Intrasession Repeatability and Intersession Reproducibility of Macular Vessel Parameters on Optical Coherence Tomography Angiography in Glaucomatous and Non-Glaucomatous Eyes.

Purpose: Using optical coherence tomography angiography (OCTA), this study compared intrasession repeatability versus intersession reproducibility of macular vessel parameters in glaucoma and non-glaucoma subjects.

Methods: 6 × 6 mm macular OCTA scans (Cirrus HD-OCT 5000) were acquired from glaucomatous and non-glaucomatous subjects as part of an observational, longitudinal study. Vessel area density (VAD) and vessel skeleton density (VSD) were calculated using research-based quantification software while perfusion density (PD) and vessel density (VD) were calculated using commercially developed software (Cirrus 11.0, Carl Zeiss Meditec). Intrasession repeatability and intersession reproducibility were determined using within-eye standard deviation (S), within-eye coefficient of repeatability (CR), within-eye coefficient of variation (CV), and intraclass correlation coefficients (ICC).

Results: The intrasession repeatability and intersession reproducibility for macular OCTA parameters were similar to one another for both non-glaucomatous and glaucomatous eyes. Intrasession CV from the non-glaucoma group ( = 73) was 1.097% for VAD, 1.007% for VSD, 2.980% for PD, and 2.714% for VDZ. Intersession CV from the non-glaucoma group ( = 55) was 1.389% for VAD, 1.279% for VSD, 2.935% for PD, and 2.695% for VD. Intrasession CV from the glaucoma group ( = 59) was 1.189% for VAD, 0.970% for VSD, 3.827% for PD, and 3.542% for VD. Intersession CV from the glaucoma group ( = 45) was 1.412% for VAD, 1.132% for VSD, 3.915% for PD, and 3.654% for VD. Non-glaucomatous intrasession ICC ranged from 0.711 to 0.824, non-glaucomatous intersession ICC ranged from 0.649 to 0.762, glaucomatous intrasession ICC ranged from 0.710 to 0.853, and glaucomatous intersession ICC ranged from 0.661 to 0.827.

Conclusions: Macular OCTA scans can be a useful tool in monitoring the longitudinal progression of glaucoma due to their high repeatability and reproducibility.