Wide Field Optical Coherence Tomography and Optical Coherence Tomography Angiography in Uveitis

Ocul Immunol Inflamm. 2024 Jan;32(1):105-115. doi: 10.1080/09273948.2022.2150223. Epub 2022 Dec 19.

Abstract

Background: We review the current literature on the use of wide-field optical coherence tomography (OCT) and wide-field optical coherence tomography angiography (OCTA) in different uveitic phenotypes as well as various sequelae of uveitis and discuss the limitations of this evolving technology.

Main body: Current consensus guidelines on nomenclature in wide-field OCT and OCTA are described. The specific utility of wide-field OCT and OCTA in assessment of the retina and choroid using different en-face and cross-sectional slabs in various inflammatory diseases is reviewed. Furthermore, we discuss widefield OCT and OCTA in assessment of retinal ischemia and its limitations in assessing retinal vascular leakage.

Conclusion: Wide-field OCT and OCTA deliver more sensitive measures of inflammation. With continued advancement in both hardware technology and software processing, these modalities will allow for more accurate assessment of uveitis, better understanding of disease mechanisms, and precise monitoring of treatment response.

Keywords: Choriocapillaris; OCT; OCTA; Optical Coherence Angiography; Optical Coherence Tomography; flow void; intermediate uveitis; uveitis; vessel density; wide-field OCT; wide-field OCTA.

Publication types

  • Review

MeSH terms

  • Choroid / blood supply
  • Cross-Sectional Studies
  • Fluorescein Angiography / methods
  • Humans
  • Retina
  • Retinal Vessels / diagnostic imaging
  • Tomography, Optical Coherence* / methods
  • Uveitis* / diagnosis