Degenerative myopia from another point of view

Castilho, G.; Vieira Gomes, A.M.; Leitão Guerra, R.L.

doi:10.1016/j.oftale.2022.06.012

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La autofluorescencia del fondo de ojo (FAF) azul muestra un área hiperautofluorescente que coincide con el estafiloma posterior, incluso en las regiones con la integridad del EPR, y los parches de atrofia del EPR no están bien identificados; la FAF verde muestra parches hipoautofluorescentes que coinciden con las áreas de atrofia del EPR." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "G. Castilho, A.M. Vieira Gomes, R.L. Leitão Guerra" "autores" => array:3 [ 0 => array:2 [ "nombre" => "G." "apellidos" => "Castilho" ] 1 => array:2 [ "nombre" => "A.M." "apellidos" => "Vieira Gomes" ] 2 => array:2 [ "nombre" => "R.L." 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Castilho, A.M. Vieira Gomes, R.L. Leitão Guerra" "autores" => array:3 [ 0 => array:4 [ "nombre" => "G." "apellidos" => "Castilho" "email" => array:1 [ 0 => "gabrielcastilho.oftalmo@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "A.M." "apellidos" => "Vieira Gomes" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "R.L." 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Each image acquisition method presents its specificities and, consequently, discrepancies in the images obtained. For example, fundus cameras feature a high-energy white flash that streams through a wideband excitation filter and a series of mirrors and apertures to obtain images. At the same time, modern confocal scanning laser ophthalmoscope (cSLO) emits a single wavelength, which will only excite fluorophores that absorb light with a peak excitation near that specific wavelength.<a class="elsevierStyleCrossRef" href="#bib0010">2</a>Concurrently, the broad line fundus image (BLFI) technique is a hybrid of both cSLO and traditional fundus photography and utilizes line scanning illumination with light-emitting diodes (LEDs) and an aperture confocal tho the illumination. This system illuminates and detects retinal images in two wavelength ranges: FAF-Blue (435−500nm) and FAF-Green (500−585nm).<a class="elsevierStyleCrossRef" href="#bib0015">3</a> Although both are categorized as short-wavelength, it is known that green light can reach deeper layers of the retina, is less absorbed by the luteal pigments of the macula, and allows a better definition of lesions in the underlying RPE.We have recently observed a blatant discrepancy in the SW-FAF imaging of patients presenting degenerative myopia when comparing FAF-Blue and FAF-Green using the BLFI technology (ZEISS CLARUS 700, Carl Zeiss Meditec, Dublin, California, USA). The FAF-Blue images enlightened a hyper-AF area that matches the posterior staphyloma, even in the regions with RPE integrity. We suspect that this phenomenon occurs due to the absorption of light by scleral collagens, with subsequent emission of fluorescence within the detection range, and may facilitate the delineation of the staphyloma. This information may suggest that the FAF-Blue can provide reliable data to identify the staphyloma area due to the lower absorption of light by the retinal luteal pigment, allowing the wavelength to reach the sclera collagens. On the other hand, this effect is less noticeable in the FAF-Green, where hypo-AF patches took place matching with RPE atrophy areas, highlighting more reliably the metabolic condition of the RPE (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).<elsevierMultimedia ident="fig0005"></elsevierMultimedia>Previous studies have been harnessed in assessing FAF patterns in eyes with myopic atrophy maculopathy by using a cSLO system with a single laser wavelength. The authors suggest using the FAF as a complementary method in executing future classification systems.<a class="elsevierStyleCrossRef" href="#bib0020">4</a> Nevertheless, to the best of our knowledge, this is the first report that brings to light a new rationale in SW-FAF image acquisition of degenerative myopia by comparing FAF-Blue and FAF-Green obtained with the BLFI technology.Even at very close wavelengths, the images presented herein exhibit significative distinctions between both scan types. Therefore, we would like to bring this issue to light in the hope that they may provide additional information in the follow-up and counseling of patients with degenerative myopia. In addition, we encourage readers to reflect on the rationale behind these preliminary findings that are still not wholly enlightened and have substantial potential to be explored.Conflict of interestThe authors declare that they have no competing interests." "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interest" ] 1 => array:2 [ "identificador" => "xack627927" "titulo" => "Acknowledgments" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Castilho G, Vieira Gomes AM, Leitão Guerra RL. Miopía degenerativa desde otro punto de vista. Arch Soc Esp Oftalmol. 