Publications by authors named "Supriya Arora"

Purpose: Quantitative evaluation of choroidal curvature including choroidal inner boundary (CIB) and choroidal outer boundary (COB) and report a comparison between healthy and diseased eyes.

Methods: This retrospective study was conducted on 97 eyes of 97 patients. Eyes were divided into three groups: central serous chorioretinopathy (CSCR), dry age-related macular degeneration (AMD), and healthy eyes.

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Choroidal hypopigmented lesions (CHLs) represent significant diagnostic and therapeutic challenges due to their diverse and complex etiologies, including neoplastic, infectious, and inflammatory origins. Accurately differentiating between benign lesions with good prognoses and malignant or life-threatening conditions is crucial in directing the appropriate management and avoiding unnecessary invasive interventions. We integrate the latest research and clinical guidelines on advanced multimodal imaging modalities, emphasizing their comparative diagnostic value across varied etiologies of CHLs.

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Article Synopsis
  • - The study focused on analyzing the differences in treatment plans for diabetic macular edema and central serous chorioretinopathy among 25 retina specialists using diagnostic images from 20 patients.
  • - Key metrics for evaluating the treatment plans included Area Variability (AV), which measures consensus on the treatment area, and Centroid Distance (CD), which assesses agreement on treatment localization.
  • - Results indicated that while specialists generally preferred targeted treatments and avoided the subfoveal region, there was significant variability in planning that decreased with the specialists' experience, showing that less experienced specialists had broader variability in coverage areas.
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Purpose was to study 3-dimensional choroidal contour at choroidal inner boundary (CIB) and choroidal outer boundary (COB) in healthy eyes. Healthy eyes imaged on wide field swept-source optical coherence tomography were included. Delineation of CIB and COB was done based on our previously reported methods.

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  • The study investigates the characteristics of pigment epithelial detachment (PED) in central serous chorioretinopathy (CSCR) using a new computational method to quantify PED composition indices (PEDCI) over time.
  • A total of 34 eyes with active CSCR were analyzed quarterly for one year, categorizing cases as acute (symptoms <3 months) or chronic (symptoms >3 months), and measuring various dimensions manually while comparing changes statistically.
  • Results showed that acute CSCR had higher serous and neovascular components in PEDCI at baseline, while chronic cases showed only neovascular components; a novel biomarker, PEDCI, was identified to help differentiate between acute and chronic CSCR.*
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  • This study compared changes in pigment epithelium detachment composition indices (PEDCI-F) in patients with neovascular age-related macular degeneration (n-AMD) and polypoidal choroidal vasculopathy (PCV) over one year.
  • The research involved analyzing optical coherence tomography (OCT) images from 74 eyes (36 with n-AMD and 38 with PCV) treated with anti-VEGF agents, focusing on the composition and changes in PED lesions at 3, 6, and 12 months.
  • The findings showed a slight increase in PEDCI-F in both conditions, with higher levels linked to improved visual acuity and fewer necessary anti-VEGF injections, suggesting different
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  • The study evaluated new automated biomarkers called pigment epithelial detachment composition indices (PEDCI) in patients with neovascular age-related macular degeneration (nAMD) receiving anti-VEGF therapy over 24 months.
  • A retrospective analysis of 37 eyes showed minimal changes in best-corrected visual acuity (BCVA) but highlighted significant changes in the PEDCI measurements throughout the treatment period.
  • The results suggest that PEDCI can serve as useful biomarkers for understanding treatment effects in nAMD by quantifying the composition of pigment epithelial detachments.
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Intraretinal or subretinal fluid in the peripapillary area can be clinically visualized in conditions such as peripapillary choroidal neovascularization, optic disc pit maculopathy, and optic nerve head tumors and granulomas. Optical coherence tomography (OCT) helps to visualize peripapillary fluid in many other chorioretinal conditions such as peripapillary pachychoroid syndrome, posterior uveitis, central retinal vein occlusion, malignant hypertension, hypotonic maculopathy as well as neuro-ophthalmological conditions such as glaucoma, microcystic macular edema and disc edema due papilledema, non-arteritic anterior ischemic optic neuropathy, neuroretinitis, and diabetic papillopathy. Often, the differential diagnosis of peripapillary fluid is a bit tricky and may lead to misdiagnosis and improper management.

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Introduction: Retinal vein occlusion (RVO) is the second leading cause of blindness from retinal vascular disease behind diabetic retinopathy. Anti-vascular endothelial growth factor (VEGF) and glucocorticoid therapy are the cornerstones of pharmaceutical treatment for RVO. There is considerable interest in developing new pharmaceuticals in and out of these two classes to reduce costs, lower injection burden, and treat the occlusion itself, rather than the complications.

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Purpose: To report the emergence and progress of four late-stage characteristics: incomplete retinal pigment epithelium and outer retinal atrophy (iRORA) and complete RPE and outer retinal atrophy (cRORA), drusen ooze and drusen collapse in eyes with dry age-related macular degeneration (AMD) using Spectral Domain Optical Coherence Tomography (SD-OCT).

Methods: This was a retrospective analysis of eyes with non-exudative AMD. Multimodal imaging was done at follow up visits ≤ 12 months.

