Skip to main content
Top
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 9/2018

01-09-2018 | Retinal Disorders

Optical coherence tomography angiography in retinal vein occlusions

Authors: Qian Wang, Szy Yann Chan, Yanni Yan, Jingyan Yang, Wenjia Zhou, Jost B. Jonas, Wen Bin Wei

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 9/2018

Login to get access

Abstract

Purpose

To examine the vascular density in different retinal layers and in the choriocapillaris in eyes with retinal vein occlusions (RVO).

Methods

Applying optical coherence tomography angiography (OCTA), we examined patients with unilateral RVOs and normal individuals of a control group.

Results

The study group included 48 patients with unilateral RVO and the control group 17 normal individuals. Eyes affected by RVO as compared to the contralateral unaffected eyes (all P < 0.001), and the contralateral unaffected eyes as compared to the eyes of the control group (P < 0.05), showed a lower vessel density in the superficial and deep retinal layers in all regions except for the foveal region. Choriocapillaris density was lower (P < 0.001), foveal retinal thickness and subfoveal choroidal thickness (P < 0.001) were thicker, and the foveal avascular zone was larger (P = 0.003) in the RVO eyes than in the contralateral eyes. For 29 eyes undergoing OCTA and fluorescein angiography, two examiners independently rated the retinas to be ischemic in fluorescein angiography in 14 eyes and in OCTA in 9 of these 14 eyes.

