Abstract
PURPOSE: To examine retinal blood flow at arteriovenous crossings using spectral-domain optical coherence tomography (SD-OCT).
METHODS: Retrospective observational case series of 11 arteriovenous crossings in 10 eyes examined by SD-OCT and fluorescein angiography on suspicion of manifest or imminent branch retinal vein occlusion.
RESULTS: Fluorescein angiographic evidence of turbulence was seen at 5 of 11 arteriovenous crossings, whereas laminar angiographic flow was intact at the crossing and downstream thereof at the remaining 6 crossings. On SD-OCT, chaotic reflectivity patterns were seen at the point of crossing and downstream thereof in all 5 cases with angiographic turbulence, whereas an intravascular trilayer SD-OCT pattern consistent with laminar flow was seen throughout the examined course of the vein in the eyes with laminar angiographic flow.
CONCLUSION: We examined retinal blood flow at and near arteriovenous crossings and found that SD-OCT may rival fluorescein angiography in the ability to demonstrate turbulent venous blood flow.
| Original language | English |
|---|---|
| Journal | Retinal Cases & Brief Reports |
| Volume | 13 |
| Issue number | 1 |
| Pages (from-to) | 61-66 |
| ISSN | 1935-1089 |
| DOIs | |
| Publication status | Published - 2019 |
Keywords
- Adult
- Aged
- Female
- Fluorescein Angiography/methods
- Fundus Oculi
- Humans
- Male
- Middle Aged
- Regional Blood Flow/physiology
- Retina/pathology
- Retinal Artery/pathology
- Retinal Vein/pathology
- Retinal Vein Occlusion/diagnosis
- Retrospective Studies
- Tomography, Optical Coherence/methods