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This study evaluated predictors for choroidal neovascularization (CNV) associated with central serous chorioretinopathy (CSCR) based on multimodal imaging. A retrospective multicenter chart review was conducted on 134 eyes of 132 consecutive patients with CSCR. Eyes were classified as per the multimodal imaging-based classification of CSCR at baseline into simple/complex CSCR and primary episode/recurrent/resolved CSCR.

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Background: Central serous chorioretinopathy (CSCR) is a potentially blinding choroidal disease. Despite decades of research, the pathological mechanisms of CSCR are still poorly understood. In recent years, there has been a strong emphasis on choroidal dysfunction as a primary cause of CSCR.

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Article Synopsis
  • The study presents an automated method to analyze pigment epithelial detachments (PEDs) in patients with neovascular age-related macular degeneration (nAMD), allowing for the classification of tissue types within the PEDs.
  • High-definition spectral-domain OCT B-scans from 43 eyes were examined, and pixel classifications included serous, neovascular, and fibrous tissues, providing specific indices for each composition.
  • Results indicate high accuracy in the segmentation and classification processes, suggesting that this image processing technique could enhance clinical evaluation and treatment monitoring of nAMD over time.
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Brachytherapy is widely used for the treatment of choroidal melanoma and has recently been explored for the treatment of wet age-related macular degeneration. We propose the use of low dose radiation via episcleral brachytherapy in refractory cases of central serous chorioretinopathy (CSCR). The pathogenesis of CSCR involves dilatation and hyperpermeability of large choroidal vessels.

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  • The study aimed to analyze how subretinal fluid (SRF) regression in central serous chorioretinopathy (CSCR) was observed using sequential en face optical coherence tomography (OCT) and to explore the relationship with leak locations.
  • In a retrospective analysis of 25 eyes with acute CSCR, results showed that 20 eyes experienced centripetal regression of SRF, especially those with leaks closer to the fovea, while a correlation was found between the rate of SRF resolution and the time to complete resolution during the first month.
  • The findings concluded that SRF tends to resolve in a centripetal manner and that SRF area measurement is a better predictor of resolution after one month compared to
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Introduction: Various studies suggest a significant impact of gonadal hormones on many neuronal functions, including auditory processing. Although a few researchers have independently investigated the brainstem auditory evoked potential (BAEP) patterns during various phases of menstrual cycle and also during menopause, there is an acute paucity of comparative data between their BAEP patterns. This study was conducted to compare the BAEP patterns between normally menstruating females and menopausal females from North India.

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  • The study aimed to analyze the disease patterns, progression, and imaging traits in patients suffering from bilateral central serous chorioretinopathy (CSCR).
  • Out of 103 patients examined, 36 had bilateral CSCR at the start, with most showing symmetric disease, primarily complex rather than simple cases.
  • By the end of the follow-up, which averaged about 17.5 months, there were no significant differences in eye health metrics between the two eyes or any transitions from simple to complex CSCR.
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Purpose: To evaluate the follow up and treatment outcome of central serous chorioretinopathy (CSCR) based on the new multimodal imaging-based classification and identify the predictors for anatomic and visual outcome.

Methods: Retrospective, multicentric study on 95 eyes diagnosed with CSCR and a follow up of at least 12 months were included. Eyes with macular neovascularization, atypical CSCR or any other disease were excluded.

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Objective: To evaluate visual acuity (VA) and factors influencing VA using new multimodal imaging-based classification of central serous chorioretinopathy (CSCR).

Methods: Retrospective, observational and cross-sectional study on 229 naïve eyes diagnosed as CSCR with available baseline data and multimodal imaging. Each case was classified into (i) simple/complex/atypical; (ii) primary/recurrent/resolved; (iii) persistent or not; (iv) outer retinal atrophy(ORA) present/absent; (v) foveal involvement present/absent; and (vi) macular neovascularization(MNV) present/absent.

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Purpose: To assess the influence of fellow eye information on diagnosis and classification of central serous chorioretinopathy (CSCR) using multimodal imaging-based classification.

Methods: This was a retrospective, observational study including patients with CSCR with unilateral or bilateral involvement. Multimodal images of both eyes of each patient were compiled and presented to two masked retina specialists subdivided into three groups: (1) both eye data, (2) right eye data and (3) left eye data.

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Purpose: To study the natural history of optical coherence tomography (OCT) imaging-based findings seen in non-exudative age-related macular degeneration (neAMD) and model their relative likelihood in predicting development of incomplete retinal pigment epithelium and outer retinal atrophy (iRORA), complete retinal pigment epithelium and outer retinal atrophy (cRORA), and neovascular AMD (nAMD).

Methods: Retrospective chart review was performed at two academic practices. Patients diagnosed with neAMD for whom yearly OCT scans were obtained for at least 4 consecutive years were included.

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Background/objectives: To evaluate the presence and evolution of fluid in non-exudative age-related macular degeneration (AMD) through serial OCT.

Subjects/methods: A retrospective analysis of eyes with non-exudative AMD with a minimum of 4 year follow-up was done. Parameters including intraretinal fluid (IRF), subretinal fluid (SRF), and sub-retinal pigment epithelium (RPE) fluid (SRPEF); subfoveal choroidal thickness (SFCT) and type of drusen were evaluated using optical coherence tomography (OCT) scans at baseline and follow up visits.

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