Conclusions

Upon OCTA, unaffected eyes of patients with unilateral RVOs showed vascular abnormalities in the superficial and deep retinal layers when compared to those of healthy individuals.
Literature
1.
go back to reference Rogers S, McIntosh RL, Cheung N, Lim L, Wang JJ, Mitchell P, Kowalski JW, Nguyen H, Wong TY (2010) International Eye Disease Consortium. The prevalence of retinal vein occlusion: pooled data from population studies from the United States, Europe, Asia, and Australia. Ophthalmology 117:313–319CrossRefPubMedPubMedCentral Rogers S, McIntosh RL, Cheung N, Lim L, Wang JJ, Mitchell P, Kowalski JW, Nguyen H, Wong TY (2010) International Eye Disease Consortium. The prevalence of retinal vein occlusion: pooled data from population studies from the United States, Europe, Asia, and Australia. Ophthalmology 117:313–319CrossRefPubMedPubMedCentral
2.
go back to reference Coscas G, Loewenstein A, Augustin A, Bandello F, Battaglia Parodi M, Lanzetta P, Mones J, de Smet M, Soubrane G, Staurenghi G (2011) Management of retinal vein occlusion—consensus document. Ophthalmologica 226(1):4–28CrossRefPubMed Coscas G, Loewenstein A, Augustin A, Bandello F, Battaglia Parodi M, Lanzetta P, Mones J, de Smet M, Soubrane G, Staurenghi G (2011) Management of retinal vein occlusion—consensus document. Ophthalmologica 226(1):4–28CrossRefPubMed
3.
go back to reference Spaide RF, Klancnik JM Jr, Cooney MJ (2015) Retinal vascular layers imaged by fluorescein angiography and optical coherence tomography angiography. JAMA Ophthalmol 133(1):45–50CrossRefPubMed Spaide RF, Klancnik JM Jr, Cooney MJ (2015) Retinal vascular layers imaged by fluorescein angiography and optical coherence tomography angiography. JAMA Ophthalmol 133(1):45–50CrossRefPubMed
4.
go back to reference Yannuzzi LA, Rohrer KT, Tindel LJ, Sobel RS, Costanza MA, Shields W, Zang E (1986) Fluorescein angiography complication survey. Ophthalmology 93(5):611–617CrossRefPubMed Yannuzzi LA, Rohrer KT, Tindel LJ, Sobel RS, Costanza MA, Shields W, Zang E (1986) Fluorescein angiography complication survey. Ophthalmology 93(5):611–617CrossRefPubMed
5.
go back to reference Wang X, Jia Y, Spain R, Potsaid B, Liu JJ, Baumann B, Hornegger J, Fujimoto JG, Wu Q, Huang D (2014) Optical coherence tomography angiography of optic nerve head and parafovea in multiple sclerosis. Br J Ophthalmol 98(10):1368–1373CrossRefPubMedPubMedCentral Wang X, Jia Y, Spain R, Potsaid B, Liu JJ, Baumann B, Hornegger J, Fujimoto JG, Wu Q, Huang D (2014) Optical coherence tomography angiography of optic nerve head and parafovea in multiple sclerosis. Br J Ophthalmol 98(10):1368–1373CrossRefPubMedPubMedCentral
6.
go back to reference Jia Y, Bailey ST, Hwang TS, McClintic SM, Gao SS, Pennesi ME, Flaxel CJ, Lauer AK, Wilson DJ, Hornegger J, Fujimoto JG, Huang D (2015) Quantitative optical coherence tomography angiography of vascular abnormalities in the living human eye. Proc Natl Acad Sci U S A 112(18):E2395–E2402CrossRefPubMedPubMedCentral Jia Y, Bailey ST, Hwang TS, McClintic SM, Gao SS, Pennesi ME, Flaxel CJ, Lauer AK, Wilson DJ, Hornegger J, Fujimoto JG, Huang D (2015) Quantitative optical coherence tomography angiography of vascular abnormalities in the living human eye. Proc Natl Acad Sci U S A 112(18):E2395–E2402CrossRefPubMedPubMedCentral
7.
go back to reference Huang Y, Zhang Q, Thorell MR, An L, Durbin MK, Laron M, Sharma U, Gregori G, Rosenfeld PJ, Wang RK (2014) Swept-source OCT angiography of the retinal vasculature using intensity differentiation-based optical microangiography algorithms. Ophthalmic Surg Lasers Imaging Retina 45(5):382–389CrossRefPubMedPubMedCentral Huang Y, Zhang Q, Thorell MR, An L, Durbin MK, Laron M, Sharma U, Gregori G, Rosenfeld PJ, Wang RK (2014) Swept-source OCT angiography of the retinal vasculature using intensity differentiation-based optical microangiography algorithms. Ophthalmic Surg Lasers Imaging Retina 45(5):382–389CrossRefPubMedPubMedCentral
8.
go back to reference Spaide RF, Klancnik JM Jr, Cooney MJ (2015) Retinal vascular layers imaged by fluorescein angiography and optical coherence tomography angiography. JAMA Ophthalmol 133(1):45–50CrossRefPubMed Spaide RF, Klancnik JM Jr, Cooney MJ (2015) Retinal vascular layers imaged by fluorescein angiography and optical coherence tomography angiography. JAMA Ophthalmol 133(1):45–50CrossRefPubMed
9.
go back to reference Kashani AH, Lee SY, Moshfeghi A, Durbin MK, Puliafito CA (2015) Optical coherence tomography angiography of retinal venous occlusion. Retina 35(11):2323–2331CrossRefPubMed Kashani AH, Lee SY, Moshfeghi A, Durbin MK, Puliafito CA (2015) Optical coherence tomography angiography of retinal venous occlusion. Retina 35(11):2323–2331CrossRefPubMed
