PMID- 28547533 OWN - NLM STAT- MEDLINE DCOM- 20180717 LR - 20220409 IS - 1573-2630 (Electronic) IS - 0165-5701 (Linking) VI - 38 IP - 3 DP - 2018 Jun TI - Sensitivity and specificity of optical coherence tomography angiography (OCT-A) for detection of choroidal neovascularization in real-life practice and varying retinal expertise level. PG - 1051-1060 LID - 10.1007/s10792-017-0559-6 [doi] AB - PURPOSE: To evaluate the diagnostic accuracy of OCT angiography (OCT-A) detecting or predicting choroidal neovascularization (CNV), by ophthalmologists of disparate degrees of skills in retinal diseases, using spectral domain optical coherence tomography (SD-OCT) and fluorescein angiography (FA) as a standard reference. METHODS: Retrospective observational case series. Patient presenting maculopathy and complete imaging were included. FA, SD-OCT, OCT-A and FA coupled to SD-OCT images were graded independently for presence or absence of CNV by ophthalmologists with varying expertise levels. RESULTS: Overall sensitivity of OCT-A was 85.62% (95% CI 79.04-90.76%) and specificity was 81.51% (95% CI 73.36-88.03). Sensitivity of FA was 74.51% (95% CI 66.84-81.20), and specificity was 82.35% (95% CI 74.30-88.73). Sensitivity of FA + SD-OCT was 92.72% (95% CI 87.34-96.30), and specificity was 90.91% (95% CI 84.31-95.37). CONCLUSION: OCT-A has good sensitivity and specificity for the detection of CNV in all expertise level groups. OCT-A may soon become a routine tool for CNV diagnosis and follow-up. FAU - Souedan, Vael AU - Souedan V AD - Department of Ophthalmology, Creteil University Eye Clinic, Hopital Intercommunal de Creteil, University Paris Est, 40 Avenue de Verdun, 94010, Creteil, France. FAU - Souied, Eric H AU - Souied EH AD - Department of Ophthalmology, Creteil University Eye Clinic, Hopital Intercommunal de Creteil, University Paris Est, 40 Avenue de Verdun, 94010, Creteil, France. FAU - Caillaux, Violaine AU - Caillaux V AD - Department of Ophthalmology, Creteil University Eye Clinic, Hopital Intercommunal de Creteil, University Paris Est, 40 Avenue de Verdun, 94010, Creteil, France. FAU - Miere, Alexandra AU - Miere A AD - Department of Ophthalmology, Creteil University Eye Clinic, Hopital Intercommunal de Creteil, University Paris Est, 40 Avenue de Verdun, 94010, Creteil, France. FAU - Ameen, Ala El AU - Ameen AE AD - Department of Ophthalmology, Creteil University Eye Clinic, Hopital Intercommunal de Creteil, University Paris Est, 40 Avenue de Verdun, 94010, Creteil, France. FAU - Blanco-Garavito, Rocio AU - Blanco-Garavito R AD - Department of Ophthalmology, Creteil University Eye Clinic, Hopital Intercommunal de Creteil, University Paris Est, 40 Avenue de Verdun, 94010, Creteil, France. rocio_blancog@hotmail.com. LA - eng PT - Journal Article PT - Observational Study DEP - 20170525 PL - Netherlands TA - Int Ophthalmol JT - International ophthalmology JID - 7904294 SB - IM MH - Aged MH - Choroidal Neovascularization/*diagnosis MH - Clinical Coding MH - *Clinical Competence MH - Female MH - Fluorescein Angiography/*methods MH - Fundus Oculi MH - Humans MH - Male MH - Middle Aged MH - Ophthalmologists/*standards MH - Retrospective Studies MH - Sensitivity and Specificity MH - Tomography, Optical Coherence/*methods MH - Visual Acuity OTO - NOTNLM OT - Choroidal neovascularization detection OT - Exudative AMD OT - Optical coherence tomography angiography OT - Sensitivity OT - Specificity EDAT- 2017/05/27 06:00 MHDA- 2018/07/18 06:00 CRDT- 2017/05/27 06:00 PHST- 2016/12/25 00:00 [received] PHST- 2017/05/10 00:00 [accepted] PHST- 2017/05/27 06:00 [pubmed] PHST- 2018/07/18 06:00 [medline] PHST- 2017/05/27 06:00 [entrez] AID - 10.1007/s10792-017-0559-6 [pii] AID - 10.1007/s10792-017-0559-6 [doi] PST - ppublish SO - Int Ophthalmol. 2018 Jun;38(3):1051-1060. doi: 10.1007/s10792-017-0559-6. Epub 2017 May 25.