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2017 ; 8
(3
): 1803-1822
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Adaptive optics optical coherence tomography angiography for morphometric
analysis of choriocapillaris Invited
#MMPMID28663867
Kurokawa K
; Liu Z
; Miller DT
Biomed Opt Express
2017[Mar]; 8
(3
): 1803-1822
PMID28663867
show ga
Histological studies have shown that morphometric changes at the microscopic
level of choriocapillaris (CC) occur with aging and disease onset, and therefore
may be sensitive biomarkers of outer retinal health. However, visualizing CC at
this level in the living human eye is challenging because its microvascular is
tightly interconnected and weakly reflecting. In this study, we address these
challenges by developing and validating a method based on adaptive optics optical
coherence tomography with angiography (AO-OCTA) that provides the necessary 3D
resolution and image contrast to visualize and quantify these microscopic
details. The complex network of anastomotic CC capillaries was successfully
imaged in nine healthy subjects (26 to 68 years of age) and at seven retinal
eccentricities across the macula. Using these images, four fundamental
morphometric parameters of CC were characterized: retinal pigment
epithelium-to-CC depth separation (17.5 ± 2.1 µm), capillary diameter (17.4 ± 2.3
µm), normalized capillary density (0.53 ± 0.08), and capillary length per unit
area (50.4 ± 9.5 mm(-1)). AO-OCTA results were consistent with histologic studies
and, unlike OCTA, showed clear delineation of CC capillaries, a requirement for
measuring three of the four morphometric parameters. Success in younger and older
eyes establishes a path for testing aging and disease effects in larger
populations. To the best of our knowledge, this is the first quantitative
morphometry of choriocapillaris at the level of individual capillaries in the
living human retina.