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01 October 2011

Spectral optical coherence tomography in a patient with type I sialidosis

Zofia MichalewskaABCDEF, Agata GajosB, Janusz MichalewskiB, Jerzy NawrockiAD, Alexey V. PshezhetskyBCD, Andrzej BoguckiAB

DOI: 10.12659/MSM.881971

Med Sci Monit 2011; 17(10): CS129-131

Abstract

Background: The aim of our study was to analyze spectral optical coherence tomography (SD-OCT) findings in a patient with clinical signs of sialidosis.
Case Report: Fluorescein angiography and spectral optical coherence tomography was performed in a 37-year-old woman using a SD-OCT device with axial resolution of 6 µm. Enzyme assay followed. The patient was diagnosed with type I sialidosis by enzymatic assay. Besides a normal angiogram, a thickened nerve fiber layer was observed on spectral optical coherence tomography.
Conclusions: The thickened nerve fiber layer was probably caused by accumulation of metabolic products such as sialylated oligosaccharides and glycopeptides, suggesting that SD- OCT, due to its enhanced resolution, can be a useful tool for diagnosis of rare neurological conditions.

Keywords: Retina - pathology, Neuraminidase - blood, Mucolipidoses - pathology, Fluorescein Angiography, Spectrometry, Fluorescence, Tomography, Optical Coherence - methods

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750