Swept Source Optical Coherence Tomography Compared to Ultrasound and Biomicroscopy for Diagnosis of Posterior Vitreous Detachment

Background: Biomicroscopy, B-scan ultrasound imaging, and SD-OCT are all modalities used to characterize a posterior vitreous detachment (PVD). Our objective is to assess the precision of the diagnosis of PVD by SS-OCT. Methods: This prospective observational study examines ninety-five eyes of forty-nine patients with biomicroscopy, B-scan ultrasound, and SS-OCT for the presence or absence of a complete PVD. All SS-OCT images were reviewed by two retina specialists (RWSC, ZM). All three diagnostic methods were evaluated for agreement by Cohen's kappa statistic. Results: The inter-rater reliability between retina specialists reading the SS-OCT images was 97.9% (kappa = 0.957). Agreement on PVD status between SS-OCT and biomicroscopy was 85.3% (kappa = 0.711). Agreement between SS-OCT and B-scan ultrasound was 83.2% (kappa = 0.667). Agreement between B-scan ultrasound and biomicroscopy was 87.4% (kappa = 0.743). Conclusion: For the diagnosis of complete PVD, SS-OCT allows for high accuracy and agreement between graders.