OCT‐A: Diagnosis and management of surgical macular pathologies

Abstract

SummaryThe aim of the coarse is to demonstrate, using OCT‐A, the most frequent clinical issues for various pathologies of the macular vitreoretinal interface et their typical evolution following an appropriate surgery.OCT angiography (OCT‐A) enable the simultaneous monitoring of the macular anatomic changes, the macular micro‐circulation and flow, allowing the correlation of the functional to the anatomical outcomes during the progression of the anatomical damage as well as their recovery following surgery.OCT‐A indicate and improvement or the resolution the macular contour, associated with the improvement of the perifoveal capillary arcade distortion. The preoperative intraretinal cystoid changes, associated to ischemic changes mainly of the deep capillaries plexus, regresses following surgery. In addition the regression of the associated cystoid inner retinal cystoid changes is associated with the recovery of the superficial and deep capillaries integrity.OCT‐A evaluation following vitrectomy, demonstrated the transient anatomical and ischemic changes of the inner retina, reversible following an appropriate surgery.