Banafsheafshan Ali, Zeidabadinejad Haniyeh, Mirghorbani Masoud, Faghihi Hooshang, Pour Elias Khalili, Riazi-Esfahani Hamid
Retina and Vitreous Service, Department of Ophthalmology, Farabi Eye Hospital, Tehran, Iran.
Eye Research Center, Farabi Eye Hospital, Tehran, Iran.
J Curr Ophthalmol. 2024 Aug 10;35(4):369-374. doi: 10.4103/joco.joco_116_23. eCollection 2023 Oct-Dec.
To assess subfoveal choroidal thickness (SFCT) and choroidal vascularity index (CVI) profile in the Iranian healthy population and assessment of the inter-eye difference in this regard.
In a cross-sectional study, 141 healthy subjects underwent an assessment of refraction and best-corrected visual acuity (BCVA), axial length (AL), and measurement of the intraocular pressure. The imaging of the choroid was performed using the enhanced-depth imaging mode of Spectralis optical coherence tomography from the foveal slab to measure SFCT and calculate CVI.
A total of 282 eyes of 141 healthy subjects (59.6% men, mean age of 60.86 ± 11.46 years) enrolled in the current study. The mean SFCT of the right and left eye was 247.40 ± 70.37 and 251.25 ± 72.19, respectively. The mean CVI of the right and left eye was 62.63 ± 3.77 and 63.19 ± 3.91, respectively. None of the measured parameters had statistically significant differences between the left and right eyes. In both univariate and multivariate regression analysis, CVI was significantly associated with BCVA ( < 0.001) but was not associated with age, spherical equivalent (SE), gender, central macular thickness (CMT), and SFCT. In univariate regression analysis, SFCT was significantly associated with age, refraction ( = 0.02), BCVA ( = 0.003), AL ( < 0.001), and CVI ( = 0.02) but not significantly associated with gender and CMT. In multivariate analysis, age ( < 0.001), gender ( = 0.001), and AL ( < 0.001) were significantly associated with SFCT, but SE, BCVA, CVI, and CMT were not significantly associated.
This was the first investigation to assess the SFCT and CVI simultaneously in the Iranian population to establish a normative database for future studies. CVI was less variable than SFCT in a healthy population, and no statistically significant differences existed between the left and right eyes.
评估伊朗健康人群的黄斑中心凹下脉络膜厚度(SFCT)和脉络膜血管指数(CVI)特征,并评估双眼在这方面的差异。
在一项横断面研究中,141名健康受试者接受了验光、最佳矫正视力(BCVA)、眼轴长度(AL)评估以及眼压测量。使用Spectralis光学相干断层扫描的增强深度成像模式对脉络膜进行成像,从黄斑中心凹层测量SFCT并计算CVI。
本研究共纳入141名健康受试者的282只眼(男性占59.6%,平均年龄60.86±11.46岁)。右眼和左眼的平均SFCT分别为247.40±70.37和251.25±72.19。右眼和左眼的平均CVI分别为62.63±3.77和63.19±3.91。所测量的参数在左眼和右眼之间均无统计学显著差异。在单变量和多变量回归分析中,CVI与BCVA显著相关(<0.001),但与年龄、等效球镜度(SE)、性别、中心黄斑厚度(CMT)和SFCT无关。在单变量回归分析中,SFCT与年龄、屈光不正(=0.02)、BCVA(=0.003)、AL(<0.001)和CVI(=0.02)显著相关,但与性别和CMT无显著相关性。在多变量分析中,年龄(<0.001)、性别(=0.001)和AL(<0.001)与SFCT显著相关,但SE、BCVA、CVI和CMT无显著相关性。
这是首次在伊朗人群中同时评估SFCT和CVI以建立未来研究的规范数据库。在健康人群中,CVI的变异性小于SFCT,且双眼之间无统计学显著差异。