As optical coherence tomography angiography is revolutionizing the ophthalmology world, the
uveitis community is learning to understand where and how this new powerful imaging tool fits into the management of the panorama of ocular
inflammations and
infections. A non-invasive method of studying the
retinal and choroidal vasculature, OCTA allows for the assessment of vessel density changes during active and inactive
uveitis making it the natural imaging application of choice in
uveitis clinical trials. However, these data and results are of limited utility to the ophthalmologists who are looking to apply OCTA in their everyday
uveitis clinic. If employed strategically, OCTA can be a powerful tool for the
uveitis specialist to evaluate iris involvement in viral
uveitis; to assess the integrity of the vascular layers in the settings of
white dot syndromes; to distinguish inflammatory
choroidal neovascularization from outer
retinal avascular inflammatory material; and to diagnose and follow infectious choroidal
granulomas and satellite foci of chorioretinal
inflammation without the need to administer
dyes. The present review will analyze all the recent publications that apply OCTA in
uveitis to offer the reader a guide on how to maximize the utility of this imaging modality in a clinical practice.