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ABSTRACT: Purpose
To describe the migration of an outer retinal element using longitudinal multimodal imaging.Observations
In the retina of a healthy 7-year-old girl, movement of a hyperreflective element of 15 μm extent was seen using optical coherence tomography (OCT), confocal scanning laser ophthalmoscopy (cSLO), and adaptive optics fundus photography (AO). On the OCT B-scan, the element initially appeared at the level of the outer limiting membrane with an umbra reaching the retinal pigment epithelium from where it gradually diminished and disappeared over 33 days. A corresponding disruption of the photoreceptor pattern on AO diminished over 52 days.Conclusions and importance
This non-invasive observation of an isolated, cell-sized, migrating element in the human retina was made in vivo in the absence of confounding retinal disease or similar nearby elements. Based on prior preclinical observations we hypothesize that such a migrating element could be a macrophage. The case provides information about the time-scale and resolution needed for the monitoring of infiltrative processes in the retina.
SUBMITTER: Torm MEW
PROVIDER: S-EPMC7057146 | biostudies-literature | 2020 Jun
REPOSITORIES: biostudies-literature
Torm Marie Elise Wistrup MEW Belmouhand Mohamed M Munch Inger Christine IC Larsen Michael M Rothenbuehler Simon Paul SP
American journal of ophthalmology case reports 20200226
<h4>Purpose</h4>To describe the migration of an outer retinal element using longitudinal multimodal imaging.<h4>Observations</h4>In the retina of a healthy 7-year-old girl, movement of a hyperreflective element of 15 μm extent was seen using optical coherence tomography (OCT), confocal scanning laser ophthalmoscopy (cSLO), and adaptive optics fundus photography (AO). On the OCT B-scan, the element initially appeared at the level of the outer limiting membrane with an umbra reaching the retinal p ...[more]