1. A Novel Method to Detect and Monitor Retinal Vasculitis Using Swept-Source OCT Angiography.
- Author
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Noori J, Shi Y, Yang J, Gregori G, Albini TA, Rosenfeld PJ, and Davis JL
- Subjects
- Fundus Oculi, Humans, Retrospective Studies, Fluorescein Angiography methods, Fovea Centralis diagnostic imaging, Retinal Vasculitis diagnosis, Retinal Vessels diagnostic imaging, Tomography, Optical Coherence methods, Visual Acuity
- Abstract
Purpose: To introduce a novel method for assessment of retinal vasculitis using swept-source OCT angiography (SS-OCTA)., Design: Retrospective case series., Participants: Patients with retinal vasculitis., Methods: The subjects were identified among the clinic population and imaged with 12 × 12-mm SS-OCTA scans centered on the fovea. A custom retina segmentation superimposed the color retinal thickness map on a modified en face flow scan. Findings from en face flow scans were correlated with localized perivascular retinal thickening on B-scans. Results from SS-OCTA were compared with fluorescein angiography (FA) to examine the proportion of perivascular thickening to retinal vascular leakage or staining., Results: Twenty-one patients with retinal vasculitis underwent same-day FA and SS-OCTA. Visible retinal vascular leakage/staining on FA corresponded to increased perivascular retinal thickness on SS-OCTA in 17 patients. Five patients had a second examination with same-day FA and SS-OCTA after treatment of the vasculitis. Three of those 5 patients showed improved retinal vascular leakage/staining on post-treatment FA and decreased perivascular retinal thickness on SS-OCTA scans., Conclusions: Swept-source OCT angiography detects structural retinal thickening secondary to inflammatory retinal vascular leakage. Further studies are required to confirm whether SS-OCTA may serve as a semiquantitative alternative to FA to diagnose and monitor the response to treatment in patients with retinal vasculitis., (Published by Elsevier Inc.)
- Published
- 2021
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