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Cellular Imaging Of The Tapetal-like Reflex In Carriers Of RPGR-associated Retinopathy

Kalitzeos, A; Samra, R; Kasilian, M; Tee, JJL; Strampe, M; Langlo, C; Webster, AR; ... Michaelides, M; + view all (2017) Cellular Imaging Of The Tapetal-like Reflex In Carriers Of RPGR-associated Retinopathy. Retina 10.1097/IAE.0000000000001965. (In press). Green open access

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Abstract

PURPOSE: To examine the features of the tapetal-like reflex (TLR) in female carriers of RPGR-associated retinopathy by means of adaptive optics scanning light ophthalmoscopy (AOSLO) and spectral domain optical coherence tomography. METHODS: Nine molecularly confirmed RPGR carriers and three healthy controls underwent ocular examination and the following retinal imaging modalities: color photography, near-infrared reflectance, fundus autofluorescence, spectral domain optical coherence tomography, and AOSLO. After identifying TLR areas across all imaging modalities, normalized local contrast of outer retinal bands on spectral domain optical coherence tomography was calculated and AOSLO-acquired photoreceptor mosaic analysis was performed. RESULTS: Seven carriers had TLR areas, which colocalized with increased rod photoreceptor reflectivity on confocal AOSLO and reduced cone photoreceptor densities. Parafoveal TLR areas also exhibited reduced local contrast (i.e., increased reflectivity) of the outer retinal bands on spectral domain optical coherence tomography (inner segment ellipsoid zone and outer segment interdigitation zone). Healthy controls did not show TLR. CONCLUSION: The cellular resolution provided by AOSLO affords the characterization of the photoreceptor mosaic in RPGR carriers with a TLR. Features revealed include reduced cone densities, increased cone inner segment diameters, and increased rod outer segment reflectivity.

Type: Article
Title: Cellular Imaging Of The Tapetal-like Reflex In Carriers Of RPGR-associated Retinopathy
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1097/IAE.0000000000001965
Publisher version: http://dx.doi.org/10.1097/IAE.0000000000001965
Language: English
Additional information: This is an open access article distributed under the Creative Commons Attribution License 4.0 (CC-BY) (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: adaptive optics, carriers, heterozygotes, imaging, retinitis pigmentosa, tapetal-like reflex
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Institute of Ophthalmology
URI: https://discovery.ucl.ac.uk/id/eprint/10039328
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