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    Clinical findings supported by new OCTA technology

    Diagnosing retina deficiencies becoming easier with use of OCTA

     

    Figure 3A. The most anterior slab of OCTA showing uniform peripapillary retinal capillary density. The apparent RNFL defect was thought to be be secondary to the trauma which is visible superior to the ONH. Figure 3B. The reflectance image, obscured somewhat by floaters, shows the damaged retina superior to the ONH.

    Since its FDA clearance, the significant potential of OCTA has been emphasized. While the present case shows a dramatic loss of retinal vasculature within the remodeled retina, the remainder of circulation, especially to the peripapillary optic disc, appears competent.

     

    References

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    2. Bambo MP, Güerri N, Ferrandez B, Cameo B, Fuertes I, Polo V, Garcia-Martin E. Evaluation of the Macular Ganglion Cell-Inner Plexiform Layer and the Circumpapillary Retinal Nerve Fiber Layer in Early to Severe Stages of Glaucoma: Correlation with Central Visual Function and Visual Field Indexes. Ophthalmic Res. 2017;57(4):216-223.

    3. Kadomoto S, Muraoka Y, Ooto S, Miwa Y, Iida Y, Suzuma K, Murakami T, Ghashut R, Tsujikawa A, Yoshimura N. Evaluation Of Macular Ischemia In Eyes With Branch Retinal Vein Occlusion: An Optical Coherence Tomography Angiography Study. Retina. 2017 Feb 17.

    4. Akil H, Falavarjani KG, Sadda SR, Sadun SA. Optical Coherence Tomography Angiography of the Optic Disc; an Overview. J Ophthalmic Vis Res. 2017 Jan-Mar; 12(1): 98–105.

    5. Soares M, Neves C, Marques IP, Pires I, Schwartz C, Costa MA, Santos T, Durbin M, Cunha-Vaz J. Comparison of diabetic retinopathy classification using fluorescein angiography and optical coherence tomography angiography. Br J Ophthalmol. 2017 Jan;101(1):62-68.

    6. Ichiyama Y, Minamikawa T, Niwa Y, Ohji M. Capillary Dropout at the Retinal Nerve Fiber Layer Defect in Glaucoma: An Optical Coherence Tomography Angiography Study. J Glaucoma. 2017 Apr;26(4):e142-e145.

    7. Esmaili DE. Guidelines for Interpreting OCTA in Retinal Vascular Disease. Retinal Physician. August 2017. Available at: https://www.retinalphysician.com/newsletter/oct-angiography-eupdate/august-2017. Accessed 11/7/17.

    8. Gonzalez MA, Shechtman D, Haynie JM, Semes L. Unveiling idiopathic macular telangiectasia: clinical applications of optical coherence tomography angiography. Eur J Ophthalmol. 2017 Jun 26;27(4):e129-e133.

    9. Kashani AH, Chen CL, Gahm JK, Zheng F, Richter GM, Rosenfeld PJ, Shi Y, Wang RK. Optical coherence tomography angiography: A comprehensive review of current methods and clinical applications. Prog Retin Eye Res. 2017 Sep;60:66-100.

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