PMID- 31358150 OWN - NLM STAT- MEDLINE DCOM- 20200923 LR - 20200923 IS - 1715-3360 (Electronic) IS - 0008-4182 (Linking) VI - 54 IP - 4 DP - 2019 Aug TI - Optical coherence tomography angiography features of optic nerve head drusen and nonarteritic anterior ischemic optic neuropathy. PG - 495-500 LID - S0008-4182(18)30481-2 [pii] LID - 10.1016/j.jcjo.2018.08.002 [doi] AB - OBJECTIVE: To evaluate the optic disc microvasculature in optic nerve head drusen (ONHD) vasculature in comparison to acute nonarteritic anterior ischemic optic neuropathy (NAION) and normal eyes using optical coherence tomography angiography (OCT-A). METHODS: Ten eyes with ONHD, 10 eyes with acute NAION, and 10 healthy eyes were included in this prospective, comparative, observational case series. OCT-A imaging was performed on the optic discs. Qualitative grading was performed for dilation and tortuosity of the peripapillary vessels by 3 graders. Quantitative comparison was performed for peripapillary and inside disc vessel densities in nerve head (NH) and retinal peripapillary capillary (RPC) slabs. RESULTS: The intergrader agreement for dilation and tortuosity of the peripapillary vessels was poor (0.313 and 0.182 for vascular dilation in nerve head and radial peripapillary capillary enface images, respectively, and 0.478 and 0.490 for vascular tortuosity in nerve head and radial peripapillary capillary enface images, respectively). In NH en face images, the vessel density measurements were statistically significantly different between the 3 groups (all p < 0.05). In RPC en face images, the vessel density measurements were statistically significantly different between the 3 groups (all p < 0.05) except for nasal peripapillary sector (0.08). CONCLUSION: Despite poor intergrader agreement in qualitative analysis, quantitative OCT-A evaluation may differentiate optic disc edema due to NAION from pseudodisc edema due to ONHD. CI - Copyright (c) 2018 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved. FAU - Abri Aghdam, Kaveh AU - Abri Aghdam K AD - Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.. Electronic address: Kaveh.abri@gmail.com. FAU - Ashraf Khorasani, Maryam AU - Ashraf Khorasani M AD - Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. FAU - Soltan Sanjari, Mostafa AU - Soltan Sanjari M AD - Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. FAU - Habibi, Abbas AU - Habibi A AD - Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. FAU - Shenazandi, Hamideh AU - Shenazandi H AD - Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. FAU - Kazemi, Pegah AU - Kazemi P AD - Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. FAU - Ghasemi Falavarjani, Khalil AU - Ghasemi Falavarjani K AD - Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. LA - eng PT - Comparative Study PT - Journal Article PT - Observational Study DEP - 20181017 PL - England TA - Can J Ophthalmol JT - Canadian journal of ophthalmology. Journal canadien d'ophtalmologie JID - 0045312 SB - IM MH - Adult MH - Female MH - Fluorescein Angiography/*methods MH - Follow-Up Studies MH - Fundus Oculi MH - Humans MH - Male MH - Microvessels/pathology MH - Nerve Fibers/pathology MH - Optic Disk/*pathology MH - Optic Disk Drusen/*diagnosis MH - Optic Neuropathy, Ischemic/*diagnosis MH - Prospective Studies MH - Retinal Ganglion Cells/*pathology MH - Tomography, Optical Coherence/*methods MH - *Visual Acuity MH - Visual Fields EDAT- 2019/07/31 06:00 MHDA- 2020/09/24 06:00 CRDT- 2019/07/31 06:00 PHST- 2018/05/02 00:00 [received] PHST- 2018/07/29 00:00 [revised] PHST- 2018/08/02 00:00 [accepted] PHST- 2019/07/31 06:00 [entrez] PHST- 2019/07/31 06:00 [pubmed] PHST- 2020/09/24 06:00 [medline] AID - S0008-4182(18)30481-2 [pii] AID - 10.1016/j.jcjo.2018.08.002 [doi] PST - ppublish SO - Can J Ophthalmol. 2019 Aug;54(4):495-500. doi: 10.1016/j.jcjo.2018.08.002. Epub 2018 Oct 17.