Foveal hyper-reflective vertical lines detected by optical coherence tomography: Imaging features, literature review and differential diagnoses.

IF 2.4 3区医学 Q2 OPHTHALMOLOGY

Graefe’s Archive for Clinical and Experimental Ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-10-15 DOI:10.1007/s00417-024-06616-5

Adi Porat Rein, Hashem Totah, Koby Brosh, David Zadok, Joel Hanhart

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引用次数: 0

Abstract

Purpose: To describe foveal hyper-reflective vertical lines (FVL) as a specific morphological finding on structural spectral-domain optical coherence tomography (SD-OCT) and discuss its differential diagnosis.

Methods: Observational case series. Ten patients (10 eyes) with FVL were meticulously examined at the Ophthalmology Department, Shaare Zedek Medical Center, Jerusalem, Israel. Detailed analysis of SD-OCT findings, clinical records, and retinal imaging was conducted to establish correlations between FVL and various underlying conditions.

Results: We established the following list of settings, supported by the clinical context and ancillary investigations, in which SD-OCT displayed FVL: inflammation (1 eye), mechanical (1 eye), resorption of fluids of various origins (4 eyes), macular telangiectasia (1 eye), age-related macular degeneration (1 eye), diabetic retinopathy (1 eye) and scar (1 eye).

Conclusions: FVL can be observed in various underlying conditions. Recognition of this pattern and formulation of an appropriate differential diagnosis is of interest for correctly diagnosing and treating patients whose structural OCT harbors this yet overlooked finding.

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通过光学相干断层扫描检测到的眼窝高反射垂直线：成像特征、文献综述和鉴别诊断。

目的：描述作为结构性光谱域光学相干断层扫描（SD-OCT）特殊形态学发现的眼窝高反射垂直线（FVL），并讨论其鉴别诊断：观察性病例系列。以色列耶路撒冷 Shaare Zedek 医学中心眼科对 10 名 FVL 患者（10 只眼睛）进行了仔细检查。我们对 SD-OCT 检查结果、临床记录和视网膜成像进行了详细分析，以确定 FVL 与各种潜在病症之间的相关性：我们根据临床背景和辅助检查结果，确定了以下 SD-OCT 显示 FVL 的情况：炎症（1 只眼）、机械性（1 只眼）、各种来源的液体吸收（4 只眼）、黄斑毛细血管扩张（1 只眼）、老年性黄斑变性（1 只眼）、糖尿病视网膜病变（1 只眼）和瘢痕（1 只眼）：结论：FVL 可在各种潜在疾病中观察到。识别这种模式并进行适当的鉴别诊断，对正确诊断和治疗结构性 OCT 隐藏这一被忽视的发现的患者很有意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Graefe’s Archive for Clinical and Experimental Ophthalmology 医学-眼科学

CiteScore

5.40

自引率

7.40%

发文量

398

审稿时长

3 months

期刊介绍： Graefe''s Archive for Clinical and Experimental Ophthalmology is a distinguished international journal that presents original clinical reports and clini-cally relevant experimental studies. Founded in 1854 by Albrecht von Graefe to serve as a source of useful clinical information and a stimulus for discussion, the journal has published articles by leading ophthalmologists and vision research scientists for more than a century. With peer review by an international Editorial Board and prompt English-language publication, Graefe''s Archive provides rapid dissemination of clinical and clinically related experimental information.