1. William R. Freeman

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    1. Mentioned In 26 Articles

    2. Safety and Efficacy of Oral Fluorescein Angiography in Detecting Macular Edema in Comparison With Spectral-Domain Optical Coherence Tomography

      Safety and Efficacy of Oral Fluorescein Angiography in Detecting Macular Edema in Comparison With Spectral-Domain Optical Coherence Tomography

      Purpose: To evaluate the safety of oral fluorescein angiography (FA) and to compare its efficacy in detection of macular edema (ME) with spectral-domain optical coherence tomography (SD-OCT). Methods: Results of imaging studies for 1,928 eyes of 1,019 patients who had simultaneously undergone both oral FA and SD-OCT by a confocal laser ophthalmoscope were reviewed. Sensitivity in detecting ME, discrepancy rate, and "kappa" agreement were determined for both the techniques and with eyes stratified by disease diagnosis. Results: No allergic reactions occurred after oral FA. Mild gastric discomfort was noted in <1% of the patients; 1,840 eyes (95 ...

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    3. Correlation of Spectral Domain Optical Coherence Tomography Characteristics With Visual Acuity in Eyes With Subfoveal Scarring After Treatment for Wet Age-Related Macular Degeneration

      Correlation of Spectral Domain Optical Coherence Tomography Characteristics With Visual Acuity in Eyes With Subfoveal Scarring After Treatment for Wet Age-Related Macular Degeneration

      Purpose: Correlating spectral domain optical coherence tomography characteristics with final best-corrected visual acuity (BCVA) in eyes with subfoveal scarring after treatment for wet age-related macular degeneration. Methods: Seventy-nine eyes from 64 subjects, who developed subfoveal scarring after treatment of wet age-related macular degeneration, were retrospectively studied. Spectral domain optical coherence tomography characteristics were analyzed, including percentage disruption of inner segment/outer segment junction and external limiting membrane, central macular thickness, subfoveal scar thickness, subretinal scar area, and proximity of retina with intact outer structures to the fovea. A multivariate stepwise regression analysis was performed with the final BCVA logarithm of ...

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    4. Repeatability and reproducibility of manual choroidal volume measurements using enhanced depth imaging optical coherence tomography

      Repeatability and reproducibility of manual choroidal volume measurements using enhanced depth imaging optical coherence tomography

      Purpose: To evaluate the repeatability and reproducibility of manual choroidal volume (CV) measurements on spectral-domain optical coherence tomography (SD-OCT) using enhanced depth imaging (EDI). Methods: Sixty eyes of 32 patients with or without any ocular chorio-retinal diseases were enrolled prospectively. Thirty-one choroidal scans were performed on each eye centered at the fovea using a raster protocol. Two masked observers demarcated choroidal boundaries using the built-in automated retinal segmentation software on two separate sessions. The observers were masked to each other's and their own previous readings. A standardized grid centered on the fovea was positioned automatically by the Spectralis OCT ...

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    5. Characterization of Diabetic Microaneurysms by Simultaneous Fluorescein Angiography and Spectral-Domain Optical Coherence Tomography

      Characterization of Diabetic Microaneurysms by Simultaneous Fluorescein Angiography and Spectral-Domain Optical Coherence Tomography

      Purpose To correlate spectral-domain optical coherence tomography (SD-OCT) findings of perfused diabetic microaneurysms with leakage status on fluorescein angiography (FA) using simultaneous FA and SD-OCT. Design Retrospective, observational case series. Methods A total of 173 microaneurysms were analyzed in 50 eyes (14 mild nonproliferative diabetic retinopathy [NPDR]; 22 moderate NPDR; 9 severe NPDR; 5 proliferative diabetic retinopathy) of 40 diabetic patients using simultaneous FA and SD-OCT. The characteristics of microaneurysms were evaluated by 2 masked observers using SD-OCT and correlated with leakage status on FA. Results External diameter of microaneurysms averaged 104 μm (range 43-266 μm). Some microaneurysm centers (15 ...

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    6. Spectral-Domain Optical Coherence Tomography Imaging of Postoperative Scleral Buckles

      Spectral-Domain Optical Coherence Tomography Imaging of Postoperative Scleral Buckles
      Purpose: To describe the appearance on spectral domain optical coherence tomography of the peripheral retina and overlying vitreous after scleral buckling surgery. Methods: Retrospective case series of patients who underwent scleral buckle surgery and had subsequent scanning laser ophthalmoscopy/spectral-domain optical coherence tomography images over the area of buckled retina. Twelve eyes from 11 patients were identified and show a variety of retinal anatomies, vitreous configurations, and clinical applications. Results: Twelve eyes from 11 patients were studied, and in all eyes, the peripheral retina could be visualized with 10 cases of successful retinal reattachment and 2 cases of scleral buckle ...
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    7. Long-Term SD-OCT/SLO Imaging of Neuroretina and Retinal Pigment Epithelium After Subthreshold Infrared Laser Treatment of Drusen

