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维生素 D 不足可导致脉络膜血管密度和中心凹下脉络膜厚度降低。

Decreased choroidal vascularity index and subfoveal choroidal thickness in vitamin D insufficiency.

机构信息

Ersin Arslan Education and Research Hospital Department of Ophthalmology, Şehitkamil, Gaziantep, Turkey.

Ersin Arslan Education and Research Hospital Department of Ophthalmology, Şehitkamil, Gaziantep, Turkey.

出版信息

Photodiagnosis Photodyn Ther. 2023 Dec;44:103767. doi: 10.1016/j.pdpdt.2023.103767. Epub 2023 Aug 23.

Abstract

BACKGROUND

To present the effects of vitamin D insufficiency on the choroidal vascularity index, central choroid and central macula.

METHODS

42 eyes of 42 patients with vitamin D insufficiency and 51 eyes of 51 age- and sex-matched healthy subjects were included in this retrospective, cross-sectional, and comparative study. The macular layer was examined using the retinal mapping mode of the spectral domain Optical coherence tomography (Optovue RTVue XR, Optovue Inc., Fremont, CA). Optical coherence tomography (OCT) images were taken in Enhanced Deep Imaging mode and transferred to Image J program. choroidal vascularity index (CVI) and subfoveal choroidal thickness (SFCT) measurements were evaluated.

RESULTS

The mean age of volunteers was 35.4 ± 7.2 years. There was a significant difference in CVI values 67.75±2.4 in the patients with vitamin D insufficiency and 69.22±1.75 in the control group. The SCFT of patients with vitamin D insufficiency and control group were 295.25±42.3 and 335.71±11.6 (p = 0.001, p<0.001 respectively).

CONCLUSION

OCT examination of patients with vitamin D insufficiency showed a decrease in CVI and SCFT values. These results are important in demonstrating the retinochoroidal effects of vitamin D insufficiency.

摘要

背景

本文旨在探讨维生素 D 缺乏对脉络膜血管指数、中心脉络膜和中心黄斑的影响。

方法

本回顾性、横断面和对照研究纳入了 42 例维生素 D 缺乏症患者的 42 只眼和 51 例年龄和性别匹配的健康对照者的 51 只眼。使用频域光相干断层扫描(Optovue RTVue XR,Optovue Inc.,弗里蒙特,CA)的视网膜绘图模式检查黄斑层。采用增强深度成像模式获取光学相干断层扫描(OCT)图像,并将其传输至 Image J 程序。评估脉络膜血管指数(CVI)和中心凹下脉络膜厚度(SFCT)。

结果

志愿者的平均年龄为 35.4±7.2 岁。维生素 D 缺乏症患者的 CVI 值为 67.75±2.4,对照组为 69.22±1.75,两组间存在显著差异。维生素 D 缺乏症患者和对照组的 SCFT 分别为 295.25±42.3 和 335.71±11.6(p=0.001,p<0.001)。

结论

OCT 检查发现维生素 D 缺乏症患者的 CVI 和 SCFT 值降低。这些结果对于证明维生素 D 缺乏对视网膜脉络膜的影响非常重要。

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