AIM:To assess the variations in photoreceptor cell packing density(PCPD)across the retina among young healthy individuals with emmetropia,low and moderate myopia.METHODS:High-resolution adaptive optics scanning laser ...AIM:To assess the variations in photoreceptor cell packing density(PCPD)across the retina among young healthy individuals with emmetropia,low and moderate myopia.METHODS:High-resolution adaptive optics scanning laser ophthalmoscopy(AOSLO)systems were utilized for retinal imaging with a large sampling window of 700μm×700μm.The study cohort included 14 emmetropic[spherical equivalent(SE)ranged+0.5 to-0.5 D],15 low myopic(SE ranged-0.5 to-3 D)and 21 moderate myopic(SE ranged-3 to-6 D)healthy young adults.Photoreceptors at 3°temporal,6°superior and inferior 6°were captured.Statistical analysis was then performed to obtain PCPD and cell spacing.RESULTS:The average age of participants was 22.54±2.86(ranged 20–30y)with no difference among 3 groups.At 3°temporal,the emmetropic group exhibited the highest PCPD of 15186.16±2050.54 cells/mm2,while the low and moderate myopic groups had PCPD of 14009.15±1073.01 and 13466.92±1121.71 cells/mm2,respectively.At 3°temporal,the emmetropic group also had the smallest cell spacing at 6.66±0.26 mm,compared to 6.85±0.26 and 6.91±0.28 mm for the low and moderate myopic groups,respectively.Compared to the emmetropic group,at 3°temporal,the myopic groups showed significantly reduced PCPD(low myopia:P=0.032;moderate myopia:P=0.001).At 6°inferior,the moderate myopic group exhibited a significant decrease in PCPD(P=0.013),while at 6°superior,there were no significant statistical differences in PCPD for the low and moderate myopic groups(P>0.05).In comparison to the emmetropic group,only the moderate myopic group showed significantly increased cell spacing at all three positions(temporal 3°:P=0.011,superior 6°:P=0.046,inferior 6°:P=0.013).Correlation analysis revealed a positive correlation between PCPD and axial length changes(P<0.05).CONCLUSION:Reduced PCPD and increased cell spacing strongly correlated with refractive error in mild to moderate myopic eyes,especially at 6°inferior to the fovea and the decreased PCPD in the macular region of myopic patients may be associated with increased axial lengthinduced retinal stretching.展开更多
AIM:To propose an algorithm for automatic detection of diabetic retinopathy(DR)lesions based on ultra-widefield scanning laser ophthalmoscopy(SLO).METHODS:The algorithm utilized the FasterRCNN(Faster Regions with CNN ...AIM:To propose an algorithm for automatic detection of diabetic retinopathy(DR)lesions based on ultra-widefield scanning laser ophthalmoscopy(SLO).METHODS:The algorithm utilized the FasterRCNN(Faster Regions with CNN features)+ResNet50(Residua Network 50)+FPN(Feature Pyramid Networks)method for detecting hemorrhagic spots,cotton wool spots,exudates,and microaneurysms in DR ultra-widefield SLO.Subimage segmentation combined with a deeper residual network FasterRCNN+ResNet50 was employed for feature extraction to enhance intelligent learning rate.Feature fusion was carried out by the feature pyramid network FPN,which significantly improved lesion detection rates in SLO fundus images.RESULTS:By analyzing 1076 ultra-widefield SLO images provided by our hospital,with a resolution of 2600×2048 dpi,the accuracy rates for hemorrhagic spots,cotton wool spots,exudates,and microaneurysms were found to be 87.23%,83.57%,86.75%,and 54.94%,respectively.CONCLUSION:The proposed algorithm demonstrates intelligent detection of DR lesions in ultra-widefield SLO,providing significant advantages over traditional fundus color imaging intelligent diagnosis algorithms.展开更多
·AIM:Toevaluatethe diagnostic properties of wide-field fundus autofluorescence(FAF) scanning laser ophthalmoscope(SLO) imaging for differentiating choroidal pigmented lesions.·METHODS: A consecutive series o...·AIM:Toevaluatethe diagnostic properties of wide-field fundus autofluorescence(FAF) scanning laser ophthalmoscope(SLO) imaging for differentiating choroidal pigmented lesions.·METHODS: A consecutive series of 139 patients were included, 101 had established choroidal melanoma with13 untreated lesions and 98 treated with radiotherapy.Thirty-eight had choroidal nevi. All patients underwent a full ophthalmological examination, undilated wide-field imaging, FAF and standardized US examination. FAF images and imaging characteristics from SLO were correlated with the structural findings in the two patient groups.·RESULTS: Mean FAF intensity of melanomas was significantly lower than the FAF of choroidal nevi. Only 1out of 38 included eyes with nevi touched the optic disc compared to 31 out of 101 eyes with melanomas. In 18 out of 101 melanomas subretinal fluid was seen at the pigmented lesion compared to none seen in eyes with confirmed choroidal nevi. In 'green laser separation', a trend towards more mixed FAF appearance of melanomas compared to nevi was observed. The mean maximal and minimal transverse and longitudinal diameters of melanomas were significantly higher than those of nevi.·CONCLUSION: Wide-field SLO and FAF imaging may be an appropriate non-invasive diagnostic screening tool to differentiate benign from malign pigmented choroidal lesions.展开更多
