Abstract
The development of accurate methods for OCT image analysis is highly dependent on the availability of large annotated datasets. As such datasets are usually expensive and hard to obtain, novel approaches based on deep generative models have been proposed for data augmentation. In this work, a flow-based network (SRFlow) and a generative adversarial network (ESRGAN) are used for synthesizing high-resolution OCT B-scans from low-resolution versions of real OCT images. The quality of the images generated by the two models is assessed using two standard fidelity-oriented metrics and a learned perceptual quality metric. The performance of two classification models trained on real and synthetic images is also evaluated. The obtained results show that the images generated by SRFlow preserve higher fidelity to the ground truth, while the outputs of ESRGAN present, on average, better perceptual quality. Independently of the architecture of the network chosen to classify the OCT B-scans, the model's performance always improves when images generated by SRFlow are included in the training set.

Abstract
Artificial intelligence (AI) models have received considerable attention in recent years for their ability to identify optical coherence tomography (OCT) biomarkers with clinical diagnostic potential and predict disease progression. This study aims to externally validate a deep learning (DL) algorithm by comparing its segmentation of retinal layers and fluid with a gold-standard method for manually adjusting the automatic segmentation of the Heidelberg Spectralis HRA + OCT software Version 6.16.8.0. A total of sixty OCT images of healthy subjects and patients with intermediate and exudative age-related macular degeneration (AMD) were included. A quantitative analysis of the retinal thickness and fluid area was performed, and the discrepancy between these methods was investigated. The results showed a moderate-to-strong correlation between the metrics extracted by both software types, in all the groups, and an overall near-perfect area overlap was observed, except for in the inner segment ellipsoid (ISE) layer. The DL system detected a significant difference in the outer retinal thickness across disease stages and accurately identified fluid in exudative cases. In more diseased eyes, there was significantly more disagreement between these methods. This DL system appears to be a reliable method for accessing important OCT biomarkers in AMD. However, further accuracy testing should be conducted to confirm its validity in real-world settings to ultimately aid ophthalmologists in OCT imaging management and guide timely treatment approaches.

Abstract
The segmentation of the foveal avascular zone (FAZ) in optical coherence tomography angiography (OCTA) images plays a crucial role in diagnosing and monitoring ocular diseases such as diabetic retinopathy (DR) and age-related macular degeneration (AMD). However, accurate FAZ segmentation remains challenging due to image quality and variability. This paper provides a comprehensive review of FAZ segmentation techniques, including traditional image processing methods and recent deep learning-based approaches. We propose two novel deep learning methodologies: a multitask learning framework that integrates vessel and FAZ segmentation, and a conditionally trained network that employs vessel-aware loss functions. The performance of the proposed methods was evaluated on the OCTA-500 dataset using the Dice coefficient, Jaccard index, 95% Hausdorff distance, and average symmetric surface distance. Experimental results demonstrate that the multitask segmentation framework outperforms existing state-of-the-art methods, achieving superior FAZ boundary delineation and segmentation accuracy. The conditionally trained network also improves upon standard U-Net-based approaches but exhibits limitations in refining the FAZ contours.