Longitudinal skeleton density and flow impairment maps of a treated eye.
(Case 1) A 65-year-old man received 212 Gy to the fovea
(right eye), with a range of 85 Gy to 250 Gy across the
standard 3 × 3-mm optical coherence tomography
angiogram (OCTA). OCTAs were acquired at postoperative
months (POMs) 14, 26, and 30. The visual acuity of the
treated eye at these dates was 20/25, 20/25, and 20/80, respectively.
The visual acuity of the fellow eye at the same time points (OCTA
images not shown) was 20/25, 20/20, and 20/25, respectively. In
the skeletonized image, impaired perfusion is visible inferiorly at POM
26 compared with POM 14, with worsening perfusion at POM 30
(column 1). The loss of skeleton density is more clearly
visualized in the heat map (column 2). Warmer colors
reflect areas of greater vessel skeleton density, with relative
differences defined on the color scale. A parallel trend is seen in the
flow impairment region images (column 3).