ArticleOphthalmology science
Pointwise Structure-Function Analysis of the Ellipsoid Zone in Retinitis Pigmentosa Using an Artificial Intelligence-Assisted OCT and Microperimetry Overlay.
Article in Ophthalmology science. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Structure-Function Correlation in Patients With Central Serous Chorioretinopathy During Initial Disease Activity and After Ten Years.Investigative ophthalmology & visual science · 2026Article
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Authors and funding
10 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Objective: To perform a pointwise structure-function analysis of the ellipsoid zone (EZ) in retinitis pigmentosa (RP) using an artificial intelligence-based overlay to understand EZ structure-function relationships. Design: A single-center retrospective study. Subjects: Patients with clinically confirmed RP. Methods: Same-day spectral-domain OCT (SD-OCT) and microperimetry near-infrared images were overlaid in patients with confirmed RP. Overlay used a coarse alignment artificial intelligence model. Each locus, on a 68-point microperimetry grid spanning the central 20° of the macula, was identified on individual SD-OCT B-scans. Ellipsoid zone structure was graded at each locus on a 3-point scale: grade 0 = EZ not visible; grade 1 = EZ attenuated; grade 2 = EZ normal. Ellipsoid zone grades were correlated with microperimetry sensitivity scores recorded in decibels (dB). Main Outcome Measures: Correlation of EZ integrity on SD-OCT with microperimetric retinal sensitivity. Results: Fifty-one eyes from thirty-one patients with RP were included in the analysis, with 60 total overlays, including follow-up studies, resulting in 3985 test loci being graded. Patients had a mean age of 39.4 (32.8-46.0) years, with 41.9% being female. Mean best-corrected visual acuity was 0.166 (0.129-0.203) logarithm of the minimum angle of resolution. The overall mean sensitivity (MS) was 9.72 (7.32-12.12) dB, whereas MS was 6.02 (4.06-7.98) dB for grade 0 loci, 18.36 (16.35-20.36) dB for grade 1 loci, and 20.90 (18.87-22.93) dB for grade 2 loci. Differences in MS were significant between graded groups ( Conclusions: We identified local EZ structure-function incongruencies in RP using a pointwise analysis of structure-function overlay. These loci of interest may be overlooked in analyses that average across the visual field. Preserved photoreceptor function, in the absence of visibly intact EZ, warrants further investigation. Financial Disclosures: Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.
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