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结节病的脉络膜血管指数和厚度。

Choroidal vascularity index and thickness in sarcoidosis.

机构信息

Department of Pulmonology, Pamukkale University, Denizli, Turkey.

Department of Ophthalmology, Pamukkale University, Denizli, Turkey.

出版信息

Medicine (Baltimore). 2022 Feb 4;101(5):e28519. doi: 10.1097/MD.0000000000028519.

Abstract

Sarcoidosis is a multisystem granulomatous disease which is observed worldwide. Sarcoidosis is one of the common causes of ocular inflammation. The choroidal vascularity index, defined as the ratio of the luminal area to the total choroidal area, is used as one of the biomarkers for assessing the choroid vascular state. We aimed to compare choroidal vascularity index and thickness measurements between sarcoidosis patients and healthy controls.Thirty-one patients with sarcoidosis and 31 age-gender matched healthy participants were recruited in this cross-sectional and comparative study. Choroidal vascularity index was defined as the ratio of luminal area to total choroidal area after binarization on optical coherence tomography images. Anterior segment examinations included central corneal thickness, corneal volume, anterior chamber depth, anterior chamber volume, and iridocorneal angle. Spectral-domain optical coherence tomography was used to measure peripapillary retinal nerve fiber layer thickness, choroidal thickness, and retinal vessel caliber.The mean choroidal vascularity index value was 61.6% in sarcoidosis patients and 62.4% in healthy controls (P = .69). The choroidal vascularity index and thickness were significantly correlated in both sarcoidosis (r = 0.41, P = .026) and control groups (r = 0.51, P = .006). Both the sarcoidosis and control groups had similar measured values for central corneal thickness, corneal volume, anterior chamber depth, anterior chamber volume, and iridocorneal angle (P > .05). Mean retinal nerve fiber layer, retinal arteriole and venule caliber, and choroidal thickness measurements did not differ significantly between the groups (P > .05).Sarcoidosis patients in quiescent period have similar choroidal vascularity index and thickness with healthy controls.

摘要

结节病是一种多系统肉芽肿性疾病,可见于世界各地。结节病是眼部炎症的常见原因之一。脉络膜血管指数定义为管腔面积与脉络膜总面积的比值,可作为评估脉络膜血管状态的生物标志物之一。我们旨在比较结节病患者和健康对照者的脉络膜血管指数和厚度测量值。这项横断面和比较性研究纳入了 31 例结节病患者和 31 名年龄性别匹配的健康参与者。脉络膜血管指数定义为光学相干断层扫描图像二值化后管腔面积与脉络膜总面积的比值。眼前节检查包括中央角膜厚度、角膜体积、前房深度、前房容积和房角。频域光相干断层扫描用于测量视盘周围视网膜神经纤维层厚度、脉络膜厚度和视网膜血管直径。结节病患者的脉络膜血管指数平均值为 61.6%,健康对照组为 62.4%(P=0.69)。结节病组和对照组的脉络膜血管指数和厚度均呈显著正相关(r=0.41,P=0.026;r=0.51,P=0.006)。两组的中央角膜厚度、角膜体积、前房深度、前房容积和房角均无显著差异(P>0.05)。两组的视网膜神经纤维层、视网膜动脉和静脉直径以及脉络膜厚度测量值无显著差异(P>0.05)。处于静止期的结节病患者的脉络膜血管指数和厚度与健康对照组相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2052/8812671/729be426445c/medi-101-e28519-g001.jpg

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