The Choroidal Vascularity Index Versus Optical Coherence Tomography Angiography in the Evaluation of the Choroid with a Focus on Age-Related Macular Degeneration

The choroid is the most vascularized structure of the eye and it is fundamental for the trophism of the outer retina. Its proper functioning and homeostasis represent key points in maintaining normal retinal physiology. Choroidal alterations may be implicated in the development and progression of nu...

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Main Authors: Mariachiara Di Pippo, Claudia Santia, Daria Rullo, Chiara Ciancimino, Flaminia Grassi, Solmaz Abdolrahimzadeh
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Tomography
Subjects:
Online Access:https://www.mdpi.com/2379-139X/9/4/116
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author Mariachiara Di Pippo
Claudia Santia
Daria Rullo
Chiara Ciancimino
Flaminia Grassi
Solmaz Abdolrahimzadeh
author_facet Mariachiara Di Pippo
Claudia Santia
Daria Rullo
Chiara Ciancimino
Flaminia Grassi
Solmaz Abdolrahimzadeh
author_sort Mariachiara Di Pippo
collection DOAJ
description The choroid is the most vascularized structure of the eye and it is fundamental for the trophism of the outer retina. Its proper functioning and homeostasis represent key points in maintaining normal retinal physiology. Choroidal alterations may be implicated in the development and progression of numerous pathologies; therefore, in-depth studies using imaging techniques can be of crucial relevance to understanding the pathophysiology of retinal-choroidal diseases. The advent of spectral-domain optical coherence tomography (SDOCT) has enabled the non-invasive study of the choroid in vivo and the most recent development, optical coherence tomography angiography (OCTA), allows for the high-resolution visualization of the choriocapillaris and the choroid in regard to vascularization. The choroidal vascularity index (CVI) is a new parameter calculated on SDOCT scans and is defined as the ratio of the luminal area to the total choroidal area. In this review, a study of the choroid using OCTA and CVI will be evaluated in depth and the pros and cons of these two methods will be analyzed, with a particular focus on age-related macular degeneration.
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spelling doaj.art-f9d9183fbebc430db5fd8146499bdaae2023-11-19T03:13:54ZengMDPI AGTomography2379-13812379-139X2023-08-01941456147010.3390/tomography9040116The Choroidal Vascularity Index Versus Optical Coherence Tomography Angiography in the Evaluation of the Choroid with a Focus on Age-Related Macular DegenerationMariachiara Di Pippo0Claudia Santia1Daria Rullo2Chiara Ciancimino3Flaminia Grassi4Solmaz Abdolrahimzadeh5Ophthalmology Unit, Neurosciences, Mental Health, and Sense Organs (NESMOS) Department, Faculty of Medicine and Psychology, University of Rome Sapienza, St. Andrea Hospital, 00189 Rome, ItalyOphthalmology Unit, Neurosciences, Mental Health, and Sense Organs (NESMOS) Department, Faculty of Medicine and Psychology, University of Rome Sapienza, St. Andrea Hospital, 00189 Rome, ItalyOphthalmology Unit, Neurosciences, Mental Health, and Sense Organs (NESMOS) Department, Faculty of Medicine and Psychology, University of Rome Sapienza, St. Andrea Hospital, 00189 Rome, ItalyOphthalmology Unit, Neurosciences, Mental Health, and Sense Organs (NESMOS) Department, Faculty of Medicine and Psychology, University of Rome Sapienza, St. Andrea Hospital, 00189 Rome, ItalyOphthalmology Unit, Neurosciences, Mental Health, and Sense Organs (NESMOS) Department, Faculty of Medicine and Psychology, University of Rome Sapienza, St. Andrea Hospital, 00189 Rome, ItalyOphthalmology Unit, Neurosciences, Mental Health, and Sense Organs (NESMOS) Department, Faculty of Medicine and Psychology, University of Rome Sapienza, St. Andrea Hospital, 00189 Rome, ItalyThe choroid is the most vascularized structure of the eye and it is fundamental for the trophism of the outer retina. Its proper functioning and homeostasis represent key points in maintaining normal retinal physiology. Choroidal alterations may be implicated in the development and progression of numerous pathologies; therefore, in-depth studies using imaging techniques can be of crucial relevance to understanding the pathophysiology of retinal-choroidal diseases. The advent of spectral-domain optical coherence tomography (SDOCT) has enabled the non-invasive study of the choroid in vivo and the most recent development, optical coherence tomography angiography (OCTA), allows for the high-resolution visualization of the choriocapillaris and the choroid in regard to vascularization. The choroidal vascularity index (CVI) is a new parameter calculated on SDOCT scans and is defined as the ratio of the luminal area to the total choroidal area. In this review, a study of the choroid using OCTA and CVI will be evaluated in depth and the pros and cons of these two methods will be analyzed, with a particular focus on age-related macular degeneration.https://www.mdpi.com/2379-139X/9/4/116choroidal vascularity indexoptical coherence tomography angiographyspectral-domain optical coherence tomographychoroidage-related macular degenerationmultimodal retinal imaging
spellingShingle Mariachiara Di Pippo
Claudia Santia
Daria Rullo
Chiara Ciancimino
Flaminia Grassi
Solmaz Abdolrahimzadeh
The Choroidal Vascularity Index Versus Optical Coherence Tomography Angiography in the Evaluation of the Choroid with a Focus on Age-Related Macular Degeneration
Tomography
choroidal vascularity index
optical coherence tomography angiography
spectral-domain optical coherence tomography
choroid
age-related macular degeneration
multimodal retinal imaging
title The Choroidal Vascularity Index Versus Optical Coherence Tomography Angiography in the Evaluation of the Choroid with a Focus on Age-Related Macular Degeneration
title_full The Choroidal Vascularity Index Versus Optical Coherence Tomography Angiography in the Evaluation of the Choroid with a Focus on Age-Related Macular Degeneration
title_fullStr The Choroidal Vascularity Index Versus Optical Coherence Tomography Angiography in the Evaluation of the Choroid with a Focus on Age-Related Macular Degeneration
title_full_unstemmed The Choroidal Vascularity Index Versus Optical Coherence Tomography Angiography in the Evaluation of the Choroid with a Focus on Age-Related Macular Degeneration
title_short The Choroidal Vascularity Index Versus Optical Coherence Tomography Angiography in the Evaluation of the Choroid with a Focus on Age-Related Macular Degeneration
title_sort choroidal vascularity index versus optical coherence tomography angiography in the evaluation of the choroid with a focus on age related macular degeneration
topic choroidal vascularity index
optical coherence tomography angiography
spectral-domain optical coherence tomography
choroid
age-related macular degeneration
multimodal retinal imaging
url https://www.mdpi.com/2379-139X/9/4/116
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