10.
go back to reference Nobre Cardoso J, Keane PA, Sim DA, Bradley P, Agrawal R, Addison PK, Egan C, Tufail A (2016) Systematic evaluation of optical coherence tomography angiography in retinal vein occlusion. Am J Ophthalmol 163:93–107CrossRefPubMed Nobre Cardoso J, Keane PA, Sim DA, Bradley P, Agrawal R, Addison PK, Egan C, Tufail A (2016) Systematic evaluation of optical coherence tomography angiography in retinal vein occlusion. Am J Ophthalmol 163:93–107CrossRefPubMed
11.
go back to reference Wang Q, Chan SY, Yang JY, You B, Wang YX, Jonas JB, Wei WB (2016) Vascular density in retina and choriocapillaris as measured by optical coherence tomography angiography. Am J Ophthalmol 168:95–109CrossRefPubMed Wang Q, Chan SY, Yang JY, You B, Wang YX, Jonas JB, Wei WB (2016) Vascular density in retina and choriocapillaris as measured by optical coherence tomography angiography. Am J Ophthalmol 168:95–109CrossRefPubMed
12.
go back to reference Suzuki N, Hirano Y, Yoshida M, Tomiyasu T, Uemura A, Yasukawa T, Ogura Y (2016) Microvascular abnormalities on optical coherence tomography angiography in macular edema associated with branch retinal vein occlusion. Am J Ophthalmol 161:126–132CrossRefPubMed Suzuki N, Hirano Y, Yoshida M, Tomiyasu T, Uemura A, Yasukawa T, Ogura Y (2016) Microvascular abnormalities on optical coherence tomography angiography in macular edema associated with branch retinal vein occlusion. Am J Ophthalmol 161:126–132CrossRefPubMed
13.
go back to reference Coscas F, Glacet-Bernard A, Miere A, Caillaux V, Uzzan J, Lupidi M, Coscas G, Souied EH (2016) Optical coherence tomography angiography in retinal vein occlusion: evaluation of superficial and deep capillary plexa. Am J Ophthalmol 161:160–171CrossRefPubMed Coscas F, Glacet-Bernard A, Miere A, Caillaux V, Uzzan J, Lupidi M, Coscas G, Souied EH (2016) Optical coherence tomography angiography in retinal vein occlusion: evaluation of superficial and deep capillary plexa. Am J Ophthalmol 161:160–171CrossRefPubMed
14.
go back to reference Samara WA, Shahlaee A, Sridhar Y, Khan MA, Ho AC, Hsu J (2016) Quantitative optical coherence tomography angiography features and visual function in eyes with branch retinal vein occlusion. Am J Ophthalmol 166:76–83CrossRefPubMed Samara WA, Shahlaee A, Sridhar Y, Khan MA, Ho AC, Hsu J (2016) Quantitative optical coherence tomography angiography features and visual function in eyes with branch retinal vein occlusion. Am J Ophthalmol 166:76–83CrossRefPubMed
15.
go back to reference Wons J, Pfau M, Wirth MA, Freiberg FJ, Becker MD, Michels S (2016) Optical coherence tomography angiography of the foveal avascular zone in retinal vein occlusion. Ophthalmologica 235(4):195–202CrossRefPubMed Wons J, Pfau M, Wirth MA, Freiberg FJ, Becker MD, Michels S (2016) Optical coherence tomography angiography of the foveal avascular zone in retinal vein occlusion. Ophthalmologica 235(4):195–202CrossRefPubMed
16.
go back to reference Sridhar J, Shahlaee A, Rahimy E, Hong BK, Khan MA, Majuire JI, Dunn JP, Mehta S, Ho AC (2015) Optical coherence tomography angiography and en face optical coherence tomography features of paracentral acute middle maculopathy. Am J Ophthalmol 160(6):1259–1268CrossRefPubMed Sridhar J, Shahlaee A, Rahimy E, Hong BK, Khan MA, Majuire JI, Dunn JP, Mehta S, Ho AC (2015) Optical coherence tomography angiography and en face optical coherence tomography features of paracentral acute middle maculopathy. Am J Ophthalmol 160(6):1259–1268CrossRefPubMed
17.
go back to reference Suzuki N, Hirano Y, Tomiyasu T, Esaki Y, Uemura A, Yasukawa T, Yoshida M, Ogura Y (2016) Retinal hemodynamics seen on optical coherence tomography angiography before and after treatment of retinal vein occlusion. Invest Ophthalmol Vis Sci 57(13):5681–5687CrossRefPubMed Suzuki N, Hirano Y, Tomiyasu T, Esaki Y, Uemura A, Yasukawa T, Yoshida M, Ogura Y (2016) Retinal hemodynamics seen on optical coherence tomography angiography before and after treatment of retinal vein occlusion. Invest Ophthalmol Vis Sci 57(13):5681–5687CrossRefPubMed
18.
go back to reference Powner MB, Sim DA, Zhu M, Nobre-Cardoso J, Jones R, Syed A, Chang AA, Keane PA, Tufail A, Egan CA, Fruttiger M (2016) Evaluation of nonperfused retinal vessels in ischemic retinopathy. Invest Ophthalmol Vis Sci 57(11):5031–5037CrossRefPubMed Powner MB, Sim DA, Zhu M, Nobre-Cardoso J, Jones R, Syed A, Chang AA, Keane PA, Tufail A, Egan CA, Fruttiger M (2016) Evaluation of nonperfused retinal vessels in ischemic retinopathy. Invest Ophthalmol Vis Sci 57(11):5031–5037CrossRefPubMed
19.
