Quantitative Noninvasive Angiography of the Fovea Centralis Using Speckle Variance Optical Coherence Tomography

To demonstrate the utility of speckle variance optical coherence tomography (svOCT), a noninvasive angiographic technique, for evaluating the foveal vasculature. Twelve normal human eyes were imaged with svOCT (1060-nm, 100-kHz custom-built system) and fluorescein angiography (FA; Topcon TRC-50DX wi...

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Veröffentlicht in:Investigative ophthalmology & visual science 2015-08, Vol.56 (9), p.5074-5086
Hauptverfasser: Mammo, Zaid, Balaratnasingam, Chandrakumar, Yu, Paula, Xu, Jing, Heisler, Morgan, Mackenzie, Paul, Merkur, Andrew, Kirker, Andrew, Albiani, David, Freund, K Bailey, Sarunic, Marinko V, Yu, Dao-Yi
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container_issue 9
container_start_page 5074
container_title Investigative ophthalmology & visual science
container_volume 56
creator Mammo, Zaid
Balaratnasingam, Chandrakumar
Yu, Paula
Xu, Jing
Heisler, Morgan
Mackenzie, Paul
Merkur, Andrew
Kirker, Andrew
Albiani, David
Freund, K Bailey
Sarunic, Marinko V
Yu, Dao-Yi
description To demonstrate the utility of speckle variance optical coherence tomography (svOCT), a noninvasive angiographic technique, for evaluating the foveal vasculature. Twelve normal human eyes were imaged with svOCT (1060-nm, 100-kHz custom-built system) and fluorescein angiography (FA; Topcon TRC-50DX with 5.0 megapixel resolution camera). Manual tracing techniques were used to quantify the foveal vasculature, including foveal avascular zone (FAZ) metrics (area, perimeter, greatest diameter, and lowest diameter). Reproducibility of these measurements was determined. The FAZ was imaged in 25 normal eyes using svOCT and 15 donor eyes using confocal scanning laser microscopy. Retinal capillary plexuses in donor eyes were perfusion-labeled with phalloidin conjugated to Alexa Fluor 546. Speckle variance OCT is able to stratify the foveal circulation into inner and deep capillary plexuses as well as reliably quantify and assess the morphometric dimensions of the human FAZ. Capillary density measurements were significantly greater in svOCT than FA (31.2 ± 1.6% vs. 19.3 ± 1.9% of total tissue area; P < 0.001). Measurements were highly reproducible (all P > 0.366). All FAZ metrics were significantly lower in histology than svOCT (all P < 0.001). Speckle variance OCT permits precise, reproducible, and noninvasive visualization of the human foveal vasculature. Speckle variance OCT may become an important adjunct in evaluating patients with retinal vascular diseases.
doi_str_mv 10.1167/iovs.15-16773
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subjects Adult
Female
Fluorescein Angiography - methods
Fovea Centralis - blood supply
Fundus Oculi
Humans
Male
Middle Aged
Reference Values
Reproducibility of Results
Retinal Vessels - cytology
Tomography, Optical Coherence - methods
title Quantitative Noninvasive Angiography of the Fovea Centralis Using Speckle Variance Optical Coherence Tomography
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