Abstract
<jats:p>Optical coherence tomography (OCT) is widely used for retinal disease assessment, but automated quantitative analysis remains challenging because of anatomical variability and noisy imaging conditions. This study presents an interpretable OCT classification framework based on four anatomically guided retinal layers, combining preprocessing, adaptive segmentation, targeted feature engineering, and supervised classification to identify Normal, CNV, DME, and Drusen cases. Layer-specific descriptors included statistical, derivative, fluid-related, and GLCM texture markers. Feature correlation and ranking analyses showed that the proposed descriptors were highly complementary, that the most informative features were concentrated in layers 2 and 4, and that layers 1 and 3 contributed supportive structural information. Among the evaluated classifiers, the neural network performed best, achieving an accuracy of 98.17%, sensitivity of 97.88%, specificity of 99.38%, and AUC of 0.9985. Computational analysis showed efficient training and inference, with a total training time of 2216.3 s, prediction speed of approximately 160000 observations per second, and a compact model size of about 11 kB. These results demonstrated that anatomically guided feature extraction can provide accurate, efficient, and interpretable OCT disease classification, offering a practical alternative to less transparent end-to-end deep learning approaches.</jats:p>