Nailfold capillary morphology and platelet function in patients with exfoliative glaucoma.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2019
Historique:
received: 22 12 2018
accepted: 25 06 2019
entrez: 10 7 2019
pubmed: 10 7 2019
medline: 3 3 2020
Statut: epublish

Résumé

The purpose of the present study was to evaluate the nailfold capillary morphological features in patients with exfoliative glaucoma (XFG) and compare them with those pertaining to primary open-angle glaucoma (POAG), normal controls and subjects with exfoliation syndrome (XFS). The second purpose was to investigate all parameters related to platelet function on the hemogram, including the platelet count (PLT), the mean platelet volume (MPV), platelet distribution width (PDW), and plateletcrit (PCT) in patients with XFG. These parameters were subsequently compared with those belonging to normal controls, POAG and XFS subjects. This case control study involved 152 consecutive patients that were examined at the Glaucoma Department of Clinic for Eye Diseases, Clinical Centre of Serbia, as the referral center for glaucoma in Serbia, between June 2016 and December 2017. Regarding capillaroscopic characteristics, statistically significant difference was found in capillary diameter and tortuosity between the XFG and POAG group (p = 0.050 and p = 0.035) and the XFG and NC group (p = 0.003 and p = 0.044), as well as in the distribution of capillary loops and avascular zones between the XFG and NC group (p = 0.014 and p = 0.004). The subjects with XFG had lower PLT values compared to POAG patients (p = 0.022). In conclusion, to the best of our knowledge, this study marks the first attempt to evaluate capillary morphology as well as to investigate all parameters related to platelet function on the hemogram, in patients with newly diagnosed XFG. Our findings revealed nailfold capillary morphological vascular changes in XFG patients. The subjects with XFG had lower PLT values and a higher MPV serum parameter compared to normal controls and patients with POAG. Further research in this field should therefore aim to evaluate the consequences of the aforementioned microvascular abnormalities in patients with XFG.

Identifiants

pubmed: 31287835
doi: 10.1371/journal.pone.0219505
pii: PONE-D-18-36660
pmc: PMC6615605
doi:

Substances chimiques

Biomarkers 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0219505

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Vesna Maric (V)

Clinic for Eye Diseases, Clinical Center of Serbia, Belgrade, Serbia.
Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

Anita Grgurevic (A)

Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

Andja Cirkovic (A)

Department for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

Sanja Stankovic (S)

Center for Medical Biochemistry, Clinical Center of Serbia, Belgrade, Serbia.

Ivan Marjanovic (I)

Clinic for Eye Diseases, Clinical Center of Serbia, Belgrade, Serbia.
Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

Jovica Milovanovic (J)

Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Clinic of Otorhinolaryngology and Maxilofacial Surgery, Clinical Center of Serbia, Belgrade, Serbia.

Andjela Milovanovic (A)

Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Clinic for Medical Rehabilitation, Clinical Center of Serbia, Belgrade, Serbia.

Marija Bozic (M)

Clinic for Eye Diseases, Clinical Center of Serbia, Belgrade, Serbia.
Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

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