A novel strategy for quantification of panoramic en face optical coherence tomography angiography scan field

  • Shin Kadomoto
  • Akihito UjiEmail author
  • Yuki Muraoka
  • Tadamichi Akagi
  • Manabu Miyata
  • Akitaka Tsujikawa
Retinal Disorders



To compare the retinal area measured on a panoramic en face optical coherence tomography angiography (OCTA) image with that on an ultra-widefield fluorescein angiography (UWF FA) image.


Sixteen eyes (11 with branch retinal vein occlusion, 2 with central retinal vein occlusion, 1 with branch retinal artery occlusion, and 2 with hypertensive retinopathy) were included in this study. A panoramic en face OCTA image was created from five single non-panoramic en face OCTA 12 × 12-mm images. The panoramic OCTA image was superimposed on the corresponding UWF FA image after image registration; the total retinal area was measured using the grid displayed on the UWF FA image. The area on the UWF FA image was measured using stereographic projection software.


The area of retina measured on a single non-panoramic 12 × 12-mm en face OCTA image, a panoramic en face OCTA image, and a UWF FA image was 152.4 ± 3.4 mm2, 369.6 ± 26.9 mm2, and 813.1 ± 24.4 mm2, respectively (P < 0.0001). The panoramic OCTA image was 2.42-fold larger than a single non-panoramic 12 × 12-mm OCTA image and 0.46-fold smaller than a UWF FA image.


Grid-based measurements using an OCTA image superimposed on the UWF FA image enabled measurement on the panoramic en face OCTA image with minimum influence of magnification errors because of the curved surface of the retina.


Optical coherence tomography angiography Ultra-widefield Panoramic Fluorescein angiography 


Compliance with ethical standards

Conflicts of interest

Shin Kadomoto, None; Akihito Uji, Alcon (R), Senju (R), Canon (R); Yuki Muraoka, Bayer (R), Novartis Pharma K.K. (R), Senju (R), Nidek (R); Tadamichi Akagi, Alcon (R), Kowa (R), Pfizer (R), Santen (R), Senju (R), Canon (R); Manabu Miyata, Alcon (R), Santen (R); Akitaka Tsujikawa, Pfizer (F, R), Novartis Pharma K.K. (F, R), Bayer (F, R), Alcon (F, R), Santen (F, R), Senju (F, R), Nidek (R), Kowa (F, R), Hoya (F, R), AMO Japan (F, R).

Ethical approval

All procedures were performed in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Meeting presentations


Supplementary material

417_2019_4310_Fig6_ESM.png (1.5 mb)

Appearance and grid scale of the model eye. (A) Appearance of the model eye used for measurement of the area of the en face OCTA image. (B) The model eye attached to the Optos 200Tx imaging system using the zig which could fix the model eye in the appropriate position.(C) The fundus image of the model eye obtained by using the Optos 200Tx imaging system. The fundus was covered with a grid with spatial intervals of approximately 500 μm. (PNG 1495 kb)

417_2019_4310_MOESM1_ESM.tiff (5.4 mb)
High Resolution Image (TIFF 5552 kb)


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Shin Kadomoto
    • 1
  • Akihito Uji
    • 1
    Email author
  • Yuki Muraoka
    • 1
  • Tadamichi Akagi
    • 1
  • Manabu Miyata
    • 1
  • Akitaka Tsujikawa
    • 1
  1. 1.Department of Ophthalmology and Visual SciencesKyoto University Graduate School of MedicineKyotoJapan

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