Article Text

Download PDFPDF
Assessment of choriocapillaris and choroidal vascular changes in posterior uveitis using swept-source wide-field optical coherence tomography angiography
  1. Meng Tian1,2,
  2. Guodong Zeng3,
  3. Martin Zinkernagel1,
  4. Christoph Tappeiner1,4,5,6,
  5. Sebastian Wolf1,
  6. Marion R Munk1,7
  1. 1Department of Ophthalmology, Inselspital, University of Bern, Bern, Switzerland
  2. 2Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, Beijing, China
  3. 3SITEM Center for Translational Medicine and Biomedical Entrepreneurship, University of Bern, Bern, Switzerland
  4. 4Department of Ophthalmology, Pallas Klinik, Olten, Switzerland
  5. 5Department of Ophthalmology, University Hospital Essen, University Duisburg-Essen, Essen, Germany
  6. 6Department of Ophthalmology, San Raffaele Scientific Institute, University Vita-Salute, Milan, Italy
  7. 7Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
  1. Correspondence to Dr Marion R Munk, Ophthalmology, Inselspital Universitatsspital Bern, Bern 3010, Switzerland; marion_munk{at}hotmail.com

Abstract

Purpose To evaluate choriocapillaris (CC) and choroidal vascular changes in patients with posterior uveitis using swept-source (SS) wide-field optical coherence tomography angiography (OCTA).

Method Consecutive patients with posterior uveitis were evaluated using 3×3 mm and 12×12 mm OCTA scan patterns and montage images of 5×12×12 mm or 2×15×9 mm, covering approximately 70°–90° of the retina. The images were quantitatively and qualitatively analysed and compared with healthy controls.

Results Eighty-six eyes of 56 patients with posterior uveitis (mean age 45.2±19.9 years; 58.9% female), and 38 eyes of 19 age-matched healthy controls (57.9% female) were included. The mean perfusion density (PD) in 3×3 mm and 12×12 mm CC scans was significantly lower in eyes with posterior uveitis compared with those of healthy controls. However, no significant difference in the mean PD of choroidal scans was found comparing eyes with posterior uveitis and healthy controls. The mean PD in eyes with active disease was significantly higher compared with the inactive eyes on 12×12 mm choroidal scans (55.61% vs 51.25%, p=0.02), while no difference was found in the CC slabs.

Conclusion CC and choroidal assessment using OCTA provides useful information in patients with posterior uveitis. SS-OCTA metrics of the CC and choroidal slabs are promising tools in uveitis patients in the future.

Trial registration number NCT02811536.

  • Imaging
  • Inflammation
  • Retina

Data availability statement

Data are available on reasonable request.

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Data availability statement

Data are available on reasonable request.

View Full Text

Footnotes

  • Contributors MT: data acquisition, data analysis, drafting the manuscript. GZ: data analysis, revising manuscript for important intellectual content. MZ: data acquisition, revising manuscript for important intellectual content CT: data acquisition, revising manuscript for important intellectual content. SW: data acquisition, revising manuscript for important intellectual content. MRM: conception of work, data acquisition, data analysis, revising manuscript for important intellectual content.

  • Funding MRM: Consultant: Novartis, Zeiss, Gensight biologics, Lumithera, Lecturer fees and travel support: Bayer. Sebastian Wolf: Consultant: Novartis, Zeiss, Heidelberg, Bayer. MZ: Consultant: Novartis, Heidelberg, Bayer, Stocks: CT: none.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.