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Comparison of Neovascularization Detection in Proliferative Diabetic Retinopathy Using Widefield Swept-Source Optical Coherence Tomography Angiography and Fluorescein Angiography Among Ophthalmology Residents at a Single Institution

Ophthalmic Surg Lasers Imaging Retina. 2024 Nov 1:1-6. doi: 10.3928/23258160-20241114-01. Online ahead of print.

ABSTRACT

BACKGROUND AND OBJECTIVE: This study compares the ability of resident ophthalmologists to identify neovascularization (NV) in patients with proliferative diabetic retinopathy (PDR) using widefield swept-source optical coherence tomography angiography (SS-OCTA) and fluorescein angiography (FA).

PATIENTS AND METHODS: Fluorescein angiography and SS-OCTA images were scrambled to create a grading set consisting of 1) early and late phase FA images, 2) B-scan videos, and 3) vitreoretinal interface (VRI) slab. Participants were asked to identify NV.

RESULTS: Twelve resident physicians participated in the study. Resident physicians correctly identified 75.6% of NV using FA, 65.3% of NV using SS-OCTA B-scans, and 90.7% of NV using the SSOCTA VRI slab. There was no statistically significant difference in participants’ ability to detect NV across imaging modalities (P = 0.08).

CONCLUSION: Detection rates of NV using SS-OCTA were comparable to that of using FA. Results suggest that SS-OCTA may be an appropriate imaging modality for detection of NV in PDR patients. [Ophthalmic Surg Lasers Imaging Retina 2024;55:XX-XX.].

PMID:39591626 | DOI:10.3928/23258160-20241114-01

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