Oftalmol Zh.2015;1:29-34

https://doi.org/10.31288/oftalmolzh201512934

A system of assessing the severity degree of the foveal structural changes according to the data of spectral optic coherent tomography and visual acuity in the eyeball contusion 

N. P. Grubnik, T. A. Krasnovid, V. V. Vit 

SI «Filatov’s Institute of eye diseases and tissue therapy of NAMN of Ukraine», Odessa (Ukraine)

Introduction: Blunt ocular injury is one of the serious problems in ophthalmology. 

Purpose: To study the grading system of structural changes in the fovea based on spectral optical coherence tomography and visual acuity after blunt eye injury. 

Material and methods: 43 patients with blunt ocular injury were observed. External nuclear layer, external limiting membrane, ellipsoid of the inner segments of photoreceptors, contact cylinder of cones, pigment retinal epithelium, examined by spectral optical coherence tomography and visual acuity were studied. We used cluster analysis for the grading system of structural changes in the fovea based on spectral optical coherence tomography and visual acuity after blunt eye injury. 

Results: We found 3 grades of structural changes in the fovea based on spectral optical coherence tomography and visual acuity after blunt eye injury mild, moderate, severe. 

Conclusion: The Grading system of structural changes in the fovea based on spectral optical coherence tomography and visual acuity after blunt eye injury showed 3 grades: mild, moderate, severe. 

Key words: fovea, structural changes, spectral optical coherence tomography, visual acuity, blunt ocular injury.

References 

1.Vit VV. The structure of the human visual system. Odessa: Astroprint. 2003. 655 p. 

2.Grubnik NP, Krasnovid TA, Vit VV. Morphological retinal features in the fovea based on spectral optical coherence tomography and their correlations with visual acuity in patients with blunt ocular injury. Oftalmol Zh. 2014;6:41–7. In Russian. 

3.Gundorova RA, Neroiev VV, Kashnikov VV. Traumas of the eye. Moscow; 2009. 553 p. 

4.Dumbrova NE, Vit VV, Krasnovid TA, Molchanyuk NI, Grubnik NP. Ultrastructural changes of chorioretinal complex in modeling eye contusion in rabbits. Oftalmol Zh. 2013;5:67–73. In Russian. 
Crossref

5.Troichenko LF, Drozhzhina GI, Dragomiretskaia EI. Development of a system of the eye assessment in patients with persistent epithelial defects and corneal torpid ulcers of postinfection and neuroparalytic etiology. Problems of ecological and medical genetics and clinical etiology. Collection of papers. Kyiv-Lugansk. 2011; 3(105):112–25. In Russian. 

6.Yankovoi AG. Multidimensional analysis in system STATISTICA. Odessa;2001. 107 p. 

7.Fujita K Correlation of integrity of cone outer segment tips line with retinal sensitivity after half — dose photodynamic therapy for chronic central serous chorioretinopathy. Am J Ophthalmol. 2012;154(3):579–85. 
Crossref   Pubmed

8.Haoyu Chen et al. Prediction of visual prognosis with spectral — domain optical coherence tomography in outer retinal atrophy secondary to closed globe trauma. Retina. 2013;33:1258–62. 
Crossref   Pubmed

9.Itakura H, Kishi S. Restored photoreceptor outer segment in commotio retinae [online]. Ophthalmic Surg Lasers Imaging. 2011;42:29–31. 

10.Itoh Y. et al. Correlation between length of foveal cone outer segment tips line defect and visual acuity after macular hole closure. Ophthalmology. 2012;119(7):1438–46. 

11.Mansour AM, Green WR, Hogge C. Histopathology of commotio retinae. Retina. 1992;12:24–8. 

12.Oh J et al. Commotio retinae with spectral domain optical coherence tomography. Retina. 2011;31:2044–9. 

13.Saleh M et al. Long-term outcomes of acute traumatic maculopathy. Retina — 2011;31:2037–43. 

14.Seong Joon. Ahn Optical coherence tomography morphologic grading of macular commotio retinae and its association with anatomic and visual outcomes. Am J Ophthalmol. 2013;156:994–1001. 

15.Shimozono M. The significance of cone outer segment tips as a prognostic factor in epiretinal membrane surgery.Am J Ophthalmol. 2012;153(4):698–704. 

16.Sipperley JO, Quigley HA, Gass DM. Traumatic retinopathy in primates. The explanation of commotio retinae. Arch Ophthalmol. 1978;96(12):2267–73. 

17.Souza-Santos F et al. Spectral domain optical coherence tomography in patients with commotio retinae. Retina. 2012;32:711–718.13. 

18.Spaide RF, Сurcio СА. Аnatomical correlates to the bands seen in the outer retina by optical coherence tomography: Literature Review and Model. Retina. 2011 September; 31(8):1609–19. 

19.Srinivasan VJ et al. Characterization of outer retinal morphology with high-speed, ultrahigh — resolution optical coherence tomography. Invest Ophthalmol Vis Sci. 2008;49:1571–9.