Experts Opinion: OCTA vs. FFA/ICG in Uveitis - Which Will Survive?

Ocul Immunol Inflamm. 2023 Oct;31(8):1561-1568. doi: 10.1080/09273948.2022.2084421. Epub 2022 Jul 7.

Abstract

Will optical coherence tomography angiography (OCTA) replace invasive imaging techniques like fundus fluorescein angiography (FFA) and indocyanine green (ICG) angiography entirely? While OCTA is being increasingly applied in the field of medical retina, will we see this change in the subspeciality of uveitis? In this article, five uveitis specialists with renowned imaging expertise answer to 10 specific questions to address this issue. The final verdict based on the comments of the experts suggests that FFA and ICG cannot be replaced by OCTA in uveitis, at least for now. While OCTA can offer new insights into the pathogenesis of certain inflammatory conditions and help in the diagnosis of complications like inflammatory choroidal neovascularisation, multimodal imaging is still the preferred approach in the assessment of patients with uveitis.

Keywords: Experts opinion; OCTA; fluorescein angiography; inflammation; optical coherence tomography.

Publication types

  • Editorial

MeSH terms

  • Choroidal Neovascularization* / diagnosis
  • Fluorescein Angiography / methods
  • Humans
  • Retina
  • Tomography, Optical Coherence / methods
  • Uveitis* / complications
  • Uveitis* / diagnosis