Peripheral and central capillary non-perfusion in diabetic retinopathy: An updated overview

Capillary non-perfusion (CNP) is one of the key hallmarks of diabetic retinopathy (DR), which may develop both in the periphery and at the posterior pole. Our perspectives on CNP have extended with the introduction of optical coherence tomography angiography (OCTA) and ultra-widefield imaging, and t...

Full description

Bibliographic Details
Main Authors: Alessio Antropoli, Alessandro Arrigo, Lamberto La Franca, Lorenzo Bianco, Eugenio Barlocci, Emanuele Fusi, Francesco Bandello, Maurizio Battaglia Parodi
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2023.1125062/full
_version_ 1797862092631441408
author Alessio Antropoli
Alessandro Arrigo
Lamberto La Franca
Lorenzo Bianco
Eugenio Barlocci
Emanuele Fusi
Francesco Bandello
Maurizio Battaglia Parodi
author_facet Alessio Antropoli
Alessandro Arrigo
Lamberto La Franca
Lorenzo Bianco
Eugenio Barlocci
Emanuele Fusi
Francesco Bandello
Maurizio Battaglia Parodi
author_sort Alessio Antropoli
collection DOAJ
description Capillary non-perfusion (CNP) is one of the key hallmarks of diabetic retinopathy (DR), which may develop both in the periphery and at the posterior pole. Our perspectives on CNP have extended with the introduction of optical coherence tomography angiography (OCTA) and ultra-widefield imaging, and the clinical consequences of peripheral and macular CNP have been well characterized. Fluorescein angiography (FA) continues to be the gold standard for detecting and measuring CNP, particularly when ultra-widefield imaging is available. OCTA, on the other hand, is a quicker, non-invasive approach that allows for a three-dimensional examination of CNP and may soon be regarded as an useful alternative to FA. In this review, we provide an updated scenario regarding the characteristics, clinical impact, and management of central and peripheral CNP in DR.
first_indexed 2024-04-09T22:13:43Z
format Article
id doaj.art-3eb621320a714d4e883ca53480c421c1
institution Directory Open Access Journal
issn 2296-858X
language English
last_indexed 2024-04-09T22:13:43Z
publishDate 2023-03-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Medicine
spelling doaj.art-3eb621320a714d4e883ca53480c421c12023-03-23T04:54:08ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-03-011010.3389/fmed.2023.11250621125062Peripheral and central capillary non-perfusion in diabetic retinopathy: An updated overviewAlessio AntropoliAlessandro ArrigoLamberto La FrancaLorenzo BiancoEugenio BarlocciEmanuele FusiFrancesco BandelloMaurizio Battaglia ParodiCapillary non-perfusion (CNP) is one of the key hallmarks of diabetic retinopathy (DR), which may develop both in the periphery and at the posterior pole. Our perspectives on CNP have extended with the introduction of optical coherence tomography angiography (OCTA) and ultra-widefield imaging, and the clinical consequences of peripheral and macular CNP have been well characterized. Fluorescein angiography (FA) continues to be the gold standard for detecting and measuring CNP, particularly when ultra-widefield imaging is available. OCTA, on the other hand, is a quicker, non-invasive approach that allows for a three-dimensional examination of CNP and may soon be regarded as an useful alternative to FA. In this review, we provide an updated scenario regarding the characteristics, clinical impact, and management of central and peripheral CNP in DR.https://www.frontiersin.org/articles/10.3389/fmed.2023.1125062/fullperipheral capillary non-perfusiondiabetic macular ischemiadiabetic retinopathyfluorescein angiography (FA)optical coherence tomography angiography (OCTA)
spellingShingle Alessio Antropoli
Alessandro Arrigo
Lamberto La Franca
Lorenzo Bianco
Eugenio Barlocci
Emanuele Fusi
Francesco Bandello
Maurizio Battaglia Parodi
Peripheral and central capillary non-perfusion in diabetic retinopathy: An updated overview
Frontiers in Medicine
peripheral capillary non-perfusion
diabetic macular ischemia
diabetic retinopathy
fluorescein angiography (FA)
optical coherence tomography angiography (OCTA)
title Peripheral and central capillary non-perfusion in diabetic retinopathy: An updated overview
title_full Peripheral and central capillary non-perfusion in diabetic retinopathy: An updated overview
title_fullStr Peripheral and central capillary non-perfusion in diabetic retinopathy: An updated overview
title_full_unstemmed Peripheral and central capillary non-perfusion in diabetic retinopathy: An updated overview
title_short Peripheral and central capillary non-perfusion in diabetic retinopathy: An updated overview
title_sort peripheral and central capillary non perfusion in diabetic retinopathy an updated overview
topic peripheral capillary non-perfusion
diabetic macular ischemia
diabetic retinopathy
fluorescein angiography (FA)
optical coherence tomography angiography (OCTA)
url https://www.frontiersin.org/articles/10.3389/fmed.2023.1125062/full
work_keys_str_mv AT alessioantropoli peripheralandcentralcapillarynonperfusionindiabeticretinopathyanupdatedoverview
AT alessandroarrigo peripheralandcentralcapillarynonperfusionindiabeticretinopathyanupdatedoverview
AT lambertolafranca peripheralandcentralcapillarynonperfusionindiabeticretinopathyanupdatedoverview
AT lorenzobianco peripheralandcentralcapillarynonperfusionindiabeticretinopathyanupdatedoverview
AT eugeniobarlocci peripheralandcentralcapillarynonperfusionindiabeticretinopathyanupdatedoverview
AT emanuelefusi peripheralandcentralcapillarynonperfusionindiabeticretinopathyanupdatedoverview
AT francescobandello peripheralandcentralcapillarynonperfusionindiabeticretinopathyanupdatedoverview
AT mauriziobattagliaparodi peripheralandcentralcapillarynonperfusionindiabeticretinopathyanupdatedoverview