In:
Retina, Ovid Technologies (Wolters Kluwer Health), Vol. 40, No. 1 ( 2020-01), p. 169-180
Abstract:
To investigate retinal sensitivity in the junctional zone of geographic atrophy (GA) secondary to age-related macular degeneration using patient-tailored perimetry grids for mesopic and dark-adapted two-color fundus-controlled perimetry. Methods: Twenty-five eyes with GA of 25 patients (prospective, natural-history Directional Spread in Geographic Atrophy study [DSGA; NCT02051998]) and 40 eyes of 40 normal subjects were included. Patient-tailored perimetry grids were generated using annotated fundus autofluorescence data. Customized software positioned test-points along iso-hulls surrounding the GA boundary at distances of 0.43°, 0.86°, 1.29°, 2.15°, and 3.01°. The grids were used for duplicate mesopic and dark-adapted two-color (cyan and red) fundus-controlled perimetry. Age-adjusted reference-data were obtained through regression analysis of normative data followed by spatial interpolation. Results: The mean sensitivity loss for mesopic testing decreased with the distance to GA (−10.3 dB [0.43°], −8.2 dB [0.86°] , −7.1 dB [1.29°], −6.8 dB [2.15°] , and −6.6 dB [3.01°]; P 〈 0.01). Dark-adapted cyan sensitivity loss exceeded dark-adapted red sensitivity loss for all iso-hulls (−14.8 vs. −11.7 dB, −13.5 vs. −10.1 dB, −12.8 vs. −9.1 dB, −11.6 vs. −8.2 dB, −10.7 vs. −8.0 dB; P 〈 0.01). Conclusion: Patient-tailored fundus-controlled perimetry grids allowed for testing of retinal function in the junctional zone of GA with high spatial resolution. A distinct decrease in mesopic sensitivity loss between 0.43° (125 µ m) and 1.29° (375 µ m) was observed that leveled off at more distant test-points. In proximity to the GA boundary, the results indicate that rod exceeded cone dysfunction.
Type of Medium:
Online Resource
ISSN:
0275-004X
DOI:
10.1097/IAE.0000000000002337
Language:
English
Publisher:
Ovid Technologies (Wolters Kluwer Health)
Publication Date:
2020
detail.hit.zdb_id:
2071014-8
Bookmarklink