Speckle variance optical coherence tomography (SV-OCT) is an imaging algorithm for functional optical imaging. Optical coherence tomography is an imaging modality that uses low-coherence interferometry to obtain high resolution, depth-resolved volumetric images. OCT can be used to capture functional images of blood flow, a technique known as optical coherence tomography angiography (OCT-A). SV-OCT is one method for OCT-A that uses the variance of consecutively acquired images to detect flow at the micron scale. SV-OCT can be used to measure the microvasculature of tissue. In particular, it is useful in ophthalmology for visualizing blood flow in retinal and choroidal regions of the eye, which can provide information on the pathophysiology of diseases.