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Updated: Jan 17, 2026

Retinal Vascular Reactivity as Assessed by Optical Coherence Tomography Angiography
Published on: March 26, 2020
Optical coherence tomography and optical coherence tomography angiography in systemic disease
David J Merriott1, Devayu Parikh1, Michael J Najac1
1Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USA.
Optical coherence tomography (OCT) and OCT angiography (OCTA) can reveal systemic diseases like cardiovascular and autoimmune conditions. These imaging techniques show potential for diagnosing and monitoring disease progression noninvasively.
Area of Science:
- Ophthalmology
- Medical Imaging
- Systemic Disease Diagnosis
Background:
- Optical coherence tomography (OCT) and OCT angiography (OCTA) are increasingly used in ophthalmology.
- Systemic diseases often have detectable manifestations on OCT and OCTA.
- These imaging modalities offer a noninvasive window into systemic health.
Purpose of the Study:
- To review how various systemic diseases manifest on OCT and OCTA.
- To highlight the diagnostic and monitoring potential of OCT and OCTA for systemic conditions.
- To identify current limitations and future research needs in the field.
Main Methods:
- Literature review of studies reporting systemic disease findings on OCT and OCTA.
- Analysis of manifestations across cardiovascular, neurodegenerative, neoplastic, infectious, and autoimmune diseases.
- Synthesis of current evidence on the utility of OCT and OCTA in systemic disease.
Main Results:
- OCT and OCTA findings are associated with a wide range of systemic diseases.
- These imaging techniques show promise for early diagnosis and tracking disease progression.
- Evidence suggests OCT and OCTA can aid in monitoring treatment response.
Conclusions:
- OCT and OCTA are valuable tools for detecting and monitoring systemic diseases.
- Further research with standardized protocols and larger cohorts is needed.
- These imaging modalities are poised to play a significant role in noninvasive systemic disease management.
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