Combined wide-field optical coherence tomography angiography density map for high myopic glaucoma detection

Abstract The present study aimed to evaluate the diagnostic ability of wide-field optical coherence tomography angiography (OCTA) density map for detection of glaucomatous damage in high myopic (HM) eyes and to further compare the diagnostic ability of OCTA with that of conventional imaging approach...

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Autores principales: Yu Jeong Kim, Kyeong Ik Na, Han Woong Lim, Mincheol Seong, Won June Lee
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/70c7006a4448493f93d0274cd7d0941f
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spelling oai:doaj.org-article:70c7006a4448493f93d0274cd7d0941f2021-11-14T12:21:10ZCombined wide-field optical coherence tomography angiography density map for high myopic glaucoma detection10.1038/s41598-021-01661-02045-2322https://doaj.org/article/70c7006a4448493f93d0274cd7d0941f2021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-01661-0https://doaj.org/toc/2045-2322Abstract The present study aimed to evaluate the diagnostic ability of wide-field optical coherence tomography angiography (OCTA) density map for detection of glaucomatous damage in high myopic (HM) eyes and to further compare the diagnostic ability of OCTA with that of conventional imaging approaches including red-free photography and swept-source OCT (SS-OCT) wide-field maps. A total of 77 healthy HM eyes and 72 HM eyes with open angle glaucoma (OAG) participated in this retrospective observational study. Patients underwent a comprehensive ocular examination, including wide-field SS-OCT scan and peripapillary area and macular OCTA scans. An integrated OCTA density map thereafter was merged by vascular landmark-guided superimposition of peripapillary and macular superficial vascular density maps onto the red-free photography (resulting in the OCTA-PanoMap). Glaucoma specialists then determined the presence of glaucomatous damage in HM eyes by reading the OCTA-PanoMap and compared its sensitivity and specificity with those of conventional images. Sensitivity and specificity of OCTA-PanoMap for HM-OAG diagnosis was 94.4% and 96.1%, respectively. Compared with other imaging methods, the sensitivity of OCTA-PanoMap was significantly higher than that of red-free photography (P = 0.022) and comparable to that of wide-field SS-OCT maps. Specificity of OCTA-PanoMap was significantly higher than those of other conventional imaging methods (except for wide-field thickness map). The OCTA-PanoMap showed good diagnostic ability for discrimination of HM-OAG eyes from healthy HM eyes. As a complementary method of an alternative imaging modality, OCTA-PanoMap can be a useful tool for detection of HM-OAG.Yu Jeong KimKyeong Ik NaHan Woong LimMincheol SeongWon June LeeNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yu Jeong Kim
Kyeong Ik Na
Han Woong Lim
Mincheol Seong
Won June Lee
Combined wide-field optical coherence tomography angiography density map for high myopic glaucoma detection
description Abstract The present study aimed to evaluate the diagnostic ability of wide-field optical coherence tomography angiography (OCTA) density map for detection of glaucomatous damage in high myopic (HM) eyes and to further compare the diagnostic ability of OCTA with that of conventional imaging approaches including red-free photography and swept-source OCT (SS-OCT) wide-field maps. A total of 77 healthy HM eyes and 72 HM eyes with open angle glaucoma (OAG) participated in this retrospective observational study. Patients underwent a comprehensive ocular examination, including wide-field SS-OCT scan and peripapillary area and macular OCTA scans. An integrated OCTA density map thereafter was merged by vascular landmark-guided superimposition of peripapillary and macular superficial vascular density maps onto the red-free photography (resulting in the OCTA-PanoMap). Glaucoma specialists then determined the presence of glaucomatous damage in HM eyes by reading the OCTA-PanoMap and compared its sensitivity and specificity with those of conventional images. Sensitivity and specificity of OCTA-PanoMap for HM-OAG diagnosis was 94.4% and 96.1%, respectively. Compared with other imaging methods, the sensitivity of OCTA-PanoMap was significantly higher than that of red-free photography (P = 0.022) and comparable to that of wide-field SS-OCT maps. Specificity of OCTA-PanoMap was significantly higher than those of other conventional imaging methods (except for wide-field thickness map). The OCTA-PanoMap showed good diagnostic ability for discrimination of HM-OAG eyes from healthy HM eyes. As a complementary method of an alternative imaging modality, OCTA-PanoMap can be a useful tool for detection of HM-OAG.
format article
author Yu Jeong Kim
Kyeong Ik Na
Han Woong Lim
Mincheol Seong
Won June Lee
author_facet Yu Jeong Kim
Kyeong Ik Na
Han Woong Lim
Mincheol Seong
Won June Lee
author_sort Yu Jeong Kim
title Combined wide-field optical coherence tomography angiography density map for high myopic glaucoma detection
title_short Combined wide-field optical coherence tomography angiography density map for high myopic glaucoma detection
title_full Combined wide-field optical coherence tomography angiography density map for high myopic glaucoma detection
title_fullStr Combined wide-field optical coherence tomography angiography density map for high myopic glaucoma detection
title_full_unstemmed Combined wide-field optical coherence tomography angiography density map for high myopic glaucoma detection
title_sort combined wide-field optical coherence tomography angiography density map for high myopic glaucoma detection
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/70c7006a4448493f93d0274cd7d0941f
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