go back to reference Kimura M, Nozaki M, Yoshida M, Ogura Y (2016) Wide-field optical coherence tomography angiography using extended field imaging technique to evaluate the nonperfusion area in retinal vein occlusion. Clin Ophthalmol 10:1291–1295CrossRefPubMedPubMedCentral Kimura M, Nozaki M, Yoshida M, Ogura Y (2016) Wide-field optical coherence tomography angiography using extended field imaging technique to evaluate the nonperfusion area in retinal vein occlusion. Clin Ophthalmol 10:1291–1295CrossRefPubMedPubMedCentral
20.
go back to reference Casselholmde Salles M, Kvanta A, Amrén U, Epstein D (2016) Optical coherence tomography angiography in central retinal vein occlusion: correlation between the foveal avascular zone and visual acuity. Invest Ophthalmol Vis Sci 57(9):OCT242–OCT246CrossRefPubMed Casselholmde Salles M, Kvanta A, Amrén U, Epstein D (2016) Optical coherence tomography angiography in central retinal vein occlusion: correlation between the foveal avascular zone and visual acuity. Invest Ophthalmol Vis Sci 57(9):OCT242–OCT246CrossRefPubMed
21.
go back to reference Kang JW, Yoo R, Jo YH, Kim HC (2017) Correlation of microvascular structures on optical coherence tomography angiography with visual acuity in retinal vein occlusion. Retina 37(9):1700–1709CrossRefPubMed Kang JW, Yoo R, Jo YH, Kim HC (2017) Correlation of microvascular structures on optical coherence tomography angiography with visual acuity in retinal vein occlusion. Retina 37(9):1700–1709CrossRefPubMed
22.
go back to reference Balaratnasingam C, Inoue M, Ahn S, McCann J, Dhrami-Gavazi E, Yannuzzi LA, Freund KB (2016) Visual acuity is correlated with the area of the foveal avascular zone in diabetic retinopathy and retinal vein occlusion. Ophthalmology 123(11):2352–2367CrossRefPubMed Balaratnasingam C, Inoue M, Ahn S, McCann J, Dhrami-Gavazi E, Yannuzzi LA, Freund KB (2016) Visual acuity is correlated with the area of the foveal avascular zone in diabetic retinopathy and retinal vein occlusion. Ophthalmology 123(11):2352–2367CrossRefPubMed
23.
go back to reference Cardoso JN, Keane PA, Sim DA, Bradley P, Agrawal R, Addison PK, Egan C, Tufail A (2016) Systematic evaluation of optical coherence tomography angiography in retinal vein occlusion. Am J Ophthalmol 163:93–107CrossRef Cardoso JN, Keane PA, Sim DA, Bradley P, Agrawal R, Addison PK, Egan C, Tufail A (2016) Systematic evaluation of optical coherence tomography angiography in retinal vein occlusion. Am J Ophthalmol 163:93–107CrossRef
24.
go back to reference Cugati S, Wang JJ, Knudtson MD, Rochtchina E, Klein R, Klein BE, Wong TY, Mitchell P (2007) Retinal vein occlusion and vascular mortality: pooled data analysis of 2 population-based cohorts. Ophthalmology 114(3):520–524CrossRefPubMed Cugati S, Wang JJ, Knudtson MD, Rochtchina E, Klein R, Klein BE, Wong TY, Mitchell P (2007) Retinal vein occlusion and vascular mortality: pooled data analysis of 2 population-based cohorts. Ophthalmology 114(3):520–524CrossRefPubMed
25.
go back to reference Xu L, Liu W, Wang YX, Yang H, Jonas JB (2007) Retinal vein occlusions and mortality. The Beijing Eye Study. Am J Ophthalmol 144(6):972–973CrossRefPubMed Xu L, Liu W, Wang YX, Yang H, Jonas JB (2007) Retinal vein occlusions and mortality. The Beijing Eye Study. Am J Ophthalmol 144(6):972–973CrossRefPubMed
26.
go back to reference Du KF, Xu L, Shao L, Chen CX, Zhou JQ, Wang YX, You QS, Jonas JB, Wei WB (2013) Subfoveal choroidal thickness in retinal vein occlusion. The Beijing Eye Study 2011. Ophthalmology 120(12):2749–2750CrossRefPubMed Du KF, Xu L, Shao L, Chen CX, Zhou JQ, Wang YX, You QS, Jonas JB, Wei WB (2013) Subfoveal choroidal thickness in retinal vein occlusion. The Beijing Eye Study 2011. Ophthalmology 120(12):2749–2750CrossRefPubMed
27.
go back to reference Tsuiki E, Suzuma K, Ueki R, Maekawa Y, Kitaoka T (2013) Enhanced depth imaging optical coherence tomography of the choroid in central retinal vein occlusion. Am J Ophthalmol 156(5):543–547CrossRefPubMed Tsuiki E, Suzuma K, Ueki R, Maekawa Y, Kitaoka T (2013) Enhanced depth imaging optical coherence tomography of the choroid in central retinal vein occlusion. Am J Ophthalmol 156(5):543–547CrossRefPubMed
Metadata
Title
Optical coherence tomography angiography in retinal vein occlusions
Authors
Qian Wang
Szy Yann Chan
Yanni Yan
Jingyan Yang
Wenjia Zhou
Jost B. Jonas
Wen Bin Wei
Publication date
01-09-2018
Publisher
Springer Berlin Heidelberg
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 9/2018
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-018-4038-1

Other articles of this Issue 9/2018

Graefe's Archive for Clinical and Experimental Ophthalmology 9/2018 Go to the issue