Reproducibility and repeatability of foveal avascular zone area measurements using swept-source optical coherence tomography angiography in healthy subjects

Eur J Ophthalmol. 2017 May 11;27(3):336-341. doi: 10.5301/ejo.5000858. Epub 2016 Sep 9.

Abstract

Purpose: To assess the reproducibility and repeatability of foveal avascular zone (FAZ) area measurements using swept-source optical coherence tomography angiography (SS-OCTA) in healthy subjects.

Methods: Sixty-four eyes of 64 healthy volunteers were randomly subjected to FAZ area measurements using SS-OCTA by 2 examiners in 2 different sessions.

Results: The FAZ areas measured by the first and second observer were 0.269 ± 0.092 mm2 and 0.270 ± 0.090 mm2, respectively. Within subjects, the coefficients of variations were 2.44% (95% confidence interval [CI] 1.95% to 2.93%) and 2.66% (95% CI 2.00% to 3.31%) for the first and second observers, respectively. The coefficient of repeatability average measurements of FAZ area were 0.021 mm2 and 0.024 mm2. The intraclass correlation coefficient values were 0.993 (95% CI 0.989 to 0.996) and 0.991 (95% CI 0.986 to 0.995). Interobserver and intraobserver concordance correlation coefficients ranged from 0.998 (95% CI 0.997 to 0.999) to 0.999 (95% CI 0.998 to 0.999) and from 0.989 (95% CI 0.982 to 0.993) to 0.987 (95% CI 0.979 to 0.992), respectively.

Conclusions: The FAZ area measurements by means of SS-OCTA showed high reproducibility and repeatability in healthy eyes.

MeSH terms

  • Adult
  • Female
  • Fluorescein Angiography / methods*
  • Fovea Centralis / cytology*
  • Fundus Oculi
  • Healthy Volunteers
  • Humans
  • Male
  • Middle Aged
  • ROC Curve
  • Reproducibility of Results
  • Retinal Vessels / cytology*
  • Tomography, Optical Coherence / methods*
  • Young Adult