Centro Italiano Macula, Rome, Italy.
Department of Ophthalmology, University "G. D'Annunzio" Chieti-Pescara, Chieti, Italy.
Eur J Ophthalmol. 2021 Mar;31(2):514-520. doi: 10.1177/1120672120909769. Epub 2020 Mar 31.
To assess the current role of fluorescein angiography after the introduction of optical coherence tomography angiography in real-life clinical practice.
This was a multicentric retrospective observational study to evaluate the number of fluorescein angiography and optical coherence tomography angiography procedures performed by different devices from January 2013 to December 2018. The centers involved were Centro Italiano Macula (Rome), and ophthalmology departments of University "G. D'Annunzio" Chieti-Pescara (Chieti) and "Azienda Ospedaliero Universitaria Careggi" (Florence).
Out of 19,898 total fluorescein angiography procedures performed in the observation period, 3444 (17.3%) were in 2013, 3972 (19.9%) were in 2014, 3601 (18.1%) were in 2015, 3407 (17.2%) were in 2016, 3285 (16.5%) were in 2017, and 2189 (11%) were in 2018. Out of 7949 optical coherence tomography angiography procedures performed in the observation period, none were performed in 2013, 550 (6.9%) were in 2014, 908 (11.5%) were in 2015, 2098 (26.4%) were in 2016, 2090 (26.3%) were in 2017, and 2303 (28.9%) were in 2018.
Fluorescein angiography procedures were performed less often after the introduction of optical coherence tomography angiography technology. The ease, speed, and safety of the optical coherence tomography angiography procedure in everyday clinical practice have facilitated more optical coherence tomography angiography application compared to fluorescein angiography in recent years. In the future, we will probably evaluate the different pathologies that still need an evaluation by fluorescein angiography.
在光学相干断层扫描血管造影术（OCTA）实际应用于临床后，评估其在荧光素血管造影术中的作用。
这是一项多中心回顾性观察性研究，评估了 2013 年 1 月至 2018 年 12 月期间不同设备进行的荧光素血管造影术和 OCTA 程序的数量。参与的中心包括意大利 Centro Italiano Macula（罗马），以及“G. D'Annunzio”Chieti-Pescara 大学（基耶蒂）和“Azienda Ospedaliero Universitaria Careggi”（佛罗伦萨）的眼科部门。
在观察期间共进行了 19898 次荧光素血管造影术，其中 2013 年进行了 3444 次（17.3%），2014 年进行了 3972 次（19.9%），2015 年进行了 3601 次（18.1%），2016 年进行了 3407 次（17.2%），2017 年进行了 3285 次（16.5%），2018 年进行了 2189 次（11%）。在观察期间共进行了 7949 次 OCTA 检查，其中 2013 年无检查，2014 年进行了 550 次（6.9%），2015 年进行了 908 次（11.5%），2016 年进行了 2098 次（26.4%），2017 年进行了 2090 次（26.3%），2018 年进行了 2303 次（28.9%）。
在 OCTA 技术引入后，荧光素血管造影术的应用频率有所降低。在日常临床实践中，OCTA 检查具有简便、快速和安全的特点，使其在近几年的应用比荧光素血管造影术更为广泛。未来，我们可能会评估仍需要荧光素血管造影术评估的不同病变。
