Novel Parameters to Assess the Severity of Corneal Neovascularization Using Anterior Segment Optical Coherence Tomography Angiography

Autor: N. Dilruba Koseoglu, William Binotti, Ricardo M. Nosé, Kenneth R. Kenyon, Pedram Hamrah
Rok vydání: 2020
Předmět:
Zdroj: American journal of ophthalmology. 222
ISSN: 1879-1891
Popis: Purpose Assessment of anterior segment–optical coherence tomography angiography (AS-OCTA) to determine severity of corneal neovascularization (CoNV). Design Retrospective, cross-sectional, single-center study. Methods Patients of various CoNV etiologies were selected and classified into mild, moderate, and severe. Their AS-OCTA images were measured for CoNV anterior limit, CoNV posterior limit, CoNV thickness, CoNV depth%, CoNV vessel density, CoNV area, and CoNV volume. Further, AS-OCTA parameters were correlated to clinical parameters, such as classification, a numerical severity scale, vascular clock hours, and best-corrected visual acuity (BCVA). Results A total of 19 mild, 10 moderate, and 6 severe CoNV eyes were included with no significant age-gender differences. CoNV depth% and volume increased from mild to moderate (9.3 ± 1.1% to 17.7 ± 3.3%, P = .030, and 0.2 ± 0.1 mm3 to 1.0 ± 0.3 mm3, P = .025, respectively) and from moderate to severe CoNV (44.6 ± 5.3%, P Conclusions Severe CoNV shows greater CoNV posterior limit, thickness, depth%, area, and volume on AS-OCTA compared to mild. CoNV volume and depth strongly correlate to BCVA. AS-OCTA provides novel, quantitative, and noninvasive parameters for assessing CoNV severity.
Databáze: OpenAIRE