Choriocapillaris Flow Signal Impairment in Sorsby Fundus Dystrophy

Purpose: To quantify choriocapillaris flow alterations in early Sorsby Fundus Dystrophy (SFD) and to investigate the relationship of choriocapillaris flow with the choroidal and outer retinal microstructure. Methods: In this prospective case-control study, 18 eyes of 11 patients with early SFD and 32 eyes of 32 controls without ocular pathology underwent multimodal imaging including spectral-domain optical coherence tomography (OCT)followed by deep-learning-based layer segmentation. OCT-angiography (OCT-A) was performed to quantify choriocapillaris flow signal deficits (FDs). Differences in choriocapillaris flow area percentage between SFD patients and controls were determined and a structure-function correlation with outer retinal layer thicknesses were analyzed based on mixed model analysis. Results: SFD patients exhibited a significantly greater choriocapillaris FDs area percentage than controls (estimate [95% CI] 32.05% [24.31-39.80] vs. 23.36% [20.64-26.09], P