Study of optical coherence tomography angiography for neovascular age-related macular degeneration

AIM: To analyze the characteristics of choroidal neovascularization(CNV)in neovascular age-related macular degeneration(nARMD)patients and the outcome of intravitreal anti-vascular endothelial growth factor(VEGF)treatment by using optical coherence tomography angiography(OCTA). <p>METHODS: A p...

Full description

Bibliographic Details
Main Authors: Xiao-Xue Min, Si-Rui Zhou, Jia Mu, Yi-Lin Liu, Ming Zhang
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2018-12-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2018/12/201812031.pdf
_version_ 1818454617421250560
author Xiao-Xue Min
Si-Rui Zhou
Jia Mu
Yi-Lin Liu
Ming Zhang
author_facet Xiao-Xue Min
Si-Rui Zhou
Jia Mu
Yi-Lin Liu
Ming Zhang
author_sort Xiao-Xue Min
collection DOAJ
description AIM: To analyze the characteristics of choroidal neovascularization(CNV)in neovascular age-related macular degeneration(nARMD)patients and the outcome of intravitreal anti-vascular endothelial growth factor(VEGF)treatment by using optical coherence tomography angiography(OCTA). <p>METHODS: A prospective cohort study was carried out, which included 37 eyes of 29 patients with nARMD in West China Hospital during May to December 2017. OCTA scans was conducted to all patients before treatment, 1d, 1wk, 1mo and 3-6mo after treatment. The analysis was performed to evaluate the morphological characteristics, lesion area, parafoveal superficial vessel density and perfusion area of CNV before and after treatment. <p>RESULTS: Among all the subjects, immature structure, small branches, and capillaries responded well to anti-VEGF treatment. Compared with the mean lesion area in nARMD patients before treatment(1.27±1.88mm<sup>2</sup>), there was significant reduction(1.13±1.79 mm<sup>2</sup>)1d after treatment, which meant CNV lesion decreased 1d after treatment, and stabilized 1mo later(<i>P</i>=0.001). Obvious decrease was observed both in parafoveal superficial vessel density(<i>P</i>=0.003)and perfusion area(<i>P</i>=0.015)3mo after treatment in nARMD patients. <p>CONCLUSION: OCTA, a non-invasive diagnostic examination, clearly identified tiny structures of CNV, quantified the lesion area and displayed specific vasculature in nARMD patients. Furthermore, retinal microcirculation can be detected using OCTA, which provides an effective approach of monitoring the progression and treatment effect of nARMD.
first_indexed 2024-12-14T21:57:44Z
format Article
id doaj.art-559c97c361774c5b9eefd201f581bc01
institution Directory Open Access Journal
issn 1672-5123
1672-5123
language English
last_indexed 2024-12-14T21:57:44Z
publishDate 2018-12-01
publisher Press of International Journal of Ophthalmology (IJO PRESS)
record_format Article
series Guoji Yanke Zazhi
spelling doaj.art-559c97c361774c5b9eefd201f581bc012022-12-21T22:46:04ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232018-12-0118122248225210.3980/j.issn.1672-5123.2018.12.31Study of optical coherence tomography angiography for neovascular age-related macular degenerationXiao-Xue Min0Si-Rui Zhou1Jia Mu2Yi-Lin Liu3Ming Zhang4Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, ChinaDepartment of Ophthalmology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, ChinaDepartment of Ophthalmology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, ChinaDepartment of Ophthalmology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, ChinaDepartment of Ophthalmology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, ChinaAIM: To analyze the characteristics of choroidal neovascularization(CNV)in neovascular age-related macular degeneration(nARMD)patients and the outcome of intravitreal anti-vascular endothelial growth factor(VEGF)treatment by using optical coherence tomography angiography(OCTA). <p>METHODS: A prospective cohort study was carried out, which included 37 eyes of 29 patients with nARMD in West China Hospital during May to December 2017. OCTA scans was conducted to all patients before treatment, 1d, 1wk, 1mo and 3-6mo after treatment. The analysis was performed to evaluate the morphological characteristics, lesion area, parafoveal superficial vessel density and perfusion area of CNV before and after treatment. <p>RESULTS: Among all the subjects, immature structure, small branches, and capillaries responded well to anti-VEGF treatment. Compared with the mean lesion area in nARMD patients before treatment(1.27±1.88mm<sup>2</sup>), there was significant reduction(1.13±1.79 mm<sup>2</sup>)1d after treatment, which meant CNV lesion decreased 1d after treatment, and stabilized 1mo later(<i>P</i>=0.001). Obvious decrease was observed both in parafoveal superficial vessel density(<i>P</i>=0.003)and perfusion area(<i>P</i>=0.015)3mo after treatment in nARMD patients. <p>CONCLUSION: OCTA, a non-invasive diagnostic examination, clearly identified tiny structures of CNV, quantified the lesion area and displayed specific vasculature in nARMD patients. Furthermore, retinal microcirculation can be detected using OCTA, which provides an effective approach of monitoring the progression and treatment effect of nARMD.http://ies.ijo.cn/cn_publish/2018/12/201812031.pdfoptical coherence tomography angiographyneovascular age-related macular degenerationvascular endothelial growth factorchoroidal neovascularization
spellingShingle Xiao-Xue Min
Si-Rui Zhou
Jia Mu
Yi-Lin Liu
Ming Zhang
Study of optical coherence tomography angiography for neovascular age-related macular degeneration
Guoji Yanke Zazhi
optical coherence tomography angiography
neovascular age-related macular degeneration
vascular endothelial growth factor
choroidal neovascularization
title Study of optical coherence tomography angiography for neovascular age-related macular degeneration
title_full Study of optical coherence tomography angiography for neovascular age-related macular degeneration
title_fullStr Study of optical coherence tomography angiography for neovascular age-related macular degeneration
title_full_unstemmed Study of optical coherence tomography angiography for neovascular age-related macular degeneration
title_short Study of optical coherence tomography angiography for neovascular age-related macular degeneration
title_sort study of optical coherence tomography angiography for neovascular age related macular degeneration
topic optical coherence tomography angiography
neovascular age-related macular degeneration
vascular endothelial growth factor
choroidal neovascularization
url http://ies.ijo.cn/cn_publish/2018/12/201812031.pdf
work_keys_str_mv AT xiaoxuemin studyofopticalcoherencetomographyangiographyforneovascularagerelatedmaculardegeneration
AT siruizhou studyofopticalcoherencetomographyangiographyforneovascularagerelatedmaculardegeneration
AT jiamu studyofopticalcoherencetomographyangiographyforneovascularagerelatedmaculardegeneration
AT yilinliu studyofopticalcoherencetomographyangiographyforneovascularagerelatedmaculardegeneration
AT mingzhang studyofopticalcoherencetomographyangiographyforneovascularagerelatedmaculardegeneration