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Optical coherence tomography angiography in primary eye care.

Authors
  • Coffey, Alexandra M1
  • Hutton, Emily K1
  • Combe, Louise1
  • Bhindi, Pooja1
  • Gertig, Demi1
  • Constable, Paul A1
  • 1 Caring Futures Institute, College of Nursing and Health Sciences, Flinders University , Adelaide, Australia. , (Australia)
Type
Published Article
Journal
Clinical & experimental optometry
Publication Date
Jan 01, 2021
Volume
104
Issue
1
Pages
3–13
Identifiers
DOI: 10.1111/cxo.13068
PMID: 32285493
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Optical coherence tomography angiography (OCT-A) is a non-invasive imaging modality for assessing the vasculature within ocular structures including the retina, macula, choroid and optic nerve. OCT-A has a wide range of clinical applications in various optometric conditions which have been independently reported in the literature. This paper aims to present a review of the current literature on the clinical application of OCT-A in optometric practice as well as to analyse and evaluate the quality of the available evidence. This review included 78 articles from a literature search conducted on 26 May 2019 across the following databases: Cochrane Library of Systematic Reviews, Medline, Scopus and Web of Science. Primary ocular pathologies discussed in this review include glaucoma, diabetic retinopathy, age-related macular degeneration, myopia, acquired and congenital macular dystrophies, epiretinal membrane, retinal vein occlusion, retinitis pigmentosa, choroidal melanoma, uveitis, central serous chorioretinopathy, amblyopia and optic neuropathies. Primary outcome variables included vessel density, foveal avascular zone area and diameter, flow velocity and flow index. This review aims to evaluate the evidence available for OCT-A applications in diagnosis and prognosis of ocular conditions in an optometric setting.

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