Yoon Je Moon, Noh Hoon, Nam Seung Wan, Ham Don-Il
Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Hangil Eye Hospital, Incheon, Republic of Korea.
Graefes Arch Clin Exp Ophthalmol. 2025 May 3. doi: 10.1007/s00417-025-06842-5.
This study aimed to investigate the peripheral retinal and choroidal thicknesses in eyes with reticular pseudodrusen (RPD).
Imaging data of ultrawide-field swept-source optical coherence tomography taken from 40 patients with age-related macular degeneration (AMD) were analyzed. Thirty-nine eyes of 20 patients had RPD (RPD group) and 39 eyes of 20 patients had no RPD (control group). Eyes with RPD were divided into localized/intermediate and diffuse types according to the fundus distribution. The retinal and choroidal thicknesses were measured at the fovea and six peripheral points in each eye, and the results were statistically analyzed.
The mean ages were 78.0 ± 6.1 years in the RPD group and 74.4 ± 7.2 years in the control group. The RPD group showed a thinner retina only at the nasal point (p = 0.002) than the control group. The choroid was significantly thinner in the RPD group than in the control group at most peripheral points, except for the far temporal and far inferior points. Diffuse and localized/intermediate types of RPD eyes showed no significant difference in choroidal thickness, except at the nasal point, which was thinner in the diffuse type (p = 0.049).
In eyes with RPD, most peripheral retinal thicknesses were not different from those of eyes with AMD without RPD; however, most peripheral choroidal thicknesses were thinner regardless of the fundus distribution status of the RPD. Nasal choroidal thickness may be associated with RPD severity.
本研究旨在调查患有网状假性玻璃膜疣(RPD)的眼睛的周边视网膜和脉络膜厚度。
分析了40例年龄相关性黄斑变性(AMD)患者的超广角扫频源光学相干断层扫描成像数据。20例患者的39只眼睛患有RPD(RPD组),20例患者的39只眼睛没有RPD(对照组)。根据眼底分布,将患有RPD的眼睛分为局限性/中间型和弥漫型。测量每只眼睛中央凹和六个周边点的视网膜和脉络膜厚度,并对结果进行统计学分析。
RPD组的平均年龄为78.0±6.1岁,对照组为74.4±7.2岁。RPD组仅在鼻侧点的视网膜比对照组薄(p = 0.002)。除颞侧远点和颞下远点外,RPD组在大多数周边点的脉络膜明显比对照组薄。弥漫型和局限性/中间型RPD眼睛的脉络膜厚度除鼻侧点外无显著差异,鼻侧点弥漫型较薄(p = 0.049)。
在患有RPD的眼睛中,大多数周边视网膜厚度与没有RPD的AMD眼睛没有差异;然而,无论RPD的眼底分布状态如何,大多数周边脉络膜厚度较薄。鼻侧脉络膜厚度可能与RPD严重程度相关。