- Department of Ophthalmology, Peking University First Hospital, Beijing 100034, China;
Noninfectious uveitis refers to a category of inflammatory diseases involving the uvea, vitreous, optic disk and retina, with the exception of infectious factors or masquerade syndrome. These kind of blinding diseases are frequently recurrent, and the diagnosis and follow-up require fundus imaging techniques. OCT angiography (OCTA) is a rapid, noninvasive and quantifiable blood flow imaging modality that provides a depiction of the microvasculature morphology of the retinal and choroidal through different segmentation and detects the abnormal blood perfusion as well as the neovascularization. OCTA plays an important role in the diagnosis, assessment and follow-up for anterior uveitis, posterior uveitis and pan-uveitis such as Vogt-Koyanagi-Harada disease, Behçet’s disease, ocular sarcoidosis, birdshot chorioretinopathy, serpiginous choroiditis, multifocal choroiditis, punctate inner choroidopathy, acute zonal occult outer retinopathy, acute posterior multifocal placoid pigment epitheliopathy, multiple evanescent white dot syndrome, and also provides clue about their pathophysiologic mechanisms.
Citation: Xiao Shiyu, Zhu Ruilin, Yang Liu. The status in the application of optical coherence tomography angiography in noninfectious uveitis. Chinese Journal of Ocular Fundus Diseases, 2019, 35(4): 403-408. doi: 10.3760/cma.j.issn.1005-1015.2019.04.022 Copy
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2. | Krishna U, Ajanaku D, Denniston AK, et al. Uveitis: a sight-threatening disease which can impact all systems[J]. Postgrad Med J, 2017, 93(1106): 766-773. DOI: 10.1136/postgradmedj-2017-134891. |
3. | Gupta V, Al-Dhibi HA, Arevalo JF. Retinal imaging in uveitis[J]. Saudi J Ophthalmol, 2014, 28(2): 95-103. DOI: 10.1016/j.sjopt.2014.02.008. |
4. | Spaide RF, Klancnik JM Jr, Cooney MJ. Retinal vascular layers imaged by fluorescein angiography and optical coherence tomography angiography[J]. JAMA Ophthalmol, 2015, 133(1): 45-50. DOI: 10.1001/jamaophthalmol.2014.3616. |
5. | Fingler J, Readhead C, Schwartz DM, et al. Phase-contrast OCT imaging of transverse flows in the mouse retina and choroid[J]. Invest Ophthalmol Vis Sci, 2008, 49(11): 5055-5059. DOI: 10.1167/iovs.07-1627. |
6. | 魏文斌, 周楠. 光相干断层扫描血管成像在眼底疾病临床应用中的不足及前景[J]. 中华眼底病杂志, 2018, 34(4): 317-322. DOI: 10.3760/cma.j.issn.1005-1015.2018.04.002.Wei WB, Zhou N. The shortcoming and developing perspective of optical coherence tomography angiography in clinical diagnosis and treatment of ocular fundus diseases[J]. Chin J Ocul Fundus Dis, 2018, 34(4): 317-322. DOI: 10.3760/cma.j.issn.1005-1015.2018.04.002. |
7. | 黎晓新, 石璇. 认识光相干断层扫描血管成像技术特色, 提升光相干断层扫描血管成像技术临床应用水平[J]. 中华眼底病杂志, 2017, 33(1): 3-6. DOI: 10.3760/cma.j.issn.1005-1015.2017.01.002.Li XX, Shi X. Clinical applications of optical coherence tomography angiography[J]. Chin J Ocul Fundus Dis, 2017, 33(1): 3-6. DOI: 10.3760/cma.j.issn.1005-1015.2017.01.002. |
8. | Pichi F, Sarraf D, Morara M, et al. Pearls and pitfalls of optical coherence tomography angiography in the multimodal evaluation of uveitis[J]. J Ophthalmic Inflamm Infect, 2017, 7(1): 20. DOI: 10.1186/s12348-017-0138-z. |
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10. | Spaide RF, Fujimoto JG, Waheed NK, et al. Optical coherence tomography angiography[J]. Prog Retin Eye Res, 2018, 64: 1-55. DOI: 10.1016/j.preteyeres.2017.11.003. |
11. | Peizeng Y, Qianli M, Xiangkun H, et al. Longitudinal study of anterior segment inflammation by ultrasound biomicroscopy in patients with acute anterior uveitis[J]. Acta Ophthalmol, 2009, 87(2): 211-215. DOI: 10.1111/j.1755-3768.2008.01194.x. |
12. | Pichi F, Lowder CY, Bonsignore F, et al. Optical coherence tomography angiography study of the iris in healthy subjects and in acute anterior uveitis patients[J/OL]. Hindawi, 2016. http://downloads.hindawi.com/journals/joph/aip/9723436.pdf. |
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15. | Aggarwal K, Agarwal A, Mahajan S, et al. The role of optical coherence tomography angiography in the diagnosis and management of acute Vogt-Koyanagi-Harada disease[J]. Ocul Immunol Inflamm, 2018, 26(1): 142-153. DOI: 10.1080/09273948.2016.1195001. |
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- 1. Guly CM, Forrester JV. Investigation and management of uveitis[J/OL]. BMJ, 2010, 341: c4976[2010-10-13]. http://www.bmj.com/cgi/pmidlookup?view=long&pmid=20943722. DOI: 10.1136/bmj.c4976.
