Retinal applications of swept source optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA)

• Published in: Progress in retinal and eye research Vol. 84; p. 100951
• Main Authors: Laíns, Inês, Wang, Jay C., Cui, Ying, Katz, Raviv, Vingopoulos, Filippos, Staurenghi, Giovanni, Vavvas, Demetrios G., Miller, Joan W., Miller, John B.
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.09.2021
• Subjects: Choroid; Imaging; Optical coherence tomography; Optical coherence tomography angiography; Retina; Swept source; Vitreous; Vitreous; Swept source; Optical coherence tomography; Optical coherence tomography angiography; Imaging; Retina; Choroid
• ISSN: 1350-9462; 1873-1635
• DOI: 10.1016/j.preteyeres.2021.100951

The advent of optical coherence tomography (OCT) revolutionized both clinical assessment and research of vitreoretinal conditions. Since then, extraordinary advances have been made in this imaging technology, including the relatively recent development of swept-source OCT (SS-OCT). SS-OCT enables a fast scan rate and utilizes a tunable swept laser, thus enabling the incorporation of longer wavelengths than conventional spectral-domain devices. These features enable imaging of larger areas with reduced motion artifact, and a better visualization of the choroidal vasculature, respectively. Building on the principles of OCT, swept-source OCT has also been applied to OCT angiography (SS-OCTA), thus enabling a non-invasive in depth-resolved imaging of the retinal and choroidal microvasculature. Despite their advantages, the widespread use of SS-OCT and SS-OCTA remains relatively limited. In this review, we summarize the technical details, advantages and limitations of SS-OCT and SS-OCTA, with a particular emphasis on their relevance for the study of retinal conditions. Additionally, we comprehensively review relevant studies performed to date to the study of retinal health and disease, and highlight current gaps in knowledge and opportunities to take advantage of swept source technology to improve our current understanding of many medical and surgical chorioretinal conditions. We anticipate that SS-OCT and SS-OCTA will continue to evolve rapidly, contributing to a paradigm shift to more widespread adoption of new imaging technology to clinical practice. •Swept source (SS) OCT/OCTA provide high speed and deep resolution.•These features allow simultaneous imaging of the vitreous, retina and choroid.•We critically reviewed SS-OCT/SS-OCTA applications to studying vitreoretinal conditions.•Wider use of SS-OCT/OCTA can increase the current understanding of retinal diseases.