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Wide-field optical coherence tomography angiography using extended field imaging technique to evaluate the nonperfusion area in retinal vein occlusion

Authors Kimura M, Nozaki M, Yoshida M, Ogura Y

Received 16 March 2016

Accepted for publication 1 June 2016

Published 13 July 2016 Volume 2016:10 Pages 1291—1295

DOI https://doi.org/10.2147/OPTH.S108630

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Jie Zhang

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Masayo Kimura, Miho Nozaki, Munenori Yoshida, Yuichiro Ogura

Department of Ophthalmology and Visual Science, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan

Purpose: Optical coherence tomography angiography (OCTA) is a newly developed technology which allows us to reconstruct the three-dimensional chorioretinal vasculature without dye injection. OCTA is a noninvasive, rapid, and reproducible method to assess retinal ischemia. However, one of its limitations is the size of scanning area. A novel yet simple technique to expand the scan length on optical coherence tomography has been reported as an extended field imaging (EFI) technique. It involves imaging the posterior pole through trial frames fitted with a +20 diopter lens. We applied this technique to OCTA to evaluate retinal vein occlusion.
Materials and methods: Ten eyes of nine patients with retinal vein occlusion were studied. The average age was 69.0 years (range: 49–93 years). We obtained OCTA images by using RTVue XR Avanti OCT with AngioVue®. The images of OCTA with scan size of 8×8 mm were obtained with and without EFI, and then they were compared.
Results: OCTA with EFI technique was performed successfully in all eyes. The nonperfusion area was well defined in superficial capillary plexus layer. The images with EFI were able to capture the larger area of the fundus by an average of 188.5% than those without EFI. The posterior pole inside the vascular arcade was well covered with this technique. The area of the fundus imaged by OCTA with EFI technique was even larger than that of fluorescein angio­graphy using Heidelberg Retina Angiograph 2, which captured a 30° field.
Conclusion: Our results suggested that OCTA with EFI technique is very useful to evaluate the retinal ischemia in retinal vein occlusion.

Keywords: optical coherence tomography angiography, OCTA, retinal vein occlusion, RVO, nonperfusion area, wide-field imaging, extended field imaging, EFI

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