2022;97:541–542." ] ] "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 767 "Ancho" => 1255 "Tamanyo" => 231813 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "From left to right; True Color composite image of a patient with degenerative myopia presenting posterior staphyloma (delineated in blue), and scattered patches of retinal pigment epithelium (RPE) atrophy (outlined in green); Fundus Autofluorescence (FAF) Blue showing a hyper-autofluorescent area that matches with the posterior staphyloma, even in the regions with the integrity of RPE, and the patches of RPE atrophy are not well identified; FAF-Green evinces hypo-autofluorescent patches matching with RPE atrophy areas." ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "[Autofluorescence of papillary drusen in the diagnosis of false papillary edema]" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P. Bonnin" 1 => "Passot" 2 => "T. Triolaire-Cotten" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Bull Soc Ophtalmol Fr" "fecha" => "1976" "volumen" => "76" "paginaInicial" => "331" "paginaFinal" => "335" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1028524" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fundus autofluorescence and clinical applications" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C. Pole" 1 => "H. Ameri" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.18502/jovr.v16i3.9439" "Revista" => array:7 [ "tituloSerie" => "J Ophthalmic Vis Res." "fecha" => "2021" "volumen" => "16" "numero" => "3" "paginaInicial" => "432" "paginaFinal" => "461" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34394872" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Bublitz D, Everett M.J, Farkas C, Kempe M, Qiu Y, Schmitt-Manderbach T. Systems and methods for broad line. Fundus Imaging. 18/09/2014, (2014, accessed 18 November 2021). <a target="_blank" href="https://patentscope.wipo.int/search/en/detail.jsf?docId=WO2014140256%26tab=PCTDESCRIPTION">https://patentscope.wipo.int/search/en/detail.jsf?docId=WO2014140256&tab=PCTDESCRIPTION</a>." ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Patterns of fundus autofluorescence in eyes with myopic atrophy maculopathy: a consecutive case series study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. Li" 1 => "X. Zhao" 2 => "S. Chen" 3 => "B. Liu" 4 => "Y. Li" 5 => "P. Lian" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1080/02713683.2020.1857780" "Revista" => array:6 [ "tituloSerie" => "Curr Eye Res" "fecha" => "2020" "volumen" => "46" "paginaInicial" => "1056" "paginaFinal" => "1060" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33249926" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack627927" "titulo" => "Acknowledgments" "texto" => "This cross-sectional analysis was performed by reviewing the clinical records of 15 patients with degenerative myopia, in follow-up at the Leitão Guerra - Oftalmologia, Salvador, Brazil, from October 2021 to November 2021." "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/21735794/0000009700000010/v1_202209300752/S2173579422001128/v1_202209300752/en/main.assets" "Apartado" => array:4 [ "identificador" => "5814" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Editorial" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735794/0000009700000010/v1_202209300752/S2173579422001128/v1_202209300752/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173579422001128?idApp=UINPBA00004N"]

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Archivos de la Sociedad Española de Oftalmología is the official journal of the Ophthalmology Society of Spain, that has over 4,000 members. It gives priority to the publication of basic, translational and clinic research including reviews, original articles, short communications, editorials, letters to the editor and clinic practice guides related to Ophthalmology and its subspecialties. A small section of the journal is reserved for the most relevant papers presented at the annual Congress of the Society. All manuscripts considered for publication are reviewed by expert examiner peers (double blind). The journal is published monthly and even though its official language is Spanish all articles are translated into English to increase the dissemination of scientific information. At present, Archivos is the only Spanish language Ophthalmology journal indexed in PubMed/MEDLINE in addition to other prestigious international databases such as Scopus.

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Vol. 97. Issue 10.