July 2019
Volume 60, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2019
OCT Angiography reveals a non-flow area enlargement in the choriocapillaris with increasing age
Author Affiliations & Notes
  • Pieter Nelis
    University of Muenster Medical Center, Germany
    UZBrussel (VUB), Belgium
  • Viktoria Constanze Müller
    University of Muenster Medical Center, Germany
  • Natasa Mihailovic
    University of Muenster Medical Center, Germany
  • Nicole Eter
    University of Muenster Medical Center, Germany
  • Marcel ten Tusscher
    UZBrussel (VUB), Belgium
  • Maged Alnawaiseh
    University of Muenster Medical Center, Germany
  • Footnotes
    Commercial Relationships   Pieter Nelis, None; Viktoria Müller, None; Natasa Mihailovic, None; Nicole Eter, None; Marcel ten Tusscher, None; Maged Alnawaiseh, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science July 2019, Vol.60, 3054. doi:
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      Pieter Nelis, Viktoria Constanze Müller, Natasa Mihailovic, Nicole Eter, Marcel ten Tusscher, Maged Alnawaiseh; OCT Angiography reveals a non-flow area enlargement in the choriocapillaris with increasing age. Invest. Ophthalmol. Vis. Sci. 2019;60(9):3054.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : Age is known to influence choriocapillaris (CC) perfusion. To the best of our knowledge, flow signal and non-flow areas have not been evaluated simultaneously in a large population. We performed a retrospective, observational study to evaluate the relationship between age and both non-flow area and flow signal in the choriocapillaris of the macular region, as measured using optical coherence tomography angiography (OCTA).

Methods : 87 eyes of 87 healthy volunteers were examined using a high-speed and high-resolution spectral-domain OCT XR Avanti system with a split-spectrum amplitude de-correlation angiography algorithm. Choriocapillaris images were analysed to determine the choriocapillaris decorrelation index (CCDI), flow voids greater than 10,000 µm2 (FV10000) and signal voids greater than 40,000 µm2 (FV40000).

Results : The mean patient age was 30.55 ± 14.59 years. Mean CCDI was 116.40
± 5.64, mean FV10000 65.85% ± 7.75 and mean FV40000% 36.87 ± 15.04. Correlations between age and respectively CCDI, FV10000 and FV40000 showed a moderate but significant correlation (r = -0.3545, p = 0.0008;r = 0.3626, p = 0.0006; r =0.3897, p = 0.0002).

Conclusions : Our results suggest an enlargment of non-flow areas with increasing age, which could explain the decrease in overall flow signal.

This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.

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