Department of Ophthalmology, Kayseri City Hospital, Kayseri, Turkey.
Department of Ophthalmology, Mardin Kızıltepe State Hospital, Mardin, Turkey.
Eur J Ophthalmol. 2021 Mar;31(2):578-583. doi: 10.1177/1120672120902025. Epub 2020 Feb 3.
To investigate the effects of vitamin D deficiency on peripapillary choroidal thickness and retinal nerve fiber layer thickness.
Patients diagnosed with vitamin D deficiency but not yet treated for it (Group 1) and patients with normal vitamin D levels (Group 2) were included in this study. Subjects with any kind of eye disease and/or systemic disease were excluded from this study. Demographic characteristics of the patients were collected, and the subfoveal choroidal thickness, central foveal thickness, retinal nerve fiber layer thickness, and peripapillary choroidal thickness were measured using optical coherence tomography.
The mean ages in Groups 1 and 2 were 30.5 ± 6.7 and 28 ± 5.78 years (p = 0.12), respectively, and female to male ratios were 19/11 and 17/13, respectively (p = 0.59). The mean vitamin D levels were 8.2 ± 2.5 and 28 ± 4.9 ng/mL in Groups 1 and 2, respectively (p <0.001). In Group 1, subfoveal choroidal thickness and nasal and inferior peripapillary choroidal thicknesses at 500 µm were 327.5 ± 81.4, 142.9 ± 40, and 140.66 ± 38.74 µm, respectively. For Group 2, these values were 407.1 ± 85.5, 189.3 0 ± 57.18, and 195.93 ± 67.58 µm, respectively (p <0.001, p = 0.001, and p <0.001, respectively). In addition, a positive correlation was found between vitamin D levels and the subfoveal choroidal thickness and nasal and inferior peripapillary choroidal thicknesses in all patients (r = 0.365, p = 0.005; r = 0.341, p = 0.008; and r = 0.370, p = 0.004, respectively).
Subfoveal choroidal thickness and inferior and nasal peripapillary choroidal thicknesses decreased in patients with vitamin D deficiency.
探讨维生素 D 缺乏对眼周脉络膜厚度和视网膜神经纤维层厚度的影响。
本研究纳入了未经治疗的维生素 D 缺乏症患者(第 1 组)和维生素 D 水平正常的患者(第 2 组)。排除了有任何眼部疾病和/或系统性疾病的患者。收集患者的人口统计学特征,并使用光学相干断层扫描测量黄斑中心凹下脉络膜厚度、中心凹视网膜厚度、视网膜神经纤维层厚度和视盘周围脉络膜厚度。
第 1 组和第 2 组的平均年龄分别为 30.5±6.7 岁和 28.0±5.78 岁(p=0.12),女性与男性的比例分别为 19/11 和 17/13(p=0.59)。第 1 组和第 2 组的平均维生素 D 水平分别为 8.2±2.5 和 28.0±4.9ng/ml(p<0.001)。在第 1 组中,黄斑中心凹下脉络膜厚度和鼻侧及下方视盘周围脉络膜厚度 500μm 处分别为 327.5±81.4μm、142.9±40μm 和 140.66±38.74μm。对于第 2 组,这些值分别为 407.1±85.5μm、189.30±57.18μm 和 195.93±67.58μm(p<0.001、p=0.001 和 p<0.001)。此外,所有患者的维生素 D 水平与黄斑中心凹下脉络膜厚度和鼻侧及下方视盘周围脉络膜厚度均呈正相关(r=0.365,p=0.005;r=0.341,p=0.008;r=0.370,p=0.004)。
维生素 D 缺乏症患者的黄斑中心凹下脉络膜厚度和下方及鼻侧视盘周围脉络膜厚度均降低。