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Differentiation of Underlying Pathologies of Macular Edema Using Spectral Domain Optical Coherence Tomography (SD-OCT)
Authors:Muriel Dysli  René Rückert
Affiliation:1. Department of Ophthalmology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland;2. BPRC, Bern Photographic Reading Center, University of Bern, Bern, Switzerland;3. Department of Ophthalmology, eye.gnos consulting, Bern, Switzerland
Abstract:Purpose: To describe the morphological characteristics of macular edema (ME) of different origins using spectral domain optical coherence tomography (SD-OCT).

Methods: This article summarizes and highlights key morphologic findings, based on published articles, describing the characteristic presentations of ME of different origins using SD-OCT. The following pathologies were included: uveitic macular edema, pseudophakic cystoid macular edema (PCME), diabetic macular edema (DME), macular edema secondary to central or branch retinal vein occlusion (CRVO/BRVO), microcystic macular edema (MME), ME associated with epiretinal membrane (ERM), and retinitis pigmentosa (RP).

Conclusions: Macular edema of different origins show characteristic patterns that are often indicative of the underlying cause and pathology. Thus, trained algorithms may in the future be able to automatically differentiate underlying causes and support clinical diagnosis. Knowledge of different appearances support the clinical diagnosis and can lead to improved and more targeted treatment of ME.

Keywords:Diabetic macular edema  macular edema  optical coherence tomography  retinal vein occlusion  uveitic macular edema
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