1. The Macular Choriocapillaris Flow in Glaucoma and Within-Day Fluctuations: An Optical Coherence Tomography Angiography Study
- Author
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Deborah Visintin, Ugo Nava, Paolo Milani, Giorgia Cremonesi, Ennio Bulone, Lorenza Scotti, Fulvio Bergamini, and Lara Enrica Urbini
- Subjects
0301 basic medicine ,Male ,Intraocular pressure ,medicine.medical_specialty ,Evening ,genetic structures ,Glaucoma ,Ocular hypertension ,03 medical and health sciences ,chemistry.chemical_compound ,Tonometry, Ocular ,0302 clinical medicine ,Ophthalmology ,Medicine ,Humans ,Macula Lutea ,Prospective Studies ,Fluorescein Angiography ,Intraocular Pressure ,Morning ,Aged ,Retina ,business.industry ,Choroid ,Retinal ,Middle Aged ,medicine.disease ,eye diseases ,030104 developmental biology ,medicine.anatomical_structure ,Cross-Sectional Studies ,chemistry ,choriocapillaris ,Regional Blood Flow ,030221 ophthalmology & optometry ,optical coherence tomography (OCT) angiography ,Visual Field Tests ,Female ,Ocular Hypertension ,sense organs ,Visual Fields ,business ,Perfusion ,Glaucoma, Open-Angle ,Tomography, Optical Coherence - Abstract
Purpose To assess quantitatively the choriocapillaris (CC) perfusion area in the macular area of healthy eyes, eyes with primary open-angle glaucoma, and eyes with ocular hypertension using optical coherence tomography angiography (OCTA). Methods A consecutive series of healthy individuals and patients with glaucoma and ocular hypertension were recruited prospectively in this single-center, cross-sectional study based in Milan, Italy. OCTA was performed in the morning and evening, along with a complete ophthalmologic examination. Macular superficial capillary plexus vessel density (SCP-VD) and the thicknesses of the retina and ganglion cell complex (GCC), as well as their fluctuations, were investigated. Results Thirty-nine eyes from 24 individuals with glaucoma (mean age = 58.79 ± 6 years), 43 eyes from 27 individuals with ocular hypertension (59.19 ± 6 years), and 54 eyes from 35 controls (58.27 ± 6 years) were enrolled. The mean CC perfusion area values were not significantly different among the three groups in the morning or evening (P ≥ 0.47). In contrast, SCP-VD, retinal thickness, and GCC thickness were statistically different among the groups (P ≤ 0.016), except for the foveal SCP-VD (P ≥ 0.19) and the evening foveal thickness (P = 0.57). Diurnal changes in the CC perfusion area, SCP-VD, retinal thickness, and GCC thickness were not statistically significant (P ≥ 0.16). Systemic hypertension, sex, age, axial length, and diurnal changes in intraocular pressure were not significantly associated with morning or evening measurements, or with diurnal fluctuations (P ≥ 0.07). Conclusions The macular CC flow perfusion area appears unaffected in eyes with primary open-angle glaucoma. No significant diurnal changes were observed in any of the parameters investigated.
- Published
- 2021