Visualization of deep choroidal vasculatures and measurement of choroidal vascular density: a swept-source optical coherence tomography angiography approach

Abstract Background To investigate swept-source optical coherence tomography angiography (SS-OCTA) for deep choroid visualization and choroidal vascular density (CVD) measurement. Methods Healthy subjects and central serous chorioretinopathy (CSC) patients were recruited for macular SS-OCTA scans. W...

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Main Authors: Erqian Wang, Xinyu Zhao, Jingyuan Yang, Youxin Chen
Format: Article
Language:English
Published: BMC 2020-08-01
Series:BMC Ophthalmology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12886-020-01591-x
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author Erqian Wang
Xinyu Zhao
Jingyuan Yang
Youxin Chen
author_facet Erqian Wang
Xinyu Zhao
Jingyuan Yang
Youxin Chen
author_sort Erqian Wang
collection DOAJ
description Abstract Background To investigate swept-source optical coherence tomography angiography (SS-OCTA) for deep choroid visualization and choroidal vascular density (CVD) measurement. Methods Healthy subjects and central serous chorioretinopathy (CSC) patients were recruited for macular SS-OCTA scans. We evaluated OCTA images at various depths to determine an optimal depth for visualizing choroidal vasculatures. We measured CVD with binarized OCTA images at the optimal depth. In healthy subjects, CVD was studied for its correlation with age, axial length (AL), and subfoveal choroidal thickness (SCT). In CSC eyes, CVD was compared with matched controls. Results Ninety-one healthy eyes and 22 CSC eyes were included. SS-OCTA could display deep choroidal vasculatures as dark signals, with 100 μm beneath BM as the optimal depth. In healthy subjects, the CVD at 100 μm beneath BM (56.5 ± 10.9%) was significantly correlated with SCT (P = 0.004) but not with age (P = 0.49) or AL (P = 0.72). In CSC eyes, the CVD at 100 μm beneath BM (62.3 ± 6.6%) was larger than that in 22 matched controls (54.1 ± 8.0%) (P = 0.001). The difference remained statistically significant after adjusting for SCT (P = 0.02). Conclusions SS-OCTA can be used for visualizing deep choroidal vasculatures. CVD measured by OCTA at 100 μm beneath BM is a useful parameter for quantifying choroidal vascular status.
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spelling doaj.art-d6eccb2bee2f46a7b86b286dea18e0252022-12-21T23:01:20ZengBMCBMC Ophthalmology1471-24152020-08-012011910.1186/s12886-020-01591-xVisualization of deep choroidal vasculatures and measurement of choroidal vascular density: a swept-source optical coherence tomography angiography approachErqian Wang0Xinyu Zhao1Jingyuan Yang2Youxin Chen3Key Laboratory of Ocular Fundus Disease, Chinese Academy of Medical SciencesKey Laboratory of Ocular Fundus Disease, Chinese Academy of Medical SciencesKey Laboratory of Ocular Fundus Disease, Chinese Academy of Medical SciencesKey Laboratory of Ocular Fundus Disease, Chinese Academy of Medical SciencesAbstract Background To investigate swept-source optical coherence tomography angiography (SS-OCTA) for deep choroid visualization and choroidal vascular density (CVD) measurement. Methods Healthy subjects and central serous chorioretinopathy (CSC) patients were recruited for macular SS-OCTA scans. We evaluated OCTA images at various depths to determine an optimal depth for visualizing choroidal vasculatures. We measured CVD with binarized OCTA images at the optimal depth. In healthy subjects, CVD was studied for its correlation with age, axial length (AL), and subfoveal choroidal thickness (SCT). In CSC eyes, CVD was compared with matched controls. Results Ninety-one healthy eyes and 22 CSC eyes were included. SS-OCTA could display deep choroidal vasculatures as dark signals, with 100 μm beneath BM as the optimal depth. In healthy subjects, the CVD at 100 μm beneath BM (56.5 ± 10.9%) was significantly correlated with SCT (P = 0.004) but not with age (P = 0.49) or AL (P = 0.72). In CSC eyes, the CVD at 100 μm beneath BM (62.3 ± 6.6%) was larger than that in 22 matched controls (54.1 ± 8.0%) (P = 0.001). The difference remained statistically significant after adjusting for SCT (P = 0.02). Conclusions SS-OCTA can be used for visualizing deep choroidal vasculatures. CVD measured by OCTA at 100 μm beneath BM is a useful parameter for quantifying choroidal vascular status.http://link.springer.com/article/10.1186/s12886-020-01591-xOptical coherence tomography angiographySwept-sourceChoroidal vascular densitySubfoveal choroidal thicknessCentral serous chorioretinopathy
spellingShingle Erqian Wang
Xinyu Zhao
Jingyuan Yang
Youxin Chen
Visualization of deep choroidal vasculatures and measurement of choroidal vascular density: a swept-source optical coherence tomography angiography approach
BMC Ophthalmology
Optical coherence tomography angiography
Swept-source
Choroidal vascular density
Subfoveal choroidal thickness
Central serous chorioretinopathy
title Visualization of deep choroidal vasculatures and measurement of choroidal vascular density: a swept-source optical coherence tomography angiography approach
title_full Visualization of deep choroidal vasculatures and measurement of choroidal vascular density: a swept-source optical coherence tomography angiography approach
title_fullStr Visualization of deep choroidal vasculatures and measurement of choroidal vascular density: a swept-source optical coherence tomography angiography approach
title_full_unstemmed Visualization of deep choroidal vasculatures and measurement of choroidal vascular density: a swept-source optical coherence tomography angiography approach
title_short Visualization of deep choroidal vasculatures and measurement of choroidal vascular density: a swept-source optical coherence tomography angiography approach
title_sort visualization of deep choroidal vasculatures and measurement of choroidal vascular density a swept source optical coherence tomography angiography approach
topic Optical coherence tomography angiography
Swept-source
Choroidal vascular density
Subfoveal choroidal thickness
Central serous chorioretinopathy
url http://link.springer.com/article/10.1186/s12886-020-01591-x
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