Liu, Xiaoxuan, Kale, Aditya U, Ometto, Giovanni, Montesano, Giovanni, Sitch, Alice J, Capewell, Nicholas, Radovanovic, Charlotte, Bucknall, Nicholas, Beare, Nicholas AV 
ORCID: 0000-0001-8086-990X, Moore, David J et al (show 3 more authors)
(2022)
OCT Assisted Quantification of Vitreous Inflammation in Uveitis.
TRANSLATIONAL VISION SCIENCE & TECHNOLOGY, 11 (1).
3-.
Abstract
<h4>Purpose</h4>Vitreous haze (VH) is a key marker of inflammation in uveitis but limited by its subjectivity. Optical coherence tomography (OCT) has potential as an objective, noninvasive method for quantifying VH. We test the hypotheses that OCT can reliably quantify VH and the measurement is associated with slit-lamp based grading of VH.<h4>Methods</h4>In this prospective study, participants underwent three repeated OCT macular scans to evaluate the within-eye reliability of the OCT vitreous intensity (VI). Association between OCT VI and clinical findings (including VH grade, phakic status, visual acuity [VA], anterior chamber cells, and macular thickness) were assessed.<h4>Results</h4>One hundred nineteen participants were included (41 healthy participants, 32 patients with uveitis without VH, and 46 patients with uveitis with VH). Within-eye test reliability of OCT VI was high in healthy eyes and in all grades of VH (intraclass correlation coefficient [ICC] > 0.79). Average OCT VI was significantly different between healthy eyes and uveitic eyes without and uveitic eyes with VH, and was associated with increasing clinical VH grade (P < 0.05). OCT VI was significantly associated with VA, whereas clinical VH grading was not. Cataract was also associated with higher OCT VI (P = 0.03).<h4>Conclusions</h4>OCT VI is a fast, noninvasive, objective, and automated method for measuring vitreous inflammation. It is associated with clinician grading of vitreous inflammation and VA, however, it can be affected by media opacities.<h4>Translational relevance</h4>OCT imaging for quantifying vitreous inflammation shows high within-eye repeatability and is associated with clinical grading of vitreous haze. OCT measurements are also associated with visual acuity but may be affected by structures anterior to the acquisition window, such as lens opacity and other anterior segment changes.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | vitreous haze, imaging, optical coherence tomography, uveitis, inflammation |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 16 May 2022 14:30 |
| Last Modified: | 17 Mar 2024 13:20 |
| DOI: | 10.1167/tvst.11.1.3 |
| Open Access URL: | https://tvst.arvojournals.org/article.aspx?article... |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3154912 |
Dimensions
Dimensions
