  Optical coherence tomography (OCT) has become the most important imaging
modality in ophthalmology. A substantial amount of research has recently been
devoted to the development of machine learning (ML) models for the
identification and quantification of pathological features in OCT images. Among
the several sources of variability the ML models have to deal with, a major
factor is the acquisition device, which can limit the ML model's
generalizability. In this paper, we propose to reduce the image variability
across different OCT devices (Spectralis and Cirrus) by using CycleGAN, an
unsupervised unpaired image transformation algorithm. The usefulness of this
approach is evaluated in the setting of retinal fluid segmentation, namely
intraretinal cystoid fluid (IRC) and subretinal fluid (SRF). First, we train a
segmentation model on images acquired with a source OCT device. Then we
evaluate the model on (1) source, (2) target and (3) transformed versions of
the target OCT images. The presented transformation strategy shows an F1 score
of 0.4 (0.51) for IRC (SRF) segmentations. Compared with traditional
transformation approaches, this means an F1 score gain of 0.2 (0.12).
