Detection of pigment epithelial detachment vascularization in age-related macular degeneration using phase-variance OCT angiography

Scott M McClintic,1 Dae Yu Kim,2 Jeff Fingler,3 Susan Garcia,4 Robert J Zawadzki,4 Lawrence S Morse,4 Susanna S Park,4 Scott E Fraser,3 John S Werner,4 Jason P Ruggiero,5 Daniel M Schwartz6 1Department of Ophthalmology, Casey Eye Institute, Oregon Health and Science University, Portland, OR, USA; 2B...

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Autores principales: McClintic SM, Kim DY, Fingler J, Garcia S, Zawadzki RJ, Morse LS, Park SS, Fraser SE, Werner JS, Ruggiero JP, Schwartz DM
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Publicado: Dove Medical Press 2015
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spelling oai:doaj.org-article:5b678691115a4d418de57baf3c374a432021-12-02T03:39:27ZDetection of pigment epithelial detachment vascularization in age-related macular degeneration using phase-variance OCT angiography1177-5483https://doaj.org/article/5b678691115a4d418de57baf3c374a432015-07-01T00:00:00Zhttp://www.dovepress.com/detection-of-pigment-epithelial-detachment-vascularization-in-age-rela-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Scott M McClintic,1 Dae Yu Kim,2 Jeff Fingler,3 Susan Garcia,4 Robert J Zawadzki,4 Lawrence S Morse,4 Susanna S Park,4 Scott E Fraser,3 John S Werner,4 Jason P Ruggiero,5 Daniel M Schwartz6 1Department of Ophthalmology, Casey Eye Institute, Oregon Health and Science University, Portland, OR, USA; 2Beckman Laser Institute Korea and Department of Biomedical Engineering, Dankook University, Cheonan, South Korea; 3Translational Imaging Center, University of Southern California, Los Angeles, CA, 4Department of Ophthalmology and Vision Science, University of California Davis, Sacramento, CA, 5Retina Associates, PC, Winchester, VA, 6Department of Ophthalmology and Vision Science, University of California San Francisco, San Francisco, CA, USA Purpose: To demonstrate the use of phase-variance optical coherence tomography (PV-OCT) angiography for detection of pigment epithelial detachment (PED) vascularization in age-related macular degeneration (AMD). Patients and methods: Patients with PEDs and exudative AMD were evaluated by the Retina Services at the University of California, Davis, and the University of California, San Francisco. Each subject underwent fluorescein angiography and structural optical coherence tomography (OCT). Phase-variance OCT analysis was used to create angiographic images of the retinal and choroidal vasculature. PV-OCT-generated B-scans were superimposed on structural OCT B-scans to allow easy identification of perfused vascular structures. Results: Three patients with vascularized PEDs were imaged with PV-OCT, and each was found to have a vascular signal extending from the choroid into the hyperreflective substance of the PED. Two patients who had no evidence of PED vascularization on fluorescein angiography did not have vascular signals within their PEDs on PV-OCT. Conclusion: Structural OCT and PV-OCT images can be combined to create composite B-scans that offer high-resolution views of the retinal tissue along with dynamic vascular visualization. This technique offers a fast, noninvasive method for detecting vascularization of PEDs in AMD and may aid in the early detection of neovascular disease. Keywords: OCT, imaging, retinaMcClintic SMKim DYFingler JGarcia SZawadzki RJMorse LSPark SSFraser SEWerner JSRuggiero JPSchwartz DMDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 1299-1305 (2015)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
McClintic SM
Kim DY
Fingler J
Garcia S
Zawadzki RJ
Morse LS
Park SS
Fraser SE
Werner JS
Ruggiero JP
Schwartz DM
Detection of pigment epithelial detachment vascularization in age-related macular degeneration using phase-variance OCT angiography
description Scott M McClintic,1 Dae Yu Kim,2 Jeff Fingler,3 Susan Garcia,4 Robert J Zawadzki,4 Lawrence S Morse,4 Susanna S Park,4 Scott E Fraser,3 John S Werner,4 Jason P Ruggiero,5 Daniel M Schwartz6 1Department of Ophthalmology, Casey Eye Institute, Oregon Health and Science University, Portland, OR, USA; 2Beckman Laser Institute Korea and Department of Biomedical Engineering, Dankook University, Cheonan, South Korea; 3Translational Imaging Center, University of Southern California, Los Angeles, CA, 4Department of Ophthalmology and Vision Science, University of California Davis, Sacramento, CA, 5Retina Associates, PC, Winchester, VA, 6Department of Ophthalmology and Vision Science, University of California San Francisco, San Francisco, CA, USA Purpose: To demonstrate the use of phase-variance optical coherence tomography (PV-OCT) angiography for detection of pigment epithelial detachment (PED) vascularization in age-related macular degeneration (AMD). Patients and methods: Patients with PEDs and exudative AMD were evaluated by the Retina Services at the University of California, Davis, and the University of California, San Francisco. Each subject underwent fluorescein angiography and structural optical coherence tomography (OCT). Phase-variance OCT analysis was used to create angiographic images of the retinal and choroidal vasculature. PV-OCT-generated B-scans were superimposed on structural OCT B-scans to allow easy identification of perfused vascular structures. Results: Three patients with vascularized PEDs were imaged with PV-OCT, and each was found to have a vascular signal extending from the choroid into the hyperreflective substance of the PED. Two patients who had no evidence of PED vascularization on fluorescein angiography did not have vascular signals within their PEDs on PV-OCT. Conclusion: Structural OCT and PV-OCT images can be combined to create composite B-scans that offer high-resolution views of the retinal tissue along with dynamic vascular visualization. This technique offers a fast, noninvasive method for detecting vascularization of PEDs in AMD and may aid in the early detection of neovascular disease. Keywords: OCT, imaging, retina
format article
author McClintic SM
Kim DY
Fingler J
Garcia S
Zawadzki RJ
Morse LS
Park SS
Fraser SE
Werner JS
Ruggiero JP
Schwartz DM
author_facet McClintic SM
Kim DY
Fingler J
Garcia S
Zawadzki RJ
Morse LS
Park SS
Fraser SE
Werner JS
Ruggiero JP
Schwartz DM
author_sort McClintic SM
title Detection of pigment epithelial detachment vascularization in age-related macular degeneration using phase-variance OCT angiography
title_short Detection of pigment epithelial detachment vascularization in age-related macular degeneration using phase-variance OCT angiography
title_full Detection of pigment epithelial detachment vascularization in age-related macular degeneration using phase-variance OCT angiography
title_fullStr Detection of pigment epithelial detachment vascularization in age-related macular degeneration using phase-variance OCT angiography
title_full_unstemmed Detection of pigment epithelial detachment vascularization in age-related macular degeneration using phase-variance OCT angiography
title_sort detection of pigment epithelial detachment vascularization in age-related macular degeneration using phase-variance oct angiography
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/5b678691115a4d418de57baf3c374a43
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