Ophthalmology · Ophthalmic Imaging and Investigations (OCT, FFA, B-scan, Perimetry, Biometry, Topography)

Optical coherence tomography angiography (OCTA) differs from conventional FFA in that it:

  • A Requires intravenous fluorescein dye injection for retinal vasculature imaging
  • B Is the gold standard for detecting active choroidal neovascularization leakage
  • C Can detect choriocapillaris flow without intravenous dye and provides depth-resolved vascular maps
  • D Provides better assessment of optic disc pallor than FFA
Correct answer: C. Can detect choriocapillaris flow without intravenous dye and provides depth-resolved vascular maps

Explanation

OCTA is a non-invasive imaging modality that detects erythrocyte motion using sequential B-scan OCT images to produce depth-resolved vascular flow maps of the retina and choroid without dye injection. FFA requires intravenous fluorescein and detects leakage but not layer-specific flow. While OCTA shows the structural extent of CNV, FFA remains superior for detecting active leakage. OCTA does not assess disc pallor.

Reference: Khurana Comprehensive Ophthalmology, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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