angiographic findings and clinical features in Fuchs’ uveitis. Int Ophthalmol 30:511–519
Yang P, Fang W, Jin H, Li B, Chen X, Kijlstra A (2006) Clinical features of Chinese patients with Fuchs’ syndrome. Ophthalmology 113:473–480
Tugal-Tutkun I, Güney-Tefekli E, Kamaci-Duman F, Corum I (2009) A cross-sectional and longitudinal study of Fuchs uveitis syndrome in Turkish patients. Am J Ophthalmol 148:510–515
Tandon M, Malhotra PP, Gupta V, Gupta A, Sharma A (2012) Spectrum of Fuchs uveitis syndrome in a North Indian population. Ocul Immunol Inflamm 20:429–433
Aziz S, Arya B, Westcott M, Pavesio C (2015) An investigation of the disc hyperfluorescence in Fuchs uveitis syndrome using optical coherence tomography imaging. Ocul Immunol Inflamm 23:152–156
Vartin CV, Nguyen AM, Balmitgere T, Bernard M, Tilikete C, Vighetto A (2012) Detection of mild papilloedema using spectral domain optical coherence tomography. Br J Ophthalmol 96:375–379
Ossewaarde-van Norel J, Camfferman LP, Rothova A (2012) Discrepancies between fluorescein angiography and optical coherence tomography in macular edema in uveitis. Am J Ophthalmol 154:233–239
Kempen JH, Sugar EA, Jaffe GJ et al (2013) Fluorescein angiography versus optical coherence tomography for diagnosis of uveitic macular edema. Ophthalmology 120:1852–1859
Gaucher D, Saleh M, Sauer A, Speeg-Schatz C, Bourcier T, Gaudric A (2009) Macular edema without fluorescein leakeage. J Fr Ophtalmol 32:314–319
Tran TH, de Smet MD, Bodaghi B, Fardeau C, Cassoux N, Lehoang P (2008) Uveitic macular oedema: correlation between optical coherence tomography patterns with visual acuity and fluorescein angiography. Br J Ophthalmol 92:922–927
Acknowledgments
The authors would like to thank Ms. Malihe Sabeti for her technical assistance in data collection.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Zarei, M., Abdollahi, A., Darabeigi, S. et al. An investigation on optic nerve head involvement in Fuchs uveitis syndrome using optical coherence tomography and fluorescein angiography. Graefes Arch Clin Exp Ophthalmol 256, 2421–2427 (2018). https://doi.org/10.1007/s00417-018-4125-3
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DOI: https://doi.org/10.1007/s00417-018-4125-3