RPGR基因突变所致视网膜色素变性患者脉络膜毛细血管血管密度分析

Analysis of choriocapillaris vascular density in patients with retinitis pigmentosa caused by RPGR gene mutations.

作者信息

Gesualdo Carlo, Rossi Settimio, Iodice Clemente Maria, Melillo Paolo, Marano Ernesto, Giudice Antonio Del, Di Martino Mauro, Testa Francesco, Simonelli Francesca

机构信息

Multidisciplinary Department of Medical, Surgical and Dental Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.

出版信息

BMC Ophthalmol. 2025 Jul 1;25(1):351. doi: 10.1186/s12886-025-04163-z.

Abstract

BACKGROUND

Anatomic features characterizing the onset and progression of Retinitis Pigmentosa (RP) are still not clear and increasing interest has grown towards the impaired retinal flow in such disease. However, to date there are still few and inconsistent data exploring the changes reflected in vascular plexuses during the disease course, in particular regarding Choriocapillaris (CC). Therefore, the purpose of this study aimed at evaluating the CC perfusion in a cohort of males with -related X-Linked RP (XLRP).

METHODS

Best corrected visual acuity (BCVA), color fundus photograph, fundus autofluorescence (FAF), optical coherence tomography (OCT), OCT-angiography (OCTA) and microperimetry (MP) were performed in 13 XLRP patients (22 eyes) harboring mutations in . The percent perfused CC area (PPCA) was analyzed and correlated with the phenotypic variables and mutation location. Moreover, the PPCA of -related XLRP patients was compared with age-matched healthy controls.

RESULTS

The PPCA of the cases was 25.4% ± 7.5%, while controls displayed a PPCA of 32.3% ± 6.1% ( < 0.002). Moreover, PPCA appeared to be not significantly correlated with any of the anatomical and functional parameters analyzed, nor with the age of the patients, the duration of the disease and with the genotype.

CONCLUSIONS

The PPCA resulted significantly reduced in patients with -related XLRP when compared to age-matched healthy controls.

摘要

背景

视网膜色素变性(RP)发病及进展的解剖学特征仍不明确,人们对该疾病中视网膜血流受损的关注度日益增加。然而,迄今为止,探索疾病过程中血管丛所反映变化的数据仍然很少且不一致,特别是关于脉络膜毛细血管(CC)的变化。因此,本研究旨在评估一组患有X连锁RP(XLRP)男性患者的CC灌注情况。

方法

对13例携带 突变的XLRP患者(22只眼)进行最佳矫正视力(BCVA)、彩色眼底照片、眼底自发荧光(FAF)、光学相干断层扫描(OCT)、OCT血管造影(OCTA)和微视野检查(MP)。分析灌注的CC面积百分比(PPCA),并将其与表型变量和突变位置相关联。此外,将与 相关的XLRP患者的PPCA与年龄匹配的健康对照进行比较。

结果

病例组的PPCA为25.4%±7.5%,而对照组的PPCA为32.3%±6.1%( <0.002)。此外,PPCA似乎与所分析的任何解剖和功能参数均无显著相关性,也与患者年龄、疾病持续时间和基因型无关。

结论

与年龄匹配的健康对照相比,与 相关的XLRP患者的PPCA显著降低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d18/12211357/1c1274f67076/12886_2025_4163_Fig1_HTML.jpg

本文引用的文献

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索