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REVIEW  OCT ANGIOGRAPHY: A NEW ERA OF OPHTALMOLOGY 

Minerva Oftalmologica 2018 September;60(3):137-43

DOI: 10.23736/S0026-4903.18.01807-X

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Optical coherence tomography angiography in vitreoretinal interface disorders

Daniela BACHERINI 1, 2 , Marino DE LUCA 2, Stanislao RIZZO 1

1 Department of Surgery and Translational Medicine, Eye Clinic, AOU Careggi, Florence, Italy; 2 ASL Toscana Nordovest-Ospedale Livorno, Eye Clinic, Livorno, Italy



Vitreoretinal interface (VRI) disorders are a group of disease with various grade of severity. The introduction of optical coherence tomography (OCT) in clinical practice has dramatically increased the ability to diagnose abnormalities of the VRI by providing subclinical information and allowing to visualize, classify and monitor the vitreomacular interface with better accuracy. Multimodal imaging, thanks to integration of different imaging technique, allows for enhanced visualization of VRI and leads to a better understanding of VRI diseases in terms of both their diagnosis and management. Recently, OCT angiography (OCTA) has been introduced into clinical practice. OCTA is a novel, noninvasive technique, which is able to visualize retinal vascular plexuses, through a layer-by-layer analysis, allowing a separated evaluation of the superficial capillary plexus (SCP) and deep capillary plexus (DCP), which cannot be separately visualized by other imaging techniques. OCTA in VRI disorders may allow to study with a noninvasive method the alterations in the superficial and deep vascular plexus in vitreoretinal disease, it detects a potential involvement of vasculature in not-primarily vascular diseases and it may offer some potential prognostic factors in evaluation of these surgical VRI disorders. In vitreoretinal surgery the integration of findings obtained by different and new imaging modalities like OCTA may offer new important details in order to have prognostic information and new findings to better understand the pathogenesis of the disease.


KEY WORDS: Vitreoretinal surgery - Tomography, optical coherence - Angiography - Diagnostic imaging

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