Advantages of the Utilization of Wide-Field OCT and Wide-Field OCT Angiography in Clinical Practice
Wide-field (WF) retinal imaging is becoming a standard diagnostic tool for diseases involving the peripheral retina. Technological progress elicited the advent of wide-field optical coherence tomography (WF-OCT) and WF-OCT angiography (WF-OCTA) examinations. This review presents the results of studi...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/14/3/321 |
| _version_ | 1827354803131383808 |
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| author | Maciej Gawęcki Krzysztof Kiciński |
| author_facet | Maciej Gawęcki Krzysztof Kiciński |
| author_sort | Maciej Gawęcki |
| collection | DOAJ |
| description | Wide-field (WF) retinal imaging is becoming a standard diagnostic tool for diseases involving the peripheral retina. Technological progress elicited the advent of wide-field optical coherence tomography (WF-OCT) and WF-OCT angiography (WF-OCTA) examinations. This review presents the results of studies that analyzed the implementation of these procedures in clinical practice and refers to them as traditional and ultra-wide-field fluorescein angiography (UWF-FA). A PUBMED search was performed using the terms WF-OCT OR WF-OCTA OR UWF-FA AND the specific clinical entity, and another search for diabetic retinopathy (DR), retinal vein occlusion (RVO), Coats disease, peripheral retinal telangiectasia, peripheral retinal degeneration, lattice degeneration, and posterior vitreous detachment. The analysis only included the studies in which the analyzed field of view for the OCT or OCTA exam was larger than 55 degrees. The evaluation of the extracted studies indicates that WF imaging with OCT and OCTA provides substantial information on retinal disorders involving the peripheral retina. Vascular diseases, such as DR or RVO, can be reliably evaluated using WF-OCTA with results superior to standard-field fluorescein angiography. Nevertheless, UWF-FA provides a larger field of view and still has advantages over WF-OCTA concerning the evaluation of areas of non-perfusion and peripheral neovascularization. Detailed information on the vascular morphology of peripheral changes should be obtained via WF-OCTA and not angiographic examinations. WF-OCT can serve as a valuable tool for the detection and evaluation of vitreoretinal traction, posterior vitreous detachment, and peripheral retinal degeneration, and guide therapeutic decisions on a patient’s eligibility for surgical procedures. |
| first_indexed | 2024-03-08T03:58:52Z |
| format | Article |
| id | doaj.art-ace6b0e0fc76482c995236ee5a9424c8 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-08T03:58:52Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-ace6b0e0fc76482c995236ee5a9424c82024-02-09T15:10:13ZengMDPI AGDiagnostics2075-44182024-02-0114332110.3390/diagnostics14030321Advantages of the Utilization of Wide-Field OCT and Wide-Field OCT Angiography in Clinical PracticeMaciej Gawęcki0Krzysztof Kiciński1Dobry Wzrok Ophthalmological Clinic, 80-822 Gdansk, PolandDepartment of Ophthalmology, Pomeranian Hospitals, 84-120 Wejherowo, PolandWide-field (WF) retinal imaging is becoming a standard diagnostic tool for diseases involving the peripheral retina. Technological progress elicited the advent of wide-field optical coherence tomography (WF-OCT) and WF-OCT angiography (WF-OCTA) examinations. This review presents the results of studies that analyzed the implementation of these procedures in clinical practice and refers to them as traditional and ultra-wide-field fluorescein angiography (UWF-FA). A PUBMED search was performed using the terms WF-OCT OR WF-OCTA OR UWF-FA AND the specific clinical entity, and another search for diabetic retinopathy (DR), retinal vein occlusion (RVO), Coats disease, peripheral retinal telangiectasia, peripheral retinal degeneration, lattice degeneration, and posterior vitreous detachment. The analysis only included the studies in which the analyzed field of view for the OCT or OCTA exam was larger than 55 degrees. The evaluation of the extracted studies indicates that WF imaging with OCT and OCTA provides substantial information on retinal disorders involving the peripheral retina. Vascular diseases, such as DR or RVO, can be reliably evaluated using WF-OCTA with results superior to standard-field fluorescein angiography. Nevertheless, UWF-FA provides a larger field of view and still has advantages over WF-OCTA concerning the evaluation of areas of non-perfusion and peripheral neovascularization. Detailed information on the vascular morphology of peripheral changes should be obtained via WF-OCTA and not angiographic examinations. WF-OCT can serve as a valuable tool for the detection and evaluation of vitreoretinal traction, posterior vitreous detachment, and peripheral retinal degeneration, and guide therapeutic decisions on a patient’s eligibility for surgical procedures.https://www.mdpi.com/2075-4418/14/3/321wide-field fluorescein angiographywide-field optical coherence tomographywide-field OCT angiographydiabetic retinopathyretinal vein occlusionperipheral retinal degeneration |
| spellingShingle | Maciej Gawęcki Krzysztof Kiciński Advantages of the Utilization of Wide-Field OCT and Wide-Field OCT Angiography in Clinical Practice Diagnostics wide-field fluorescein angiography wide-field optical coherence tomography wide-field OCT angiography diabetic retinopathy retinal vein occlusion peripheral retinal degeneration |
| title | Advantages of the Utilization of Wide-Field OCT and Wide-Field OCT Angiography in Clinical Practice |
| title_full | Advantages of the Utilization of Wide-Field OCT and Wide-Field OCT Angiography in Clinical Practice |
| title_fullStr | Advantages of the Utilization of Wide-Field OCT and Wide-Field OCT Angiography in Clinical Practice |
| title_full_unstemmed | Advantages of the Utilization of Wide-Field OCT and Wide-Field OCT Angiography in Clinical Practice |
| title_short | Advantages of the Utilization of Wide-Field OCT and Wide-Field OCT Angiography in Clinical Practice |
| title_sort | advantages of the utilization of wide field oct and wide field oct angiography in clinical practice |
| topic | wide-field fluorescein angiography wide-field optical coherence tomography wide-field OCT angiography diabetic retinopathy retinal vein occlusion peripheral retinal degeneration |
| url | https://www.mdpi.com/2075-4418/14/3/321 |
| work_keys_str_mv | AT maciejgawecki advantagesoftheutilizationofwidefieldoctandwidefieldoctangiographyinclinicalpractice AT krzysztofkicinski advantagesoftheutilizationofwidefieldoctandwidefieldoctangiographyinclinicalpractice |