J Korean Ophthalmol Soc > Volume 57(11); 2016 > Article
Journal of the Korean Ophthalmological Society 2016;57(11):1723-1730.
DOI: https://doi.org/10.3341/jkos.2016.57.11.1723    Published online November 15, 2016.
Foveal Microvascular Changes Based on Optical Coherence Tomography Angiography in Mild Nonproliferative Diabetic Retinopathy.
Bokjun Ji, Hyung Chan Kim
Department of Ophthalmology, Konkuk University School of Medicine, Seoul, Korea. eyekim@kuh.ac.kr
경도 비증식당뇨망막병증에서 빛간섭단층혈관촬영술을 이용한 황반부 미세혈관의 초기변화
지복준⋅김형찬
건국대학교 의학전문대학원 안과학교실
Abstract
PURPOSE
To investigate the microvascular change in diabetic patients with no diabetic retinopathy (DR) and mild nonproliferative DR (NPDR) using optical coherence tomography angiography (OCTA). METHODS: We retrospectively reviewed the medical records of 44 eyes of 22 patients with no DR and 34 eyes of 17 patients with mild NPDR. OCTA was performed on a 3 × 3 mm region centered in the fovea and parafoveal areas. The foveal avascular zone (FAZ) and foveal and parafoveal flow density (FD) in superficial and deep vascular plexuses were analyzed using OCTA. RESULTS: The FAZ of deep capillary plexus in patients with mild NPDR was significantly larger than in patients with no DR (p = 0.008). The parafoveal deep FD, foveal and parafoveal thickness in patients with no DR was significantly larger than in patients with mild NPDR (p = 0.013, p = 0.018 and p = 0.003, respectively). Superficial FAZ, superficial foveal FD, superficial parafoveal FD and deep foveal FD were not significantly different between the patients with no DR and those with mild NPDR. CONCLUSIONS: OCTA allows detection of deep FAZ enlargement, reduction in parafoveal deep FD as well as foveal and parafoveal thickness in patients with mild NPDR compared with patients with no DR.
Key Words: Diabetic retinopathy;Flow density;Foveal avascular zone;Microvascular changes;Optical coherence tomography angiography


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