Clinical Ophthalmology (Feb 2021)
Swept Source Optical Coherence Tomography Compared to Ultrasound and Biomicroscopy for Diagnosis of Posterior Vitreous Detachment
Abstract
Marlene D Wang, Cecile Truong, Zaid Mammo, Syed Amal Hussnain, Royce WS Chen Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University Irving Medical Center, New York, NY, 10032, USACorrespondence: Royce WS ChenEdward S. Harkness Eye Institute, Columbia University Irving Medical Center, 635 W 165th St, New York, NY, 10032, USATel +1 212-342-4570Email [email protected]: Biomicroscopy, B-scan ultrasound imaging, and SD-OCT are all modalities used to characterize a posterior vitreous detachment (PVD). Our objective is to assess the precision of the diagnosis of PVD by SS-OCT.Methods: This prospective observational study examines ninety-five eyes of forty-nine patients with biomicroscopy, B-scan ultrasound, and SS-OCT for the presence or absence of a complete PVD. All SS-OCT images were reviewed by two retina specialists (RWSC, ZM). All three diagnostic methods were evaluated for agreement by Cohen’s kappa statistic.Results: The inter-rater reliability between retina specialists reading the SS-OCT images was 97.9% (κ = 0.957). Agreement on PVD status between SS-OCT and biomicroscopy was 85.3% (κ = 0.711). Agreement between SS-OCT and B-scan ultrasound was 83.2% (κ = 0.667). Agreement between B-scan ultrasound and biomicroscopy was 87.4% (κ = 0.743).Conclusion: For the diagnosis of complete PVD, SS-OCT allows for high accuracy and agreement between graders.Keywords: optical coherence tomography, swept source, posterior vitreous detachment
