Retinal structural-vascular-functional relationship using optical coherence tomography and optical coherence tomography - angiography in myopia.

Axial elongation Myopia OCT Optical coherence tomography angiography Spherical equivalent Structure Visual acuity

Journal

Eye and vision (London, England)
ISSN: 2326-0254
Titre abrégé: Eye Vis (Lond)
Pays: England
ID NLM: 101664982

Informations de publication

Date de publication:
2019
Historique:
received: 30 10 2018
accepted: 20 02 2019
entrez: 21 3 2019
pubmed: 21 3 2019
medline: 21 3 2019
Statut: epublish

Résumé

To examine the retinal structure-vascular-function relationship using optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) in myopia. This was a prospective cross-sectional study comprising 86 eyes of 45 individuals with varying axial lengths and spherical equivalents and no posterior segment abnormalities. All eyes underwent optical coherence tomography with the Spectralis SD-OCT and OCTA with RTVue-XR Avanti; Optovue. Individual macular retinal layer thicknesses and flow areas and vessel densities were measured on OCT and OCTA, respectively. Linear correlations were made between the macular layer thicknesses, flow areas and vessel densities with axial length, spherical equivalent and visual acuity. The participants' mean ages were 33.34 ± 14.45 years, mean spherical equivalent refractions were - 7.17 ± 5.71 D and axial lengths were 25.95 ± 2.41 mm. There were significant positive correlations of foveal angle (r = 0.757, The lateral retinal stretching in myopia could possibly explain the correlation between retinal layer thickness, vascular density and visual acuity in these eyes. Further research is required to investigate this.

Sections du résumé

BACKGROUND BACKGROUND
To examine the retinal structure-vascular-function relationship using optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) in myopia.
METHODS METHODS
This was a prospective cross-sectional study comprising 86 eyes of 45 individuals with varying axial lengths and spherical equivalents and no posterior segment abnormalities. All eyes underwent optical coherence tomography with the Spectralis SD-OCT and OCTA with RTVue-XR Avanti; Optovue. Individual macular retinal layer thicknesses and flow areas and vessel densities were measured on OCT and OCTA, respectively. Linear correlations were made between the macular layer thicknesses, flow areas and vessel densities with axial length, spherical equivalent and visual acuity.
RESULTS RESULTS
The participants' mean ages were 33.34 ± 14.45 years, mean spherical equivalent refractions were - 7.17 ± 5.71 D and axial lengths were 25.95 ± 2.41 mm. There were significant positive correlations of foveal angle (r = 0.757,
CONCLUSION CONCLUSIONS
The lateral retinal stretching in myopia could possibly explain the correlation between retinal layer thickness, vascular density and visual acuity in these eyes. Further research is required to investigate this.

Identifiants

pubmed: 30891464
doi: 10.1186/s40662-019-0133-6
pii: 133
pmc: PMC6404328
doi:

Types de publication

Journal Article

Langues

eng

Pagination

8

Déclaration de conflit d'intérêts

Approval was obtained from the Institutional review board and Ethics committee (ECR/187/Inst/Kar/2013/RR-16).The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given his consent for his/her images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published, and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.The authors declare that they have no competing interests.