      Long-Term SD-OCT/SLO Imaging of Neuroretina and Retinal Pigment Epithelium After Subthreshold Infrared Laser Treatment of Drusen
      Purpose: The purpose of this study was to determine the long-term effect of subthreshold diode laser treatment for drusen in patients with nonexudative age-related macular degeneration with spectral domain optical coherence tomography combined with simultaneous scanning laser ophthalmoscope. Methods: Eight eyes of four consecutive age-related macular degeneration patients with bilateral drusen previously treated with subthreshold diode laser were imaged with spectral domain optical coherence tomography/scanning laser ophthalmoscope. Abnormalities in the outer retinal layers' reflectivity as seen with spectral domain optical coherence tomography/scanning laser ophthalmoscope were retrospectively analyzed and compared with color fundus pictures, and autofluorescence images were acquired ...
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    8. Dynamics of the Macular Hole-Silicone Oil Tamponade Interface With Patient Positioning As Imaged By Spectral Domain-Optical Coherence Tomography

      Dynamics of the Macular Hole-Silicone Oil Tamponade Interface With Patient Positioning As Imaged By Spectral Domain-Optical Coherence Tomography
      Purpose: The purposes of this study were to evaluate with spectral domain-optical coherence tomography the relationship between the retina and overlying silicone oil tamponade after macular hole surgery and to evaluate how this relationship changes with patient positioning. Methods: We studied a retrospective consecutive case series of 10 eyes from 9 patients who underwent macular hole surgery with silicone oil tamponade and subsequent spectral domain-optical coherence tomography scans. Four of the included eyes were also imaged with patients in face-down posture to determine whether the silicone-retina apposition changes with prone positioning. Finally, a single patient was also scanned in the ...
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    9. Correlation Between Morphologic Features on Spectral-Domain Optical Coherence Tomography and Angiographic Leakage Patterns in Macular Edema

      Purpose: The purpose of this study was to determine the morphologic patterns of angiographic macular edema using simultaneous colocalization of fluorescein angiography and spectral-domain optical coherence tomography (SD-OCT) images in diabetes, epiretinal membrane, uveitic and pseudophakic cystoid macular edema, and vein occlusion. Methods: Eighty-seven consecutive patients (107 eyes) with macular edema from 5 different etiologies were imaged by simultaneous scanning laser ophthalmoscopy/OCT to study the morphologic patterns of edema on SD-OCT and then correlated/colocalized with the fluorescein angiographic patterns of leakage. Statistical analysis was done to analyze the differences in the morphologic OCT pattern by different diseases. Results ...
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    10. Observations by Spectral-Domain Optical Coherence Tomography Combined with Simultaneous Scanning Laser Ophthalmoscopy: Imaging of the Vitreous

      ...f the vitreoretinal interface, and it is particularly useful for defining focal changes and PVD. Inquiries to William R. Freeman, Department of Ophthalmology, Shiley Eye Center, 0946, University of California, San Diego,...
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    11. Disruption of the Photoreceptor Inner Segment/Outer Segment Layer on Spectral Domain-Optical Coherence Tomography Is A Predictor of Poor Visual Acuity in Patients With Epiretinal Membranes

      Purpose: The purpose of this study was to evaluate the predictive value of spectral domain-optical coherence tomography-determined integrity of the photoreceptor inner segment/outer segment (IS/OS) junction on visual acuity in patients with epiretinal membranes (ERMs). Methods: This is a retrospective consecutive case series of 54 eyes from 48 patients with primary ERMs who underwent spectral domain-optical coherence tomography scans. Regression analysis was used to calculate the relative contribution of several variables, including photoreceptor IS/OS disruption, grade of IS/OS disruption, macular thickness, and ERM grade on fundus imaging to visual acuity. Results: The strongest individual predictor of ...
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    12. Optical Coherence Tomography-Raster Scanning and Manual Segmentation in Determining Drusen Volume in Age-Related Macular Degeneration

      Purpose: Drusen are the hallmark of age-related macular degeneration (AMD), and substantial evidence exists that the amount of drusen and their effect on retinal pigment epithelium is a strong predictor of progression of AMD and vision loss. Until recently, it was not possible to quantitate the volume of the drusen. However, the use of image-stabilized scanning laser ophthalmoscope or spectral domain-optical coherence tomography (OCT) has enabled determination of drusen volume of this abnormal material. The purpose of this study was to assess the correlation of drusen volume with Age-Related Eye Disease Study (AREDS) grade and drusen area in dry AMD ...
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  2. About William R. Freeman

    William R. Freeman

    William R. Freeman, M.D. is an internationally acclaimed scientific researcher and Director of the Jacobs Retina Research Center, adjoining the UCSD Shiley Eye Center. The clinical research center at the Jacobs Center will enable patients to benefit from the latest advances in diagnostic equipment and therapies. Researchers working in the Center's laboratories will focus on advancing promising therapies for macular degeneration, tumors, inherited retinal disease, retinal detachment, macular holes, and other important retinal diseases. Dr. Freeman is Professor of Ophthalmology at UCSD and has built a clinical and research enterprise of excellence since he came to UCSD in 1986. The new Jacobs Retina Center has allowed him to continue to build a research team dedicated to attacking retinal diseases that cause blindness and vision loss.