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单侧息肉样脉络膜血管病变对侧眼脉络膜毛细血管血流缺失的特征

The characteristics of choriocapillaris flow void in the unilateral polypoidal choroidal vasculopathy fellow eyes.

作者信息

Wu Huajui, Sugano Yukinori, Itagaki Kanako, Kasai Akihito, Shintake Hiroaki, Sekiryu Tetsuju

机构信息

Department of Ophthalmology, Fukushima Medical University, 1 Hikariga-oka, Fukushima, Fukushima, Japan.

出版信息

Sci Rep. 2021 Nov 29;11(1):23059. doi: 10.1038/s41598-021-02377-x.

Abstract

To evaluate the morphological characteristics of flow void (FV) in the fellow eyes of the unilateral polypoidal choroidal vasculopathy (PCV). Fifty PCV fellow eyes (PCVF) and 31 age-matched normal ocular circulation controls were recruited in this retrospective study. The number of FV was analyzed according to the size in a centered 5 × 5 mm swept source optical coherence tomography angiography scans. We used indocyanine green angiography images to determine whether choroidal vascular hyperpermeability (CVH) has occurred. For the PCVF, the prevalence rate of CVH was 70% (35 of 50) The number of FVs was significantly lower in 400-25,000 μm (P = 0.005), 400-500 μm (P = 0.001), 525-625 μm (P = 0.001) and 650-750 μm (P = 0.018). compared to the controls. And showed no difference in size from 775 to 1125 μm between the two groups. The area under the receiver operating characteristic curve of PCVF with CVH and controls was 0.94 (95% CI 0.88-1.00) (P < 0.001). We found that the number of small FVs was significantly lower in the PCV fellow eyes than that in the eyes with control group.

摘要

评估单侧息肉样脉络膜血管病变(PCV)对侧眼血流信号缺失(FV)的形态学特征。本回顾性研究纳入了50只PCV对侧眼(PCVF)和31名年龄匹配的正常眼循环对照者。在5×5mm的中心扫频源光学相干断层扫描血管造影图像中,根据FV大小分析其数量。我们使用吲哚菁绿血管造影图像来确定脉络膜血管高通透性(CVH)是否发生。在PCVF中,CVH的发生率为70%(50只眼中有35只)。在400 - 25,000μm(P = 0.005)、400 - 500μm(P = 0.001)、525 - 625μm(P = 0.001)和650 - 750μm(P = 0.018)范围内,PCVF的FV数量显著低于对照组。两组在775至1125μm大小范围内无差异。CVH的PCVF与对照组的受试者操作特征曲线下面积为0.94(95%CI 0.88 - 1.00)(P < 0.001)。我们发现PCV对侧眼中小FV的数量显著低于对照组眼中的数量。

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