Ophthalmology Unit, Hospital Clinico San Carlos, Instituto de Investigacion Sanitaria del Hospital Clinico San Carlos (IdISSC), Madrid, Spain.
Instituto de Investigaciones Oftalmológicas Ramon Castroviejo, Universidad Complutense de Madrid, Madrid, Spain.
Curr Eye Res. 2021 Oct;46(10):1574-1580. doi: 10.1080/02713683.2021.1908568. Epub 2021 Apr 13.
: To evaluate the repeatability of the peripapillary and macular vascular parameters using optical coherence tomography angiography (OCT-A) in healthy children.: Cross-sectional study including 34 eyes of 34 healthy children. After a complete medical examination, two consecutive OCT-A exams were done using AngioPlex Cirrus 5000 (Carl Zeiss Meditec, Dublin, CA, USA) in the same session. The scan area used was 6 × 6 mm for the analysis of the superficial vascular plexus (SVP) in the macula, and 4.5 × 4.5 mm for the peripapillary plexus. To study the repeatability of the measurements, the intraclass correlation coefficient (ICC) and the coefficient of variation (CV) of each pair of exams were calculated.: The mean age of the children included was 10.77 ± 2.49 years (range 6 to 15 years). Good and excellent ICCs were obtained for all the parameters considered. Peripapillary vascular parameters showed greater reproducibility than macular ones (global peripapillary perfusion density (pPD): ICC = 0.834 CV = 0.89% vs. whole macular area PD (w-mPD): ICC = 0.697 CV = 3.49%; global peripapillary flux index (FI): ICC = 0.858 CV = 1.28%; whole macular area vascular density (VD): ICC = 0.699 CV = 3.30%). Amongst the macular parameters, the characteristics of the foveal avascular zone (FAZ) were the ones showing higher rates of repeatability (FAZ circularity: ICC = 0.858 CV = 8.83%).: OCT-A is a non-invasive, time-efficient technology that may be useful in the evaluation of the retinal and peripapillary vascular network in healthy children. The repeatability of the measures will allow the follow-up and evaluation of any change occurring in the macular or optic nerve perfusion.
: 评估健康儿童使用光相干断层扫描血管造影(OCT-A)的周边和黄斑血管参数的重复性。: 这是一项横断面研究,纳入了 34 名健康儿童的 34 只眼。在完成全面的医学检查后,使用 AngioPlex Cirrus 5000(德国卡尔蔡司公司,都柏林,加利福尼亚州,美国)在同一次检查中进行了两次连续的 OCT-A 检查。分析黄斑区浅层血管丛(SVP)时使用的扫描区域为 6×6mm,分析视盘周围血管丛时使用的扫描区域为 4.5×4.5mm。为了研究测量的重复性,计算了每对检查的组内相关系数(ICC)和变异系数(CV)。: 纳入的儿童平均年龄为 10.77±2.49 岁(范围 6 至 15 岁)。所有考虑的参数均获得了良好和优秀的 ICC。视盘周围血管参数的可重复性大于黄斑参数(全周视盘灌注密度(pPD):ICC=0.834,CV=0.89% vs. 整个黄斑区 PD(w-mPD):ICC=0.697,CV=3.49%;全周视盘血流指数(FI):ICC=0.858,CV=1.28%;整个黄斑区血管密度(VD):ICC=0.699,CV=3.30%)。在黄斑参数中,黄斑中心无血管区(FAZ)的特征显示出更高的重复性(FAZ 圆度:ICC=0.858,CV=8.83%)。: OCT-A 是一种非侵入性、省时的技术,可用于评估健康儿童的视网膜和视盘周围血管网络。该技术的可重复性将允许对黄斑或视神经灌注中发生的任何变化进行随访和评估。