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Fractal analysis of retinal vasculature in normal subjects on ultra-wide field fluorescein angiography

International Journal of Ophthalmology(English edition) 2020年第7期13卷 1109-1114页

作者： Wen-Ying Fan Alan Fleming gavin robertson Akihito Uji Jano van Hemert Michael Singer Min Sagong Michael Ip SriniVas R.Sadda Beijing Tongren Eye Center Beijing Tongren HospitalBeijing Ophthalmology and Visual Sciences Key LaboratoryCapital Medical UniversityBeijing 100730China Doheny Image Reading Center Doheny Eye InstituteLos AngelesCA 90086USA Department of Ophthalmology David Geffen School of Medicine at UCLALos AngelesCA 90095USA Optos PLC Dunfermline KY118GRUnited Kingdom Department of Ophthalmology Medical Center Ophthalmology AssociatesSan AntonioTX 78258USA

AIM: To evaluate the fractal feature of the retinal vasculature of normal eyes on a stereographic projected and montaged ultra-wide field(UWF) fluorescein angiography(FA).METHODS: Prospective, observational, cross-sectional study. Totally 59 eyes of 31 normal subjects were imaged using the Optos 200 Tx. Images obtained at different gaze angles stereographically projected and montaged. The early-phase UWF FA frames were processed to segment the retinal vasculature and the results were exported as binary masks. The fractal dimension(FD) was calculated using the box-counting ***: The global FD for the entire retina was 1.6±0.04, with no difference between males and females(1.59±0.04 vs 1.61±0.04, P=0.084) or between right and left eyes(1.6±0.04 vs 1.6±0.05, P=0.61). FD was nonuniformly distributed among four quadrants(P0.05).CONCLUSION: Fractal geometry is non-uniformly distributed across the retina in normal eyes and decreases from the fovea to the far-periphery. Subjects with an older age tend to have a smaller FD, however, the FD in the farperiphery does not appear to be influenced by age.

关键词： fractal analysis retina ultra-wide field fluorescein angiography normal subject

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