PMID- 21555609 OWN - NLM STAT- MEDLINE DCOM- 20110714 LR - 20220409 IS - 1538-3601 (Electronic) IS - 0003-9950 (Linking) VI - 129 IP - 5 DP - 2011 May TI - Retinal pigment epithelium tears secondary to age-related macular degeneration: a simultaneous confocal scanning laser ophthalmoscopy and spectral-domain optical coherence tomography study. PG - 575-9 LID - 10.1001/archophthalmol.2011.105 [doi] AB - OBJECTIVE: To describe the morphology of retinal pigment epithelium (RPE) tears secondary to age-related macular degeneration by using high-resolution, spectral-domain optical coherence tomography (SD-OCT). METHODS: For simultaneous topographic and tomographic in vivo imaging, confocal scanning laser ophthalmoscopy and spectral-domain optical coherence tomography were applied in combination. Retina over the RPE-denuded area was particularly examined for signs of viable photoreceptors. RESULTS: A total of 26 patients (28 eyes) were included in the study. The mean (SD) age of patients was 78 (8) years (age range, 62-91 years). In cases with recent RPE tears, external limiting membrane, photoreceptor inner and outer segment junction, and nonatrophic outer nuclear layer could be identified in the retina on the RPE-denuded area. Intact external limiting membrane, photoreceptor inner and outer segment junction, and nonatrophic outer nuclear layer could be seen in 1 patient for up to 325 days after the RPE tear. In fibrotic older RPE tears, these structures were atrophic. CONCLUSIONS: In this study, signs for viable photoreceptors could be identified for up to 325 days after an RPE tear using spectral-domain optical coherence tomography. This finding is important to consider in future therapies aimed at rescuing photoreceptors after RPE tears. FAU - Caramoy, Albert AU - Caramoy A AD - Center of Ophthalmology, Department of Vitreoretinal Surgery, University of Cologne, Kerpenerstr 62, 50924 Cologne, Germany. acaramoy@yahoo.co.uk FAU - Kirchhof, Bernd AU - Kirchhof B FAU - Fauser, Sascha AU - Fauser S LA - eng PT - Journal Article PL - United States TA - Arch Ophthalmol JT - Archives of ophthalmology (Chicago, Ill. : 1960) JID - 7706534 SB - IM MH - Aged MH - Aged, 80 and over MH - Cell Survival MH - Cross-Sectional Studies MH - Female MH - Fluorescein Angiography MH - Humans MH - Macular Degeneration/*complications MH - Male MH - Microscopy, Confocal MH - Middle Aged MH - Photoreceptor Cells, Vertebrate/pathology MH - Retinal Perforations/diagnosis/*etiology MH - Retinal Pigment Epithelium/*pathology MH - *Tomography, Optical Coherence EDAT- 2011/05/11 06:00 MHDA- 2011/07/16 06:00 CRDT- 2011/05/11 06:00 PHST- 2011/05/11 06:00 [entrez] PHST- 2011/05/11 06:00 [pubmed] PHST- 2011/07/16 06:00 [medline] AID - 129/5/575 [pii] AID - 10.1001/archophthalmol.2011.105 [doi] PST - ppublish SO - Arch Ophthalmol. 2011 May;129(5):575-9. doi: 10.1001/archophthalmol.2011.105.