OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY FINDINGS IN PATIENTS WITH CHRONIC THROMBOEMBOLIC PULMONARY HYPERTENSION.


Journal

Retina (Philadelphia, Pa.)
ISSN: 1539-2864
Titre abrégé: Retina
Pays: United States
ID NLM: 8309919

Informations de publication

Date de publication:
01 12 2022
Historique:
pubmed: 26 8 2022
medline: 22 11 2022
entrez: 25 8 2022
Statut: ppublish

Résumé

To investigate microvascular changes in the retina and choroid of chronic thromboembolic pulmonary hypertension (CTEPH) patients in comparison with healthy control subjects. This observational clinical cohort study included 36 CTEPH patients (72 eyes) and 65 healthy control subjects (130 eyes). Optical coherence tomography (OCT) and optical coherence tomography angiography images were obtained from each participant using the AngioVue Imaging System (Optovue, Inc, Freemont, CA). A number of differences were found in the CTEPH cohort, including reductions in mean vessel density at the deep vascular complex of the macula and a reduction in mean subfoveal choroidal thickness. Furthermore, the CTEPH group displayed an increase in foveal avascular zone. The presence of at least one systemic disease, including arterial hypertension, diabetes, chronic coronary syndrome, and/or hyperlipidemia, in CTEPH patients increased the range of vascular complications. The presence of comorbidity was concomitant with a decrease in mean vessel density in the superficial vascular complex of the macula, excluding the fovea, and a decrease in mean vessel density in the radial peripapillary capillary plexus. Measurements of the foveal avascular zone and vessel density of the DVC and subfoveal choroidal thickness may be useful and sensitive predictors of retinal and choroidal circulation impairment in CTEPH patients without systemic disease.

Identifiants

pubmed: 36007170
doi: 10.1097/IAE.0000000000003607
pii: 00006982-202212000-00015
doi:

Types de publication

Observational Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2354-2360

Références

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Auteurs

Przemysław Krajewski (P)

Ophthalmology Department, Infant Jesus Teaching Hospital, Medical University of Warsaw, Warsaw, Poland.

Monika Turczyńska (M)

Ophthalmology Department, Infant Jesus Teaching Hospital, Medical University of Warsaw, Warsaw, Poland.

Joanna Gołębiewska (J)

Ophthalmology Department, Military Institute of Aviation Medicine in Warsaw, Warsaw, Poland; and.

Marek Roik (M)

Internal Medicine and Cardiology Department, Infant Jesus Teaching Hospital, Medical University of Warsaw, Warsaw, Poland.

Joanna Brydak-Godowska (J)

Ophthalmology Department, Infant Jesus Teaching Hospital, Medical University of Warsaw, Warsaw, Poland.

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