1. Prevalence of small varicosities Among Patients With or Without Telangiectasias On The Lower Limbs Estimated By Augmented Reality Examination
Kasuo Miyake, MD, PhD Abstract No 579
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Objectives / Purpose Statement:
The progress of the treatment for chronic venous disease has been supported by CEAP, REVAS and VCSS. The correlation between the presence of vessels connected to resistant to sclerotherapy telangiectasias has also been discussed. None of the above described classifications evaluate the prevalence of small varicosities under telangiectasias - "feeder vein". Objective:
1. use Augmented Reality to search "feeder veins" in areas that the patient complained about telangiectasias
2. use the same method in areas that the patient had no complaints about leg vein lesions
Method:
- Case-control study
- December 2012 to March 2013
- Presence of small varicosities on the thigh with or without telangiectasias
- 50 consecutive female patients
- non-invasive Augmented Reality examination
- detection of small varicosities under telangiectasias
- exclusion factor was the presence of reflux in any segment of the saphenous veins (examined by duplex scanning)
patient #3 telangiectasia area being examined by augmented reality   
patient #22 no complaints area being examined by augmented reality
References
- Vein Imaging: A New Method of Near Infrared Imaging, Where a Processed Image Is Projected onto the Skin for the Enhancement of Vein Treatment. Kasuo Miyake, MD, PhD, Herbert David Zeman, PhD, Flavio Henrique Duarte, MD, Rodrigo Kikuchi, MD, Eduardo Ramacciotti, MD, PhD, Gunnar Lovhoiden, PhD, and Carlos Vrancken. Dermatol Surg 2006;32:1031–1038 (presented at UIP2005-Rio and UIP209-Monaco)
Results:
At least one varicosity was detected in all areas (100%) where the patient was complaining about telangiectasias. Prevalence of small varicosities in areas that the patient considered normal was 26%(P<0.0001). We believe that the presence or not of a small varicosities under a telangiectagia affects the sclerotherapy result.
Conclusions:
This difference was considered to be extremely statistically significant. We conclude that the prevalence of small varicosities estimated by augmented reality should be in the inclusion and exclusion factors of Sclerotherapy Treatment Studies
patient #3 telangiectasia area being examined by naked eye