Merits of multicolor imaging for tractional retinal detachment

Purpose: To compare multicolor imaging (MCI) with Optos color fundus photography (OCFP) for the evaluation of morphology and extent of preretinal membranes in diabetic tractional retinal detachments (TRD). Methods: In this retrospective study, 30 eyes with diabetic TRDs were imaged using the MCI feature of the Heidelberg Spectralis Spectral-domain optical coherence tomography (SD-OCT) and color photo using the Optos Daytona ultra-widefield fundus camera. Two investigators independently graded and determined the agreeability between the two modalities with respect to the extent of the TRD and preretinal membranes on the SD-OCT B-scan images. Results: The MCI provided better visualization of the attachments and traction points of the posterior hyaloid face and preretinal membranes and is comparable to the SD-OCT B-scan images. The inter-rater agreeability rates for OCFP had a Kappa (kappa) value of 0.37, while the MCI had a kappa value of 0.46. When comparing between images of different wavelengths, grading using infrared reflectance (IR) had a poor agreement (-0.04 +/- 0.04) while green reflectance (GR) (0.46 +/- 0.32) and blue reflectance (BR) (0.53 +/- 0.19) had a moderate agreement. The composite MCI and GR images also had comparatively higher intraclass coefficient when compared to the OCFP (0.25 [-0.09-0.55]) and IR (-0.03 [-0.39-0.34]) images. Conclusion: MCI is more sensitive for determining the extent of TRDs and for the detection of secondary membranes when compared to OCFP, thus, aiding in better surgical planning.

Automated summary

This study compared multicolor imaging (MCI) and Optos color fundus photography (OCFP) in evaluating the morphology and extent of preretinal membranes in patients with diabetic tractional retinal detachments. The results showed that MCI provided better visualization of the attachments and traction points of the posterior hyaloid face and preretinal membranes, and had comparable results to SD-OCT B-scan images. On the other hand, OCFP had poor agreement between images of different wavelengths.