Consensus-based recommendations for optical coherence tomography angiography reporting in uveitis
Author
Pichi, FrancescoCarreño, Ester
Pavesio, Carlos
Denniston, Alastair K
Grewal, Dilraj S
Deak, Gabor
Khairallah, Moncef
Ruiz-Cruz, Matilde
de Oliveira Dias, Joao Rafael
Adan, Alfredo
Burke, Tomas
Invernizzi, Alessandro
Schlaen, Ariel
Tian, Meng
Agarwal, Aniruddha Kishandutt
Tucker, William R
Sen, H Nida
Lin, Phoebe
Lim, Lyndell L
Pepple, Kathryn L
Munk, Marion R
Publication date
2022-02-08Subject
Ophthalmology
Metadata
Show full item recordAbstract
Background/aims: To establish a consensus in the nomenclature for reporting optical coherence tomography angiography (OCTA findings in uveitis. Methods: The modified Delphi process consisted of two rounds of electronic questionnaires, followed by a face-to-face meeting conducted virtually. Twenty-one items were included for discussion. The three main areas of discussion were: wide field OCTA (WF-OCTA), nomenclature of OCTA findings and OCTA signal attenuation assessment and measurement. Seventeen specialists in uveitis and retinal imaging were selected by the executive committee to constitute the OCTA nomenclature in Uveitis Delphi Study Group. The study endpoint was defined by the degree of consensus for each question: 'strong consensus' was defined as >90% agreement, 'consensus' as 85%-90% and 'near consensus' as >80% but <85%. Results: There was a strong consensus to apply the term 'wide field' to OCTA images measuring over 70° of field of view, to use the terms 'flow deficit' and 'non-detectable flow signal' to describe abnormal OCTA flow signal secondary to slow flow and to vessels displacement respectively, to use the terms 'loose' and 'dense' to describe the appearance of inflammatory choroidal neovascularisation, and to use the percentage of flow signal decrease to measure OCTA ischaemia with a threshold greater than or equal to 30% as a 'large area'. Conclusions: This study sets up consensus recommendations for reporting OCTA findings in uveitis by an expert panel, which may prove suitable for use in routine clinical care and clinical trials.Citation
Pichi F, Carreño E, Pavesio C, Denniston AK, Grewal DS, Deak G, Khairallah M, Ruiz-Cruz M, de Oliveira Dias JR, Adan A, Burke T, Invernizzi A, Schlaen A, Tian M, Agarwal AK, Tucker WR, Sen HN, Lin P, Lim LL, Pepple KL, Munk MR. Consensus-based recommendations for optical coherence tomography angiography reporting in uveitis. Br J Ophthalmol. 2023 Jul;107(7):959-965. doi: 10.1136/bjophthalmol-2021-320021. Epub 2022 Feb 8.Type
ArticleAdditional Links
http://bjo.bmj.com/PMID
35135783Publisher
BMJ Publishing Groupae974a485f413a2113503eed53cd6c53
10.1136/bjophthalmol-2021-320021