En face OCT of uncomplicated angioid streaks

PurposeThe Optical Coherence Tomography (OCT) is not a good diagnostic method for uncomplicated angioid streaks. Even the most better resolution imaging forms such as Spectral Domain OCT or Swept Source OCT has no sufficient resolution to distinguish the locations of small splines. The aim of this study is to report the imaging characteristics of uncomplicated angioid streaks using en face Spectral Domain OCT (SD‐OCT).MethodsPatients with uncomplicated angioid streaks were imaged using Spectralis SD‐OCT. A macular cube composed of 248 μm 20° × 15° 19‐line raster scans was obtained. En face SD‐OCT characteristics were evaluated by taking images at the retinal pigment epithelium level taking into account all its thickness.ResultsLarge angioid streaks are visible in en‐face SD‐OCT as a hiporreflective groove structure, representing the pigment epithelium, surrounded by a hiperreflective area that corresponds to its absence.ConclusionsSD‐OCT en face imaging can be used in clinical practice to identify and follow patients with uncomplicated angioid streaks. ‘Follow‐up’ functions of the SD‐OCT may help in the future to better understantd the behavior of these lesions.