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Retinal non-perfusion in the ETDRS seven fields compared with widefield fluorescein angiography: correlation and use of extrapolation factor.

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INTRODUCTION In previous landmark studies on central retinal vein occlusion (CRVO), retinal non-perfusion assessments were obtained using 7-field (7F) angiography. The widespread current use of widefield (WF) imaging allows better… Click to show full abstract

INTRODUCTION In previous landmark studies on central retinal vein occlusion (CRVO), retinal non-perfusion assessments were obtained using 7-field (7F) angiography. The widespread current use of widefield (WF) imaging allows better visualization of the peripheral retina and more comprehensive estimation of the total area of non-perfusion. The relationship between non-perfusion measurement of 7F and WF angiography (WFA) in CRVO has not been studied. We aim to identify the correlation of retinal non-perfusion measured within the 7F and on WFA in eyes with central retinal vein occlusion. METHODS Retinal non-perfusion in participants with CRVO was determined using a 7F ETDRS template and the concentric rings method. RESULTS A total of 153 eyes were included. Pearson correlation test showed a near-perfect positive, linear correlation between the non-perfusion found in the 7F and total retinal non-perfusion on WFA (0.985 95% CI [0.793, 0.999]) The regression line equation for non-perfusion on 7F and WFA was y = 37 + 3.2x. Eyes with 0 disc areas (DA), >0DA - 10DA and >10DA of non-perfusion on 7-fields had on average 23DA 95%CI [19.20, 27.06], 45DA 95% CI [35.75, 55.18], and 115DA 95%CI [88.89, 142.05] on WF respectively. CONCLUSIONS There is a positive and linear relationship between non-perfusion measured by 7F and WFA in CRVO with more than 3-times the amount of non-perfusion identified on WFA. Despite <10DA no areas of non-perfusion on 7F, there is typically at least 35DA of non-perfusion on WFA while eyes with >10DA of non-perfusion on 7F had at least 88DA on WFA.

Keywords: angiography; non perfusion; perfusion; retinal non; correlation

Journal Title: Retina
Year Published: 2022

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