- 2. Krishna U, Ajanaku D, Denniston AK, et al. Uveitis: a sight-threatening disease which can impact all systems[J]. Postgrad Med J, 2017, 93(1106): 766-773. DOI: 10.1136/postgradmedj-2017-134891.
- 3. Gupta V, Al-Dhibi HA, Arevalo JF. Retinal imaging in uveitis[J]. Saudi J Ophthalmol, 2014, 28(2): 95-103. DOI: 10.1016/j.sjopt.2014.02.008.
- 4. Spaide RF, Klancnik JM Jr, Cooney MJ. Retinal vascular layers imaged by fluorescein angiography and optical coherence tomography angiography[J]. JAMA Ophthalmol, 2015, 133(1): 45-50. DOI: 10.1001/jamaophthalmol.2014.3616.
- 5. Fingler J, Readhead C, Schwartz DM, et al. Phase-contrast OCT imaging of transverse flows in the mouse retina and choroid[J]. Invest Ophthalmol Vis Sci, 2008, 49(11): 5055-5059. DOI: 10.1167/iovs.07-1627.
- 6. 魏文斌, 周楠. 光相干断层扫描血管成像在眼底疾病临床应用中的不足及前景[J]. 中华眼底病杂志, 2018, 34(4): 317-322. DOI: 10.3760/cma.j.issn.1005-1015.2018.04.002.Wei WB, Zhou N. The shortcoming and developing perspective of optical coherence tomography angiography in clinical diagnosis and treatment of ocular fundus diseases[J]. Chin J Ocul Fundus Dis, 2018, 34(4): 317-322. DOI: 10.3760/cma.j.issn.1005-1015.2018.04.002.
- 7. 黎晓新, 石璇. 认识光相干断层扫描血管成像技术特色, 提升光相干断层扫描血管成像技术临床应用水平[J]. 中华眼底病杂志, 2017, 33(1): 3-6. DOI: 10.3760/cma.j.issn.1005-1015.2017.01.002.Li XX, Shi X. Clinical applications of optical coherence tomography angiography[J]. Chin J Ocul Fundus Dis, 2017, 33(1): 3-6. DOI: 10.3760/cma.j.issn.1005-1015.2017.01.002.
- 8. Pichi F, Sarraf D, Morara M, et al. Pearls and pitfalls of optical coherence tomography angiography in the multimodal evaluation of uveitis[J]. J Ophthalmic Inflamm Infect, 2017, 7(1): 20. DOI: 10.1186/s12348-017-0138-z.
- 9. Kashani AH, Chen CL, Gahm JK, et al. Optical coherence tomography angiography: a comprehensive review of current methods and clinical applications[J]. Prog Retin Eye Res, 2017, 60: 66-100. DOI: 10.1016/j.preteyeres.2017.07.002.
- 10. Spaide RF, Fujimoto JG, Waheed NK, et al. Optical coherence tomography angiography[J]. Prog Retin Eye Res, 2018, 64: 1-55. DOI: 10.1016/j.preteyeres.2017.11.003.
- 11. Peizeng Y, Qianli M, Xiangkun H, et al. Longitudinal study of anterior segment inflammation by ultrasound biomicroscopy in patients with acute anterior uveitis[J]. Acta Ophthalmol, 2009, 87(2): 211-215. DOI: 10.1111/j.1755-3768.2008.01194.x.
- 12. Pichi F, Lowder CY, Bonsignore F, et al. Optical coherence tomography angiography study of the iris in healthy subjects and in acute anterior uveitis patients[J/OL]. Hindawi, 2016. http://downloads.hindawi.com/journals/joph/aip/9723436.pdf.
- 13. Ang M, Sim DA, Keane PA, et al. Optical coherence tomography angiography for anterior segment vasculature imaging[J]. Ophthalmology, 2015, 122(9): 1740-1747. DOI: 10.1016/j.ophtha.2015.05.017.
- 14. Rao NA. Pathology of Vogt-Koyanagi-Harada disease[J]. Int Ophthalmol, 2007, 27(2-3): 81-85. DOI: 10.1007/s10792-006-9029-2.
- 15. Aggarwal K, Agarwal A, Mahajan S, et al. The role of optical coherence tomography angiography in the diagnosis and management of acute Vogt-Koyanagi-Harada disease[J]. Ocul Immunol Inflamm, 2018, 26(1): 142-153. DOI: 10.1080/09273948.2016.1195001.
- 16. 贾珊珊, 赵潺, 巩迪, 等. 急性期Vogt-小柳原田病相干光层析血管成像术观察[J]. 中华眼科杂志, 2017, 53(10): 735-739. DOI: 10.3760/cma.j.issn.0412-4081.2017.10.004.Jia SS, Zhao C, Gong D, et al. Optical coherence tomography angiography of acute Vogt-Koyanagi-Harada disease[J]. Chin J Ophthalmol, 2017, 53(10): 735-739. DOI: 10.3760/cma.j.issn.0412-4081.2017.10.004.
