PMID- 26284746 OWN - NLM STAT- MEDLINE DCOM- 20160308 LR - 20151125 IS - 1879-1891 (Electronic) IS - 0002-9394 (Linking) VI - 160 IP - 5 DP - 2015 Nov TI - Spectral-Domain Optical Coherence Tomography in Wagner Syndrome: Characterization of Vitreoretinal Interface and Foveal Changes. PG - 1065-1072.e1 LID - S0002-9394(15)00504-8 [pii] LID - 10.1016/j.ajo.2015.08.012 [doi] AB - PURPOSE: To evaluate the spectrum of morphologic abnormalities in patients with Wagner syndrome by spectral-domain optical coherence tomography (SD OCT). DESIGN: Retrospective comparative case study. METHODS: Institutional study of patients entered into the French Vitreoretinopathy Study Group database. Twelve eyes of 9 patients from 3 unrelated families with genetically confirmed Wagner syndrome and 28 eyes from 15 age- and sex-matched healthy family controls were scanned by SD OCT. Morphology and layer thickness of the total retina, inner retinal layers, outer retinal layers, and photoreceptor layer at different degrees of eccentricity from the fovea were compared between the 2 groups. RESULTS: A thick multilayered membrane adherent to the perifovea but completely detached from the fovea, thus forming a bridge over the foveal pit, was observed in 84% of eyes from patients with Wagner syndrome. At the equatorial area, SD OCT imaging allowed visualization of the architecture of an avascular vitreous veil with localized retinal traction. Most retinal layers were significantly thinner in patients with Wagner syndrome compared to the control group, except at the foveal center where abnormal persistence of 1 or more inner retinal layers could be observed. CONCLUSION: SD OCT provides better structural insight into the range of retinal defects at the vitreoretinal interface and fovea, which is not only useful for improving diagnosis and management, but also for understanding the pathogenesis of Wagner syndrome. CI - Copyright (c) 2015 Elsevier Inc. All rights reserved. FAU - Rothschild, Pierre-Raphael AU - Rothschild PR AD - Assistance Publique-Hopitaux de Paris, Groupe Hospitalier Cochin-Hotel-Dieu, Service d'ophtalmologie, Universite Paris Descartes, Sorbonne Paris Cite, Paris, France; Institut National de la Sante et de la Recherche Medicale, Centre de Recherche des Cordeliers, Unite Mixte de Recherche 1138, equipe 17, Paris, France. Electronic address: rothschild.pr@gmail.com. FAU - Burin-des-Roziers, Cyril AU - Burin-des-Roziers C AD - Institut National de la Sante et de la Recherche Medicale, Unite Mixte de Recherche 1163, Institut Imagine, Laboratoire de Genetique Ophtalmologique, Universite Paris Descartes, Sorbonne Paris Cite, Paris, France. FAU - Audo, Isabelle AU - Audo I AD - Institut National de la Sante et de la Recherche Medicale, Unite Mixte de Recherche _S968, Paris, France; Centre National de la Recherche Scientifique, Unite Mixte de Recherche 7210, Paris, France; Universite Pierre et Marie Curie Paris 6, Institut de la Vision, Paris, France; Centre Maladies Rares/Centre d'Investigations Cliniques 503 Institut National de la Sante et de la Recherche Medicale, Centre Hospitalier National d'Ophtalmologie des Quinze-Vingts, Paris, France; Department of Molecular Genetics, Institute of Ophthalmology, London, United Kingdom. FAU - Nedelec, Brigitte AU - Nedelec B AD - Institut National de la Sante et de la Recherche Medicale, Unite Mixte de Recherche 1163, Institut Imagine, Laboratoire de Genetique Ophtalmologique, Universite Paris Descartes, Sorbonne Paris Cite, Paris, France. FAU - Valleix, Sophie AU - Valleix S AD - Institut National de la Sante et de la Recherche Medicale, Centre de Recherche des Cordeliers, Unite Mixte de Recherche 1138, equipe 17, Paris, France; Universite Paris-Descartes, Sorbonne Paris Cite, Assistance Publique-Hopitaux de Paris, Laboratoire de Biologie et Genetique Moleculaire, Hopital Cochin, Paris, France. FAU - Brezin, Antoine P AU - Brezin AP AD - Assistance Publique-Hopitaux de Paris, Groupe Hospitalier Cochin-Hotel-Dieu, Service d'ophtalmologie, Universite Paris Descartes, Sorbonne Paris Cite, Paris, France. LA - eng PT - Comparative Study PT - Journal Article DEP - 20150815 PL - United States TA - Am J Ophthalmol JT - American journal of ophthalmology JID - 0370500 RN - 126968-45-4 (Versicans) RN - Hyaloideoretinal degeneration of Wagner SB - IM MH - Adult MH - Female MH - Fovea Centralis/*pathology MH - Humans MH - Male MH - Retinal Degeneration/*diagnosis/physiopathology MH - Retrospective Studies MH - Tomography, Optical Coherence/*methods MH - Versicans/*deficiency MH - *Visual Acuity MH - Vitreous Body/*pathology EDAT- 2015/08/19 06:00 MHDA- 2016/03/10 06:00 CRDT- 2015/08/19 06:00 PHST- 2015/06/03 00:00 [received] PHST- 2015/08/07 00:00 [revised] PHST- 2015/08/08 00:00 [accepted] PHST- 2015/08/19 06:00 [entrez] PHST- 2015/08/19 06:00 [pubmed] PHST- 2016/03/10 06:00 [medline] AID - S0002-9394(15)00504-8 [pii] AID - 10.1016/j.ajo.2015.08.012 [doi] PST - ppublish SO - Am J Ophthalmol. 2015 Nov;160(5):1065-1072.e1. doi: 10.1016/j.ajo.2015.08.012. Epub 2015 Aug 15.