Références

Graefes Arch Clin Exp Ophthalmol. 2004 Apr;242(4):284-8
pubmed: 14722781
Invest Ophthalmol Vis Sci. 2004 Oct;45(10):3380-6
pubmed: 15452039
Invest Ophthalmol Vis Sci. 2005 Mar;46(3):974-8
pubmed: 15728555
Ophthalmology. 2007 Jan;114(1):121-6
pubmed: 17070594
Invest Ophthalmol Vis Sci. 2007 Jan;48(1):376-82
pubmed: 17197557
Eye (Lond). 2008 Apr;22(4):551-5
pubmed: 17464309
Invest Ophthalmol Vis Sci. 2007 Sep;48(9):4079-86
pubmed: 17724190
Ophthalmology. 2008 Jun;115(6):949-56
pubmed: 17981334
Am J Ophthalmol. 2008 Nov;146(5):679-87
pubmed: 18707672
Science. 1991 Nov 22;254(5035):1178-81
pubmed: 1957169
Invest Ophthalmol Vis Sci. 2010 Jan;51(1):465-73
pubmed: 19696169
J Biomed Opt. 2009 Nov-Dec;14(6):064023
pubmed: 20059261
Invest Ophthalmol Vis Sci. 2010 Aug;51(8):3913-8
pubmed: 20357206
Graefes Arch Clin Exp Ophthalmol. 2010 Nov;248(11):1587-94
pubmed: 20502909
Retina. 2010 Jul-Aug;30(7):1046-50
pubmed: 20559157
Ophthalmology. 1991 May;98(5 Suppl):741-56
pubmed: 2062510
Invest Ophthalmol Vis Sci. 2011 Feb 03;52(2):669-78
pubmed: 20847122
Opt Express. 2010 Aug 30;18(18):19413-28
pubmed: 20940837
Klin Monbl Augenheilkd. 2011 Sep;228(9):771-9
pubmed: 21913146
J Biomed Opt. 2011 Dec;16(12):126006
pubmed: 22191923
Opt Express. 2012 Feb 13;20(4):4710-25
pubmed: 22418228
Retina. 2012 Jul;32(7):1229-36
pubmed: 22466466
J Biomed Opt. 2012 Jun;17(6):066013
pubmed: 22734769
Biomed Opt Express. 2012 Dec 1;3(12):3127-37
pubmed: 23243564
Br J Ophthalmol. 2013 Aug;97(8):1010-3
pubmed: 23766433
Ophthalmology. 2014 Jan;121(1):220-224
pubmed: 23870301
Jpn J Ophthalmol. 2014 Jan;58(1):86-93
pubmed: 24242185
PLoS One. 2013 Dec 02;8(12):e81343
pubmed: 24312549
Invest Ophthalmol Vis Sci. 2014 Jan 29;55(1):560-6
pubmed: 24408984
ScientificWorldJournal. 2014;2014:783525
pubmed: 25371914
Am J Ophthalmol. 2015 Jul;160(1):53-61.e2
pubmed: 25800454
Invest Ophthalmol Vis Sci. 2015 May;56(5):3212-7
pubmed: 26024105
Ophthalmology. 2015 Nov;122(11):2270-7
pubmed: 26299697
Ophthalmology. 2016 May;123(5):1036-42
pubmed: 26875007
BMJ Open. 2016 Mar 11;6(3):e010791
pubmed: 26969645
Am J Ophthalmol. 2017 Feb;174:56-67
pubmed: 27818204
Invest Ophthalmol Vis Sci. 2016 Nov 1;57(14):6020-6030
pubmed: 27820633
Retina. 2017 Dec;37(12):2289-2294
pubmed: 28098735
BMJ Open. 2017 Feb 3;7(2):e013571
pubmed: 28159853
Sci Rep. 2017 Feb 10;7:42201
pubmed: 28186181
Chin Med J (Engl). 2017 20th Feb;130(4):445-451
pubmed: 28218219
Invest Ophthalmol Vis Sci. 2017 Apr 1;58(4):2063-2069
pubmed: 28388703
J Ophthalmol. 2017;2017:1397179
pubmed: 29318037
JAMA Ophthalmol. 2018 May 1;136(5):507-513
pubmed: 29621390
Graefes Arch Clin Exp Ophthalmol. 2018 Aug;256(8):1419-1427
pubmed: 29876731

Auteurs

Ramesh Venkatesh (R)

1Department of Retina and Vitreous, Narayana Nethralaya, #121/C, 1st R Block, Chord RoadRajaji Nagar, Bengaluru, 560010 India.

Shivani Sinha (S)

1Department of Retina and Vitreous, Narayana Nethralaya, #121/C, 1st R Block, Chord RoadRajaji Nagar, Bengaluru, 560010 India.

Deepika Gangadharaiah (D)

1Department of Retina and Vitreous, Narayana Nethralaya, #121/C, 1st R Block, Chord RoadRajaji Nagar, Bengaluru, 560010 India.

Santosh G K Gadde (SGK)

1Department of Retina and Vitreous, Narayana Nethralaya, #121/C, 1st R Block, Chord RoadRajaji Nagar, Bengaluru, 560010 India.

Ashwin Mohan (A)

1Department of Retina and Vitreous, Narayana Nethralaya, #121/C, 1st R Block, Chord RoadRajaji Nagar, Bengaluru, 560010 India.

Rohit Shetty (R)

2Department of Cornea and Refractive surgery, Narayana Nethralaya, #121/C, 1st R Block, Chord Road, Rajaji Nagar, Bengaluru, 560010 India.

Naresh Kumar Yadav (NK)

1Department of Retina and Vitreous, Narayana Nethralaya, #121/C, 1st R Block, Chord RoadRajaji Nagar, Bengaluru, 560010 India.

Classifications MeSH