- 17. Giannakouras P, Andreanos K, Giavi B, et al. Optical coherence tomography angiography: employing a novel technique for investigation in Vogt-Koyanagi-Harada disease[J]. Case Rep Ophthalmol, 2017, 8(2): 362-369. DOI: 10.1159/000477611.
- 18. Aggarwal K, Agarwal A, Deokar A, et al. Distinguishing features of acute Vogt-Koyanagi-Harada disease and acute central serous chorioretinopathy on optical coherence tomography angiography and en face optical coherence tomography imaging[J]. J Ophthalmic Inflamm Infect, 2017, 7(1): 3. DOI: 10.1186/s12348-016-0122-z.
- 19. Evereklioglu C. Current concepts in the etiology and treatment of Behcet disease[J]. Surv Ophthalmol, 2005, 50(4): 297-350. DOI: 10.1016/j.survophthal.2005.04.009.
- 20. Khairallah M, Abroug N, Khochtali S, et al. Optical coherence tomography angiography in patients with Behcet uveitis[J]. Retina, 2017, 37(9): 1678-1691. DOI: 10.1097/iae.0000000000001418.
- 21. Somkijrungroj T, Vongkulsiri S, Kongwattananon W, et al. Assessment of vascular change using swept-source optical coherence tomography angiography: a new theory explains central visual loss in Behcet’s disease[J/OL]. J Ophthalmol, 2017, 2017: 2180723[2017-05-09]. https://dx.doi.org/10.1155/2017/2180723. DOI: 10.1155/2017/2180723.
- 22. Invernizzi A, Mapelli C, Viola F, et al. Choroidal granulomas visualized by enhanced depth imaging optical coherence tomography[J]. Retina, 2015, 35(3): 525-531. DOI: 10.1097/IAE.0000000000000312.
- 23. Pichi F, Sarraf D, Arepalli S, et al. The application of optical coherence tomography angiography in uveitis and inflammatory eye diseases[J]. Prog Retin Eye Res, 2017, 59: 178-201. DOI: 10.1016/j.preteyeres.2017.04.005.
- 24. Shah KH, Levinson RD, Yu F, et al. Birdshot chorioretinopathy[J]. Surv Ophthalmol, 2005, 50(6): 519-541. DOI: 10.1016/j.survophthal.2005.08.004.
- 25. de Carlo TE, Bonini Filho MA, Adhi M, et al. Retinal and choroidal vasculature in birdshot chorioretinopathy analyzed using spectral domain optical coherence tomography angiography[J]. Retina, 2015, 35(11): 2392-2399. DOI: 10.1097/iae.0000000000000744.
- 26. Wang JC, Lains I, Sobrin L, et al. Distinguishing white dot syndromes with patterns of choroidal hypoperfusion on optical coherence tomography angiography[J]. Ophthalmic Surg Lasers Imaging Retina, 2017, 48(8): 638-646. DOI: 10.3928/23258160-20170802-06.
- 27. Phasukkijwatana N, Iafe N, Sarraf D. Optical coherence tomography angiography of a29 birdshot chorioretinopathy complicated by retinal neovascularization[J]. Retin Cases Brief Rep, 2017, 11(Suppl 1): S68-72. DOI: 10.1097/ICB.0000000000000418.
- 28. Roberts PK, Nesper PL, Goldstein DA, et al. Retinal capillary density in patients with birdshot chorioretinopathy[J]. Retina, 2018, 38(2): 387-394. DOI: 10.1097/IAE.0000000000001543.
- 29. Teussink MM, Huis In Het Veld PI, de Vries LA, et al. Multimodal imaging of the disease progression of birdshot chorioretinopathy[J]. Acta Ophthalmol, 2016, 94(8): 815-823. DOI: 10.1111/aos.13114.
- 30. Nazari Khanamiri H, Rao NA. Serpiginous choroiditis and infectious multifocal serpiginoid choroiditis[J]. Surv Ophthalmol, 2013, 58(3): 203-232. DOI: 10.1016/j.survophthal.2012.08.008.
- 31. Abu el-Asrar AM. Serpiginous (geographical) choroiditis[J]. Int Ophthalmol Clin, 1995, 35(2): 87-91. DOI: 10.1097/00004397-199503520-00008.
- 32. Montorio D, Giuffre C, Miserocchi E, et al. Swept-source optical coherence tomography angiography in serpiginous choroiditis[J]. Br J Ophthalmol, 2018, 102(7): 991-995. DOI: 10.1136/bjophthalmol-2017-310989.
- 33. Ahn SJ, Park SH, Lee BR. Multimodal imaging including optical coherence tomography angiography in serpiginous choroiditis[J]. Ocul Immunol Inflamm, 2017, 25(2): 287-291. DOI: 10.1080/09273948.2017.1288824.
- 34. Khan HA, Shahzad MA. Multimodal imaging of serpiginous choroiditis[J]. Optom Vis Sci, 2017, 94(2): 265-269. DOI: 10.1097/OPX.0000000000001015.
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