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Updated: Apr 1, 2026

Retinal Vascular Reactivity as Assessed by Optical Coherence Tomography Angiography
Published on: March 26, 2020
OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY IN EARLY TYPE 3 NEOVASCULARIZATION
Alexandra Miere1, Giuseppe Querques, Oudy Semoun
1Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, Université Paris EstCréteil, France.
Optical coherence tomography angiography reveals a distinct high-flow, tuft-shaped network in outer retinal proliferations associated with Type 3 neovascularization in age-related macular degeneration.
Area of Science:
- Ophthalmology
- Medical Imaging
- Retinal Diseases
Background:
- Exudative age-related macular degeneration (AMD) can lead to Type 3 neovascularization.
- Understanding the imaging characteristics of this condition is crucial for diagnosis and management.
Observation:
- This study analyzed optical coherence tomography angiography (OCTA) features in treatment-naive patients with early-stage Type 3 neovascularization.
- Conventional angiography and spectral domain optical coherence tomography were used for correlation.
Findings:
- OCTA consistently demonstrated a tuft-shaped, high-flow anastomosis originating from the deep capillary plexus in the outer retina.
- These lesions extended into the subretinal pigment epithelium space.
- A small, clue-like lesion in the choriocapillaris was observed in most cases, occasionally connected to the choroid.
Implications:
- OCTA provides detailed visualization of Type 3 neovascularization in exudative AMD.
- The characteristic findings on OCTA can aid in early and accurate diagnosis.
- Further research may explore therapeutic strategies targeting these specific vascular abnormalities.
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