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MOHAMMAD
ABUSAMAK
MD, ABO, FICO
Amman Eye Clinic
Jordan
OCTA Optical Coherence Tomography angiography
It was FUN!!
things are about to change...!!
Spectral Domain OCT
things are about to change...!!
OCTA Optical Coherence Tomography angiography
What is the Diagnosis?
1. EPIRETINAL MEMBRANE
What is the Diagnosis?
2. DIABETIC CYSTOID
MACULAR EDEMA
What is the Diagnosis?
3. MACULAR
DEGENERATION
What is the Diagnosis?
1. Epiretinal membrane
2. Diabetic cystoid
macular edema
3. Macular degeneration
2007 was a breakthrough
2007 was a breakthrough
How Does OCT-A Work?
So smart, so simple
OCT image is a structural, cross-sectional, B-scan image.
OCT works by sending a long-wavelength light, then detecting
changes that occurred on the tissue-reflected light; thereby, it
converts the reflected light into an image.
How Does OCT-A Work?
So smart, so simple
OCT-A machine captures multiple conventional
structural OCT images at the same site.
Then, it compares the resulting differences
between them (decorrelation):
 If the imaged area is avascular, then no
difference among the multiple images will be
detected, and the OCT-A will appear black.
How Does OCT-A Work?
So smart, so simple
How Does OCT-A Work?
So smart, so simple
If the imaged area is
vascular, intravascular
turbulence will cause
differences among
the multiple images;
this difference will be
depicted as vessels..
OCT-A is the beginning of a promising future
of retinal vascular imaging
Using OCT-A in Daily practice
First we need to understand basic analysis
Segmentation
Segmentation
OCTA Optical Coherence Tomography angiography
OCTA Optical Coherence Tomography angiography
OCTA Optical Coherence Tomography angiography
OCTA Optical Coherence Tomography angiography
OCT Angiography in Daily Practice
Diabetic Macular Ischemia
Notice that in diabetic macular
ischemia: deep plexus is affected
more than superficial plexus
FAZ contour and Ischemia
OCTA Optical Coherence Tomography angiography
OCTA Optical Coherence Tomography angiography
Mac Tel and BRVO
Myopia CNV
Ocular surface angiograms
Iris Angiogram
Conjunctiva Angiogram
The evidence behind the OCT-A
 OCT and angiography is eliciting commercial and clinical
interest
 powerful research tool changing classification and
management of glaucoma, cornea, retina, and anterior
segment
 Its power in its reproducibility and high resolution
The evidence behind the OCT-A
The evidence behind the OCT-A
The evidence behind the OCT-A
The evidence behind the OCT-A
The evidence behind the OCT-A
Our 1st
Question: What Is our Diagnosis?
After OCT-A?
After OCT-A?
this is the FUTURE
OCTA Optical Coherence Tomography angiography

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OCTA Optical Coherence Tomography angiography