Table 2b. Study Outcomes for Regional Analysis.
Outcome | Source Modality† | Definition | Variable Type‡ | |
---|---|---|---|---|
Drusen Load | RPE drusen complex volume (RPEDC, mm3) | SD OCT | Drusen-RPE combined volume; volume between the inner border of the RPE and outer border of Bruchs membrane14 | Continuous |
OCT drusen volume (mm3) | SD OCT | Volume of RPEDC abnormal thickening ≥3 SD from the mean of a normative dataset for each pixel location in non-AMD eyes14,18 | Continuous | |
Preatrophy* | RPEDC abnormal thinning volume (RAT, ×10−3, mm3) | SD OCT | Volume of RPEDC abnormal thinning ≤2 SD from the mean of a normative dataset for each pixel location in non-AMD eyes14,18 | Continuous |
PRL thinning above drusen | SD OCT | Loss of volume of region between inner aspect of the outer plexiform layer and inner border of RPEDC above drusen compared with adjacent tissue; measured by outer plexiform layer dipping toward RPE | Binary | |
PRL thinning without drusen | SD OCT | Loss of volume of region between inner aspect of the outer plexiform layer and inner border of RPEDC not associated with drusen compared with adjacent tissue; measured by outer plexiform layer dipping toward RPE | Binary | |
Ellipsoid zone loss | SD OCT | Ellipsoid zone loss or disruption in the presence or absence of other pathologies | Binary | |
RPE atrophy | SD OCT | A complete absence of RPE or contour break with PRL loss | Binary | |
Choroidal increased signal | SD OCT | Increased choroidal signal relative to adjacent areas | Binary | |
Neovascular | IRF | SD OCT | Round or oval hyporeflective areas within the retinal layers usually located within the nuclear layers | Binary |
SRF | SD OCT | Area of low reflectivity (less than or comparable to the vitreous gel) between the outer surface of the retina and the RPE | Binary | |
Other | Subretinal lesions | SD OCT | CNV and pathology occurring beneath the layers of neurosensory retina and anterior to the RPE, including reticular pseudodrusen, subretinal hyperreflective material, presumed vitelliform lesion, scar, and hemorrhage20,21 | Binary |
Hyperreflective foci | SD OCT | Focal, well-circumscribed hyperreflective lesions within the neurosensory retina overlying drusen not associated with intraretinal vessels15 | Binary |
AMD = age-related macular degeneration; CNV = choroidal neovascularization; DA = disc area; ETDRS = Early Treatment Diabetic Retinopathy Study; IRF = intraretinal fluid; RAT = retinal pigment epithelium drusen complex abnormal thinning; RPE = retinal pigment epithelium; RPEDC = retinal pigment epithelium drusen complex; SD = standard deviation; SD OCT = spectral-domain optical coherence tomography; SRF = subretinal fluid.
Primary study outcomes.
Derived from SD OCT imaging; color photo = derived from color fundus photo using Wisconsin Age-Related Maculopathy Grading System.1