Swept Source Optical Coherence Tomography Angiography for Contact Lens-Related Corneal Vascularization

Purpose. To describe a novel technique of adapting a swept-source optical coherence tomography angiography (OCTA) to image corneal vascularization. Methods. In this pilot cross-sectional study, we obtained 3 × 3 mm scans, where 100,000 A-scans are acquired per second with optical axial resolution of...

Full description

Saved in:
Bibliographic Details
Main Authors: Marcus Ang, Yijun Cai, Anna C. S. Tan
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2016/9685297
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832564596968259584
author Marcus Ang
Yijun Cai
Anna C. S. Tan
author_facet Marcus Ang
Yijun Cai
Anna C. S. Tan
author_sort Marcus Ang
collection DOAJ
description Purpose. To describe a novel technique of adapting a swept-source optical coherence tomography angiography (OCTA) to image corneal vascularization. Methods. In this pilot cross-sectional study, we obtained 3 × 3 mm scans, where 100,000 A-scans are acquired per second with optical axial resolution of 8 μm and lateral resolution of 20 μm. This was performed with manual “XYZ” focus without the anterior segment lens, until the focus of the corneoscleral surface was clearly seen and the vessels of interest were in focus on the corresponding red-free image. En face scans were evaluated based on image quality score and repeatability. Results. We analyzed scans from 10 eyes (10 patients) with corneal vascularization secondary to contact lens use in 4 quadrants, with substantial repeatability of scans in all quadrants (mean image quality score 2.7 ± 0.7; κ=0.75). There was no significant difference in image quality scores comparing quadrants (superior temporal: 2.9 ± 0.6, superior nasal: 2.8 ± 0.4, inferior temporal: 2.5 ± 0.9, and inferior nasal: 2.4 ± 1.0; P=0.276) and able to differentiate deep and superficial corneal vascularization. Conclusion. This early clinical study suggests that the swept-source OCTA used may be useful for examining corneal vascularization, which may have potential for clinical applications such as detecting early limbal stem cell damage.
format Article
id doaj-art-2bf75393f7b64a4695cf780a4b8f5ac2
institution Kabale University
issn 2090-004X
2090-0058
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Journal of Ophthalmology
spelling doaj-art-2bf75393f7b64a4695cf780a4b8f5ac22025-02-03T01:10:34ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/96852979685297Swept Source Optical Coherence Tomography Angiography for Contact Lens-Related Corneal VascularizationMarcus Ang0Yijun Cai1Anna C. S. Tan2Singapore National Eye Center, Singapore Eye Research Institute, SingaporeMoorfields Eye Hospital NHS Foundation Trust, London, UKSingapore National Eye Center, Singapore Eye Research Institute, SingaporePurpose. To describe a novel technique of adapting a swept-source optical coherence tomography angiography (OCTA) to image corneal vascularization. Methods. In this pilot cross-sectional study, we obtained 3 × 3 mm scans, where 100,000 A-scans are acquired per second with optical axial resolution of 8 μm and lateral resolution of 20 μm. This was performed with manual “XYZ” focus without the anterior segment lens, until the focus of the corneoscleral surface was clearly seen and the vessels of interest were in focus on the corresponding red-free image. En face scans were evaluated based on image quality score and repeatability. Results. We analyzed scans from 10 eyes (10 patients) with corneal vascularization secondary to contact lens use in 4 quadrants, with substantial repeatability of scans in all quadrants (mean image quality score 2.7 ± 0.7; κ=0.75). There was no significant difference in image quality scores comparing quadrants (superior temporal: 2.9 ± 0.6, superior nasal: 2.8 ± 0.4, inferior temporal: 2.5 ± 0.9, and inferior nasal: 2.4 ± 1.0; P=0.276) and able to differentiate deep and superficial corneal vascularization. Conclusion. This early clinical study suggests that the swept-source OCTA used may be useful for examining corneal vascularization, which may have potential for clinical applications such as detecting early limbal stem cell damage.http://dx.doi.org/10.1155/2016/9685297
spellingShingle Marcus Ang
Yijun Cai
Anna C. S. Tan
Swept Source Optical Coherence Tomography Angiography for Contact Lens-Related Corneal Vascularization
Journal of Ophthalmology
title Swept Source Optical Coherence Tomography Angiography for Contact Lens-Related Corneal Vascularization
title_full Swept Source Optical Coherence Tomography Angiography for Contact Lens-Related Corneal Vascularization
title_fullStr Swept Source Optical Coherence Tomography Angiography for Contact Lens-Related Corneal Vascularization
title_full_unstemmed Swept Source Optical Coherence Tomography Angiography for Contact Lens-Related Corneal Vascularization
title_short Swept Source Optical Coherence Tomography Angiography for Contact Lens-Related Corneal Vascularization
title_sort swept source optical coherence tomography angiography for contact lens related corneal vascularization
url http://dx.doi.org/10.1155/2016/9685297
work_keys_str_mv AT marcusang sweptsourceopticalcoherencetomographyangiographyforcontactlensrelatedcornealvascularization
AT yijuncai sweptsourceopticalcoherencetomographyangiographyforcontactlensrelatedcornealvascularization
AT annacstan sweptsourceopticalcoherencetomographyangiographyforcontactlensrelatedcornealvascularization