Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA.
Department of Bioengineering, University of Washington, Seattle, Washington, USA.
Am J Ophthalmol. 2020 Jan;209:18-26. doi: 10.1016/j.ajo.2019.09.017. Epub 2019 Sep 25.
Choriocapillaris (CC) imaging of normal eyes with swept-source optical coherence tomographic angiography (SS-OCTA) was performed, and the percentage of CC flow deficits (FD%) and the average area of CC flow deficits (FDa) were compared within the given macular regions.
A prospective, cross-sectional study.
Subjects with normal eyes ranging in age from their 20s through their 80s were imaged with SS-OCTA (PLEX Elite 9000; Carl Zeiss Meditec, Dublin, California, USA) using both 3×3-mm and 6×6-mm macular scan patterns. The CC images were generated using a previously published and validated algorithm. In both 3×3-mm and 6×6-mm scans, the CC FD% and FDa were measured in circular regions centered on the fovea with diameters as 1 mm and 2.5 mm (C and C). In 6×6-mm scans, the FD% and FDa were measured within an additional circular region with diameter as 5 mm (C). The correlations between FD% and FDa from each region were analyzed with Pearson correlation coefficients.
A total of 164 eyes were analyzed. There was excellent correlation between CC FDa and FD% measurements from each region. In the 3×3-mm scans, the correlations in the C and C regions were 0.83 and 0.90, respectively. In the 6×6-mm scans, the correlations in C, C, and C regions were 0.90, 0.89, and 0.89, respectively.
When measuring CC FDs, we found excellent correlations between FDa and FD% in regions from 3×3-mm and 6×6-mm scans. Further studies are needed to determine if one parameter is more useful when studying diseased eyes.
利用扫频源光学相干断层扫描血管造影术(SS-OCTA)对正常眼的脉络膜毛细血管(CC)进行成像,并比较在给定的黄斑区域内 CC 血流缺损(FD%)的百分比和 CC 血流缺损的平均面积(FDa)。
前瞻性、横断面研究。
使用 SS-OCTA(PLEX Elite 9000;美国加利福尼亚州都柏林的 Carl Zeiss Meditec)对年龄在 20 多岁到 80 多岁的正常眼进行成像,采用 3×3mm 和 6×6mm 黄斑扫描模式。使用先前发表并验证的算法生成 CC 图像。在 3×3mm 和 6×6mm 扫描中,在以黄斑为中心的直径为 1mm 和 2.5mm 的圆形区域(C 和 C)中测量 CC FD%和 FDa。在 6×6mm 扫描中,在直径为 5mm 的另外一个圆形区域(C)中测量 FD%和 FDa。使用 Pearson 相关系数分析来自每个区域的 FD%和 FDa 之间的相关性。
共分析了 164 只眼。来自每个区域的 CC FDa 和 FD%测量值之间存在极好的相关性。在 3×3mm 扫描中,C 和 C 区域的相关性分别为 0.83 和 0.90。在 6×6mm 扫描中,C、C 和 C 区域的相关性分别为 0.90、0.89 和 0.89。
在测量 CC FD 时,我们发现 3×3mm 和 6×6mm 扫描中 FD%和 FDa 之间的相关性非常好。还需要进一步的研究来确定在研究患病眼睛时,一个参数是否更有用。