RT Journal Article SR Electronic T1 Retinal angiography with real-time speckle variance optical coherence tomography JF British Journal of Ophthalmology JO Br J Ophthalmol FD BMJ Publishing Group Ltd. SP bjophthalmol-2014-306010 DO 10.1136/bjophthalmol-2014-306010 A1 Jing Xu A1 Sherry Han A1 Chandrakumar Balaratnasingam A1 Zaid Mammo A1 Kevin S K Wong A1 Sieun Lee A1 Michelle Cua A1 Mei Young A1 Andrew Kirker A1 David Albiani A1 Farzin Forooghian A1 Paul Mackenzie A1 Andrew Merkur A1 Dao-Yi Yu A1 Marinko V Sarunic YR 2015 UL http://bjo.bmj.com/content/early/2015/03/02/bjophthalmol-2014-306010.abstract AB This report describes a novel, non-invasive and label-free optical imaging technique, speckle variance optical coherence tomography (svOCT), for visualising blood flow within human retinal capillary networks. This imaging system uses a custom-built swept source OCT system operating at a line rate of 100 kHz. Real-time processing and visualisation is implemented on a consumer grade graphics processing unit. To investigate the quality of microvascular detail acquired with this device we compared images of human capillary networks acquired with svOCT and fluorescein angiography. We found that the density of capillary microvasculature acquired with this svOCT device was visibly greater than fluorescein angiography. We also found that this svOCT device had the capacity to generate en face images of distinct capillary networks that are morphologically comparable with previously published histological studies. Finally, we found that this svOCT device has the ability to non-invasively illustrate the common manifestations of diabetic retinopathy and retinal vascular occlusion. The results of this study suggest that graphics processing unit accelerated svOCT has the potential to non-invasively provide useful quantitative information about human retinal capillary networks. Therefore svOCT may have clinical and research applications for the management of retinal microvascular diseases, which are a major cause of visual morbidity worldwide.