Adaptive optics scanning laser ophthalmoscopy（AOSLO） has been a promising technique in funds imaging with growing popularity. This review firstly gives a brief history of adaptive optics（AO） and AO-SLO. Then it co...Adaptive optics scanning laser ophthalmoscopy（AOSLO） has been a promising technique in funds imaging with growing popularity. This review firstly gives a brief history of adaptive optics（AO） and AO-SLO. Then it compares AO-SLO with conventional imaging methods（fundus fluorescein angiography, fundus autofluorescence, indocyanine green angiography and optical coherence tomography） and other AO techniques（adaptive optics flood-illumination ophthalmoscopy and adaptive optics optical coherence tomography）. Furthermore, an update of current research situation in AO-SLO is made based on different fundus structures as photoreceptors（cones and rods）, fundus vessels, retinal pigment epithelium layer, retinal nerve fiber layer, ganglion cell layer and lamina cribrosa. Finally, this review indicates possible research directions of AO-SLO in future.展开更多
Objective: To study the foveal displacement during the closure of idiopathic macular holes(MHs).Methods: Thirty-seven idiopathic MH patients treated by pars plana vitrectomy and internal limiting membrane peeling were...Objective: To study the foveal displacement during the closure of idiopathic macular holes(MHs).Methods: Thirty-seven idiopathic MH patients treated by pars plana vitrectomy and internal limiting membrane peeling were studied prospectively.Locations of MH center and foveal pit were measured by optic coherence tomography.Retinal displacement was observed using confocal scanning laser ophthalmoscopy.Results: A total of 40 eyes were included in this study and MHs were closed in 37 eyes(92.5%).The confocal scanning laser ophthalmoscopy showed that all of the retinal capillaries in the superior, inferior, nasal and temporal sides of the MHs moved toward the optic nerve head(ONH).The optic coherence tomography results showed that the mean nasal displacements of foveal pits were(102.9±61.2),(109.6±53.1), and(137.0±52.0) μm at 3, 6 and 12 months, respectively.And the mean vertical displacements were(55.9±49.4),(61.4±57.8) and(67.8±54.3) μm, respectively.Post-operative foveal pits were located in the nasal side of the MH centers.The extension of retina and nasal to the MH were in opposite directions: the nasal hole margin moved toward the MH, but the retina located closer to the ONH moved toward the ONH.The fellow eyes of three patients developed into idiopathic MH during the follow-up period and operations were performed for all of the three patients.Conclusion: Our results showed that center of macula does not move when an idiopathic MH develops, but it moves toward ONH during closure of hole; thus, new fovea is in nasal side of original fovea.展开更多
基金Supported by National Natural Science Foundation of China(No.82271107).
文摘AIM:To assess the variations in photoreceptor cell packing density(PCPD)across the retina among young healthy individuals with emmetropia,low and moderate myopia.METHODS:High-resolution adaptive optics scanning laser ophthalmoscopy(AOSLO)systems were utilized for retinal imaging with a large sampling window of 700μm×700μm.The study cohort included 14 emmetropic[spherical equivalent(SE)ranged+0.5 to-0.5 D],15 low myopic(SE ranged-0.5 to-3 D)and 21 moderate myopic(SE ranged-3 to-6 D)healthy young adults.Photoreceptors at 3°temporal,6°superior and inferior 6°were captured.Statistical analysis was then performed to obtain PCPD and cell spacing.RESULTS:The average age of participants was 22.54±2.86(ranged 20–30y)with no difference among 3 groups.At 3°temporal,the emmetropic group exhibited the highest PCPD of 15186.16±2050.54 cells/mm2,while the low and moderate myopic groups had PCPD of 14009.15±1073.01 and 13466.92±1121.71 cells/mm2,respectively.At 3°temporal,the emmetropic group also had the smallest cell spacing at 6.66±0.26 mm,compared to 6.85±0.26 and 6.91±0.28 mm for the low and moderate myopic groups,respectively.Compared to the emmetropic group,at 3°temporal,the myopic groups showed significantly reduced PCPD(low myopia:P=0.032;moderate myopia:P=0.001).At 6°inferior,the moderate myopic group exhibited a significant decrease in PCPD(P=0.013),while at 6°superior,there were no significant statistical differences in PCPD for the low and moderate myopic groups(P>0.05).In comparison to the emmetropic group,only the moderate myopic group showed significantly increased cell spacing at all three positions(temporal 3°:P=0.011,superior 6°:P=0.046,inferior 6°:P=0.013).Correlation analysis revealed a positive correlation between PCPD and axial length changes(P<0.05).CONCLUSION:Reduced PCPD and increased cell spacing strongly correlated with refractive error in mild to moderate myopic eyes,especially at 6°inferior to the fovea and the decreased PCPD in the macular region of myopic patients may be associated with increased axial lengthinduced retinal stretching.
