QUANTITATIVE TOPOGRAPHIC CURVATURE MAPS OF THE POSTERIOR EYE UTILIZING OPTICAL COHERENCE TOMOGRAPHY

• Published in: Retina (Philadelphia, Pa.) Vol. 41; no. 4; p. 804
• Main Authors: McNabb, Ryan P, Liu, Alice S, Gospe, 3rd, Sidney M, El-Dairi, Mays, Meekins, Landon C, James, Charlene, Vann, Robin R, Izatt, Joseph A, Kuo, Anthony N
• Format: Journal Article
• Language: English
• Published: United States 01.04.2021
• Subjects: Adult; Diagnostic Techniques, Ophthalmological; Female; Humans; Male; Middle Aged; Myopia, Degenerative - diagnostic imaging; Myopia, Degenerative - pathology; Papilledema - diagnostic imaging; Papilledema - pathology; Posterior Eye Segment - diagnostic imaging; Posterior Eye Segment - pathology; Retina - diagnostic imaging; Tomography, Optical Coherence
• ISSN: 1539-2864
• DOI: 10.1097/iae.0000000000002897

Deformations of the retina such as staphylomas in myopia or scleral flattening in high intracranial pressure can be challenging to quantify with en face imaging. We describe an optical coherence tomography-based method for the generation of quantitative posterior eye topography maps in normal and pathologic eyes. Using "whole eye" optical coherence tomography, we corrected for subjects' optical distortions to generate spatially accurate posterior eye optical coherence tomography volumes and created local curvature (KM, mm-1) topography maps for each consented subject. We imaged nine subjects, three normal, two with myopic degeneration, and four with papilledema including one that was imaged longitudinally. Normal subjects mean temporal KM was 0.0923 mm-1, nasal KM was 0.0927 mm-1, and KM local variability was 0.0162 mm-1. In myopic degeneration, subjects KM local variability was higher at 0.0836 mm-1. In papilledema subjects nasal KM was flatter compared with temporal KM (0.0709 vs. 0.0885 mm-1). Mean intrasession KM repeatability for all subjects was 0.0036 mm-1. We have developed an optical coherence tomography based method for quantitative posterior eye topography that offers the ability to analyze local curvature with micron scale resolution and offers the potential to help clinicians and researchers characterize subtle, local retinal deformations earlier in patients and follow their development over time.