Department of Ophthalmology, University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Eur J Ophthalmol. 2021 Nov;31(6):3190-3195. doi: 10.1177/1120672120982899. Epub 2020 Dec 18.
Regarding the effect of obesity on subfoveal choroidal thickness (CT) and peripapillary retinal nerve fiber layer (RNFL) thickness, controversial results have been reported in different patient groups. This study aimed to evaluate the effect of obesity on these parameters among young male subjects in comparison with age-matched non-obese healthy males.
This prospective, cross-sectional study included both eyes of 50 obese young males and 50 healthy non-obese young males. The obese and the non-obese groups included subjects with a BMI of ⩾30 and ⩽25 kg/m², respectively. Subfoveal choroidal thickness and RNFL analyses were conducted by spectral domain optical coherence tomography (SD-OCT).
Subfoveal choroidal thickness (321.0 ± 46.7 vs 338.4±35.3, = 0.002) and RNFL thickness at temporal quadrant (73.4 ± 9.9 vs 76.4 ± 9.3, = 0.008) was significantly lower in the obese group when compared to the non-obese group. The groups did not differ regarding peripapillary RNFL thickness at other quadrants (superior, inferior, or nasal) or regarding mean peripapillary RNFL thickness.
Findings of this study demonstrated a negative correlation of obesity with subfoveal choroidal thickness and temporal quadrant peripapillary RNFL thickness. Larger studies on different patient groups with longer-term follow-up are warranted to better elucidate the ophthalmological effects of obesity.
关于肥胖对黄斑中心凹下脉络膜厚度(CT)和视盘周围视网膜神经纤维层(RNFL)厚度的影响,不同患者群体的研究结果存在争议。本研究旨在评估肥胖对年轻男性这些参数的影响,并与年龄匹配的非肥胖健康男性进行比较。
这项前瞻性、横断面研究纳入了 50 名肥胖的年轻男性和 50 名健康的非肥胖年轻男性的双眼。肥胖组和非肥胖组分别包括 BMI ⩾30 和 ⩽25 kg/m²的受试者。使用频域光相干断层扫描(SD-OCT)进行黄斑中心凹下脉络膜厚度和 RNFL 分析。
与非肥胖组相比,肥胖组的黄斑中心凹下脉络膜厚度(321.0±46.7 对 338.4±35.3,=0.002)和颞侧象限的 RNFL 厚度(73.4±9.9 对 76.4±9.3,=0.008)显著降低。两组在其他象限(上方、下方或鼻侧)的视盘周围 RNFL 厚度或平均视盘周围 RNFL 厚度方面无差异。
本研究结果表明,肥胖与黄斑中心凹下脉络膜厚度和颞侧象限视盘周围 RNFL 厚度呈负相关。需要对不同患者群体进行更大规模的研究,并进行长期随访,以更好地阐明肥胖对眼科的影响。