基金Supported by Hunan Provincial Science and Technology Department Clinical Medical Technology Innovation Guidance Project(No.2021SK50103)。
文摘AIM:To propose an algorithm for automatic detection of diabetic retinopathy(DR)lesions based on ultra-widefield scanning laser ophthalmoscopy(SLO).METHODS:The algorithm utilized the FasterRCNN(Faster Regions with CNN features)+ResNet50(Residua Network 50)+FPN(Feature Pyramid Networks)method for detecting hemorrhagic spots,cotton wool spots,exudates,and microaneurysms in DR ultra-widefield SLO.Subimage segmentation combined with a deeper residual network FasterRCNN+ResNet50 was employed for feature extraction to enhance intelligent learning rate.Feature fusion was carried out by the feature pyramid network FPN,which significantly improved lesion detection rates in SLO fundus images.RESULTS:By analyzing 1076 ultra-widefield SLO images provided by our hospital,with a resolution of 2600×2048 dpi,the accuracy rates for hemorrhagic spots,cotton wool spots,exudates,and microaneurysms were found to be 87.23%,83.57%,86.75%,and 54.94%,respectively.CONCLUSION:The proposed algorithm demonstrates intelligent detection of DR lesions in ultra-widefield SLO,providing significant advantages over traditional fundus color imaging intelligent diagnosis algorithms.
文摘·AIM:Toevaluatethe diagnostic properties of wide-field fundus autofluorescence(FAF) scanning laser ophthalmoscope(SLO) imaging for differentiating choroidal pigmented lesions.·METHODS: A consecutive series of 139 patients were included, 101 had established choroidal melanoma with13 untreated lesions and 98 treated with radiotherapy.Thirty-eight had choroidal nevi. All patients underwent a full ophthalmological examination, undilated wide-field imaging, FAF and standardized US examination. FAF images and imaging characteristics from SLO were correlated with the structural findings in the two patient groups.·RESULTS: Mean FAF intensity of melanomas was significantly lower than the FAF of choroidal nevi. Only 1out of 38 included eyes with nevi touched the optic disc compared to 31 out of 101 eyes with melanomas. In 18 out of 101 melanomas subretinal fluid was seen at the pigmented lesion compared to none seen in eyes with confirmed choroidal nevi. In 'green laser separation', a trend towards more mixed FAF appearance of melanomas compared to nevi was observed. The mean maximal and minimal transverse and longitudinal diameters of melanomas were significantly higher than those of nevi.·CONCLUSION: Wide-field SLO and FAF imaging may be an appropriate non-invasive diagnostic screening tool to differentiate benign from malign pigmented choroidal lesions.
基金Supported by National Key Scientific Instrument and Equipment Development Project of China (No.2012YQ12008005)
文摘Adaptive optics scanning laser ophthalmoscopy（AOSLO） has been a promising technique in funds imaging with growing popularity. This review firstly gives a brief history of adaptive optics（AO） and AO-SLO. Then it compares AO-SLO with conventional imaging methods（fundus fluorescein angiography, fundus autofluorescence, indocyanine green angiography and optical coherence tomography） and other AO techniques（adaptive optics flood-illumination ophthalmoscopy and adaptive optics optical coherence tomography）. Furthermore, an update of current research situation in AO-SLO is made based on different fundus structures as photoreceptors（cones and rods）, fundus vessels, retinal pigment epithelium layer, retinal nerve fiber layer, ganglion cell layer and lamina cribrosa. Finally, this review indicates possible research directions of AO-SLO in future.
基金supported by National Basic Research Program of China(973 Program,No.2013CB967503)National Natural Science Foundation of China(No.81170857)Shanghai Key Laboratory of Visual Impairment and Restoration,Hehai University,Shanghai,China
文摘Objective: To study the foveal displacement during the closure of idiopathic macular holes(MHs).Methods: Thirty-seven idiopathic MH patients treated by pars plana vitrectomy and internal limiting membrane peeling were studied prospectively.Locations of MH center and foveal pit were measured by optic coherence tomography.Retinal displacement was observed using confocal scanning laser ophthalmoscopy.Results: A total of 40 eyes were included in this study and MHs were closed in 37 eyes(92.5%).The confocal scanning laser ophthalmoscopy showed that all of the retinal capillaries in the superior, inferior, nasal and temporal sides of the MHs moved toward the optic nerve head(ONH).The optic coherence tomography results showed that the mean nasal displacements of foveal pits were(102.9±61.2),(109.6±53.1), and(137.0±52.0) μm at 3, 6 and 12 months, respectively.And the mean vertical displacements were(55.9±49.4),(61.4±57.8) and(67.8±54.3) μm, respectively.Post-operative foveal pits were located in the nasal side of the MH centers.The extension of retina and nasal to the MH were in opposite directions: the nasal hole margin moved toward the MH, but the retina located closer to the ONH moved toward the ONH.The fellow eyes of three patients developed into idiopathic MH during the follow-up period and operations were performed for all of the three patients.Conclusion: Our results showed that center of macula does not move when an idiopathic MH develops, but it moves toward ONH during closure of hole; thus, new fovea is in nasal side of original fovea.
