Audrey Giocanti-Auregan1, Lise Dubois2, Pauline Dourmad2, Salomon Y Cohen3,4,5. 1. Department of Ophthalmology, Hôpital Avicenne, AP-HP and University Paris 13, Bobigny, France. 2. Ophthalmology Center for Imaging and Laser, Paris, France. 3. Ophthalmology Center for Imaging and Laser, Paris, France. sycsyc75@gmail.com. 4. Department of Ophthalmology, University of Paris Est, Creteil, France. sycsyc75@gmail.com. 5. Centre Ophtalmologique d'Imagerie et de Laser, 11 Rue Antoine Bourdelle, 75015, Paris, France. sycsyc75@gmail.com.
Abstract
PURPOSE: To investigate the changes in imaging tool practice for the diagnosis of neovascular age-related macular degeneration (nAMD). METHODS: Retrospective analysis of consecutive patients diagnosed with nAMD in a tertiary care center, over a 6-month period in 2014, 2016, and 2018. Patient demographics were compared. Imaging modalities used in 2014 were fundus photography, fluorescein angiography (FA), and structural spectral-domain optical coherence tomography (SD-OCT), while OCT-angiography (OCT-A) was available from 2015. Imaging tools used in our practice were compared in the 3 cohorts. RESULTS: The 3 cohorts included 163, 99, and 167 patients, respectively. There was no difference in age or gender (mean age 81.7 years). OCT-A images were analyzable in 60.5% and 89.7% of patients respectively in 2016 and in 2018. In the 3 cohorts, all patients were imaged with fundus photography and structural OCT. FA was performed in 70.2, 28.8, and 22.1% of patients, respectively. CONCLUSION: This study showed a shift in practice of imaging tools used for the diagnosis of nAMD, non-invasive tools being increasingly used as the first-line imaging, and FA as the second-line imaging.
PURPOSE: To investigate the changes in imaging tool practice for the diagnosis of neovascular age-related macular degeneration (nAMD). METHODS: Retrospective analysis of consecutive patients diagnosed with nAMD in a tertiary care center, over a 6-month period in 2014, 2016, and 2018. Patient demographics were compared. Imaging modalities used in 2014 were fundus photography, fluorescein angiography (FA), and structural spectral-domain optical coherence tomography (SD-OCT), while OCT-angiography (OCT-A) was available from 2015. Imaging tools used in our practice were compared in the 3 cohorts. RESULTS: The 3 cohorts included 163, 99, and 167 patients, respectively. There was no difference in age or gender (mean age 81.7 years). OCT-A images were analyzable in 60.5% and 89.7% of patients respectively in 2016 and in 2018. In the 3 cohorts, all patients were imaged with fundus photography and structural OCT. FA was performed in 70.2, 28.8, and 22.1% of patients, respectively. CONCLUSION: This study showed a shift in practice of imaging tools used for the diagnosis of nAMD, non-invasive tools being increasingly used as the first-line imaging, and FA as the second-line imaging.
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Authors: M R Hee; C R Baumal; C A Puliafito; J S Duker; E Reichel; J R Wilkins; J G Coker; J S Schuman; E A Swanson; J G Fujimoto Journal: Ophthalmology Date: 1996-08 Impact factor: 12.079
Authors: C A Puliafito; M R Hee; C P Lin; E Reichel; J S Schuman; J S Duker; J A Izatt; E A Swanson; J G Fujimoto Journal: Ophthalmology Date: 1995-02 Impact factor: 12.079
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