Differentiation of Underlying Pathologies of Macular Edema Using Spectral Domain Optical Coherence Tomography (SD-OCT)

Ocul Immunol Inflamm. 2019;27(3):474-483. doi: 10.1080/09273948.2019.1603313.

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.

Publication types

  • Review

MeSH terms

  • Diabetic Retinopathy / complications*
  • Diabetic Retinopathy / diagnosis
  • Diagnosis, Differential
  • Humans
  • Macula Lutea / pathology*
  • Macular Edema / diagnosis*
  • Macular Edema / etiology
  • Retinal Vein Occlusion / complications*
  • Retinal Vein Occlusion / diagnosis
  • Tomography, Optical Coherence / methods*
  • Uveitis / complications*
  • Uveitis / diagnosis
  • Visual Acuity*