Morphological Differences Between Optic Disc Collaterals and Neovascularization on Optical Coherence Tomography Angiography
Overview
Authors
Affiliations
Background: To study morphological features of optic disc venous collaterals (OVCs) and neovascularization of optic disc (NVD) on optical coherence tomography angiography (OCTA).
Methods: Patients with OVCs and NVDs secondary to ischemic retinal diseases were prospectively enrolled. Multimodal imaging was performed using color fundus photography, fluorescein angiography (FA), and OCTA. Morphological evaluation of en-face structural OCT, cross-sectional and en-face OCTA was performed.
Results: Twenty eyes (20 patients; OVCs: n = 10 and NVD: n = 10) were included. OVCs appeared as small, loopy vessels distinct from surrounding peripapillary capillaries on OCTA in the radial peripapillary capillary frame. NVDs appeared as a mesh of fine caliber, raised vessels best seen in the vitreous slab of OCTA. Flow signals in these vascular alterations correlated well with hyperfluorescence on FA.
Conclusions: OCTA provides improved visualization of NVDs and OVCs in ischemic retinal diseases such as diabetic retinopathy and retinal vein occlusions compared to conventional FA.
Hassanpoor N, Abdolrahimi V, Niyousha M Case Rep Ophthalmol Med. 2023; 2023:6648367.
PMID: 37941565 PMC: 10630022. DOI: 10.1155/2023/6648367.
Atas F, Saatci A Neuroophthalmology. 2022; 46(5):339-342.
PMID: 36337232 PMC: 9635547. DOI: 10.1080/01658107.2022.2033796.
Luo M, Li Y, Zhuo Y Front Med (Lausanne). 2021; 8:721442.
PMID: 34888319 PMC: 8649770. DOI: 10.3389/fmed.2021.721442.
Xiang L, Zhou Y, Chen Y, Jiang S, Fei C, Wang Y BMC Ophthalmol. 2021; 21(1):415.
PMID: 34856943 PMC: 8638475. DOI: 10.1186/s12886-021-02154-4.
Shaikh N, Vohra R, Balaji A, Azad S, Chawla R, Kumar V Indian J Ophthalmol. 2021; 69(11):3218-3224.
PMID: 34708776 PMC: 8725072. DOI: 10.4103/ijo.IJO_1267_21.