PMID- 22826551 OWN - NLM STAT- MEDLINE DCOM- 20121120 LR - 20220409 IS - 1468-2079 (Electronic) IS - 0007-1161 (Print) IS - 0007-1161 (Linking) VI - 96 IP - 9 DP - 2012 Sep TI - Fundus autofluorescence and spectral-domain optical coherence tomography findings suggesting tissue remodelling in retinal pigment epithelium tear. PG - 1211-6 LID - 10.1136/bjophthalmol-2012-301750 [doi] AB - AIM: To study tissue remodelling and wound healing after retinal pigment epithelium (RPE) tears due to age-related macular degeneration. METHODS: Retrospective longitudinal study of 36 eyes (33 patients) with RPE tears. Imaging was performed using fundus autofluorescence (FAF) (lambda=488 nm) and spectral-domain optical coherence tomography (SD-OCT). Presence of intraretinal hyper-reflective dots in SD-OCT, which correlated with hyperfluorescent dots in FAF, indicating RPE migration was studied. Morphology of subretinal mass and RPE layer integrity in the RPE denuded area over time were examined. RESULTS: 7 of 36 eyes (19.4%) showed patchy or hazy hyperfluorescent areas in FAF, and the majority of eyes (83.3%) showed hyper-reflective dots, which possibly represent intraretinal RPE migration and hard exudates. Homogenous subretinal mass was encountered in about half of all cases. In one case (2.8%), the RPE layer proliferated and covered the defect. CONCLUSIONS: SD-OCT and FAF showed a considerable amount of RPE proliferation, migration and repopulation. Intraretinal RPE migration did not form a functional RPE layer. A small defect might be repaired by cell proliferation. But this RPE proliferation is not sufficient to cover large defects. FAU - Caramoy, Albert AU - Caramoy A AD - Department of Vitreoretinal Surgery, Center of Ophthalmology, University of Cologne, Kerpenerstr. 62, 50924 Cologne, Germany. acaramoy@yahoo.co.uk FAU - Fauser, Sascha AU - Fauser S FAU - Kirchhof, Bernd AU - Kirchhof B LA - eng PT - Journal Article DEP - 20120723 PL - England TA - Br J Ophthalmol JT - The British journal of ophthalmology JID - 0421041 SB - IM MH - Aged MH - Aged, 80 and over MH - Cell Division/physiology MH - Female MH - *Fluorescein Angiography MH - Humans MH - Longitudinal Studies MH - Macular Degeneration/complications MH - Male MH - Middle Aged MH - Retinal Detachment/etiology/*pathology/*physiopathology MH - Retinal Pigment Epithelium/pathology/physiology MH - Retrospective Studies MH - *Tomography, Optical Coherence MH - Wound Healing/*physiology PMC - PMC3432490 COIS- Competing interests: None. EDAT- 2012/07/25 06:00 MHDA- 2012/12/10 06:00 CRDT- 2012/07/25 06:00 PHST- 2012/07/25 06:00 [entrez] PHST- 2012/07/25 06:00 [pubmed] PHST- 2012/12/10 06:00 [medline] AID - bjophthalmol-2012-301750 [pii] AID - 10.1136/bjophthalmol-2012-301750 [doi] PST - ppublish SO - Br J Ophthalmol. 2012 Sep;96(9):1211-6. doi: 10.1136/bjophthalmol-2012-301750. Epub 2012 Jul 23.