Jaffe, Glenn J., Chakravarthy, Usha, Freund, K. Bailey ORCID: 0000-0002-7888-9773, Guymer, Robyn H., Holz, Frank G., Liakopoulos, Sandra, Mones, Jordi M., Rosenfeld, Philip J., Sadda, Srinivas R., Sarraf, David, Schmitz-Valckenberg, Steffen, Spaide, Richard F., Staurenghi, Giovanni, Tufail, Adnan ORCID: 0000-0001-6131-7640 and Curcio, Christine A. (2021). Imaging Features Associated with Progression to Geographic Atrophy in Age-Related Macular Degeneration Classification of Atrophy Meeting Report 5. Ophthalmol. Retina, 5 (9). S. 855 - 868. SAN DIEGO: ELSEVIER INC. ISSN 2468-6530

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Abstract

Purpose: To provide an image-based description of retinal features associated with risk for development of geographic atrophy (GA) in eyes with age-related macular degeneration (AMD), as visualized with multimodal imaging anchored by structural OCT. Design: Consensus meeting. Participants: International group that included those with expertise in imaging and AMD basic science and histology, and those with Reading Center experience in AMD clinical trials. Methods: As part of the Classification of Atrophy Meeting program, an international group of experts analyzed and discussed retinal multimodal imaging features in eyes with AMD associated with GA, risk of progression to GA, or both. Attendees undertook premeeting grading exercises that were reviewed during the meeting sessions. Meeting presentations illustrated established and investigational multimodal imaging features and associated histologic features. Each of these different features were then discussed openly by the entire group to arrive at consensus definitions. These definitions were applied to 40 additional images that were graded independently by attendees to refine the consensus definitions and descriptions further. Results: Consensus was reached on images with descriptors for 12 features. These features included components of outer retinal atrophy (e.g., ellipsoid zone disruption), components of complete retinal pigment epithelium (RPE) and outer retinal atrophy (e.g., RPE perturbation with associated hypotransmission or hypertransmission), features frequently seen in eyes with atrophy (e.g., refractile drusen), and features conferring risk for atrophy development (e.g., hyperreflective foci, drusen, and subretinal drusenoid deposits). Conclusions: An international consensus on terms and descriptions was reached on multimodal imaging features associated GA and with risk for GA progression in eyes with AMD. We believe this information will be useful to clinicians who manage patients with AMD, researchers who study AMD disease interventions and pathogenesis, and those who design clinical trials for therapies targeting earlier AMD stages than GA expansion. (C) 2020 by the American Academy of Ophthalmology

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Jaffe, Glenn J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chakravarthy, UshaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Freund, K. BaileyUNSPECIFIEDorcid.org/0000-0002-7888-9773UNSPECIFIED
Guymer, Robyn H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Holz, Frank G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Liakopoulos, SandraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mones, Jordi M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rosenfeld, Philip J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sadda, Srinivas R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sarraf, DavidUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schmitz-Valckenberg, SteffenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Spaide, Richard F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Staurenghi, GiovanniUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tufail, AdnanUNSPECIFIEDorcid.org/0000-0001-6131-7640UNSPECIFIED
Curcio, Christine A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-604997
DOI: 10.1016/j.oret.2020.12.009
Journal or Publication Title: Ophthalmol. Retina
Volume: 5
Number: 9
Page Range: S. 855 - 868
Date: 2021
Publisher: ELSEVIER INC
Place of Publication: SAN DIEGO
ISSN: 2468-6530
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
OPTICAL COHERENCE TOMOGRAPHY; NATURAL-HISTORY; DRUSEN; LESIONMultiple languages
OphthalmologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/60499

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