Quantitative Analysis of the Choriocapillaris in Uveitis Using En Face Swept-Source Optical Coherence Tomography Angiography.

Quantitative Analysis of the Choriocapillaris in Uveitis Using En Face Swept-Source Optical Coherence Tomography Angiography.
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DOI:
10.1016/j.ajo.2020.05.006
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发表时间:
2020-10
影响因子:
4.2
通讯作者:
Pepple KL
Pepple KL
中科院分区:
医学1区
文献类型:
--
作者:
Chu Z;Weinstein JE;Wang RK;Pepple KL

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To perform a quantitative analysis of choriocapillaris (CC) flow deficits (FDs) in patients with uveitis. Retrospective cross-sectional study Swept-source optical coherence tomography based angiography (SS-OCTA) macular volume scans (3×3 mm and 6×6 mm) were obtained using the PLEX® Elite 9000: En face CC images were generated and analyzed using an automated flow deficit identification algorithm. Three quantitative metrics were determined for each eye: FD number (FDN), mean FD size (MFDS), and FD density (FDD). Quantitative metrics were compared between uveitis and control eyes. The uveitis cohort was further subdivided by the presence or absence of choroidal involvement, and quantitative metrics were compared between subgroups and normal controls A total of 38 eyes from 38 controls and 73 eyes from 73 uveitis subjects were included in this study. Eyes with uveitis have significantly larger CC MFDS (3×3 mm, p<0.0001; 6×6 mm, p<0.0001) and higher FDD (p=0.0002; p=0.0076) when compared to control eyes. Additional analysis determined that these differences are due to the choroidal disease subgroup, which demonstrates significantly larger MFDS (3×3 =1108 μm2; 6×6 =1104 μm2) compared to both normal controls (752 μm2, p<0.0001; 802 μm2, p<0.0001) and uveitis patients without choroidal involvement (785 μm2, p<0.0001; 821 μm2, p<0.0001). No significant differences were found between the quantitative metrics of controls and patients without choroidal involvement. Automated quantification of CC can identify pathological FDs and provide quantitative metrics describing such lesions in patients with uveitis. Posterior uveitis patients have significantly larger CC FDs than patients with other forms of uveitis.
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