Evaluación de la Coroides a través de Tomografía Óptica Coherente con Profundidad Mejorada (EDI-OCT). Revisión de la Literatura

Omar Fernando Salamanca, Mario Isaias Leon Higuera, Carlos Martin Moreno

Resumen


Objetivo: Describir la técnica EDI-OCT (Enhanced Depth Imaging Optical Coherence Tomography) y los hallazgos más relevantes de la coroides descritos en la literatura


Diseño del estudio: Revisión de la literatura


Métodos: Revisión bibliográfica de la literatura médica a través de PubMed , incluyendo términos de búsqueda “enhanced depth imaging” “optical coherence tomography” y “choroid”.


Resultados: Se identificaron estudios publicados desde el año 2008. En los estudios realizados en pacientes sanos se cuantificaron datos de la estructura de la coroides, especialmente 

los relacionados con el espesor coroideo tanto a nivel sub-foveal como en otros sectores anatómicos importantes y su relación con variables como edad, sexo, error refractivo y longitud axial. Se cuantificaron características propias de los métodos diagnósticos como la reproducibilidad y la variabilidad de la medida. Las patologías evaluadas con esta técnica incluyen principalmente la degeneración macular relacionada con la edad, la coroido- retinopatía serosa central, la enfermedad de Vogt-Koyanagi-Harada, los tumores coroideos, el glaucoma, la miopía, el síndrome de efusión uveal, la escleritis, la retinopatía diabética y la retinosis pigmentaria, entre otros.


Conclusiones: La valoración de la coroides con la EDI-OCT se ha constituido en un importante recurso para la evaluación de patologías en las cuales hasta ahora el conocimiento era limitado teniendo la ventaja de ser una técnica no invasiva. Sin embargo, se requiere ampliar el espectro de comprensión con relación a las características innatas de la prueba, los parámetros de normalidad, las posibilidades de aplicación clínica y su utilidad en el diagnóstico y seguimiento de las enfermedades coroido-retinales.


Palabras clave


Coroides, EDI-OCT (Enhanced Depth Imaging Optical Coherence Tomography).

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Referencias


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