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Erschienen in: International Ophthalmology 1/2018

14.02.2017 | Original Paper

Choroidal thickness changes determined by EDI-OCT on acute anterior uveitis in patients with HLA-B27-positive ankylosing spondylitis

verfasst von: Berna Basarir, Ugur Celik, Cigdem Altan, Nimet Burcu Celik

Erschienen in: International Ophthalmology | Ausgabe 1/2018

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Abstract

Purpose

To evaluate the choroidal thickness on acute anterior uveitis in patients with HLA-B27-positive ankylosing spondylitis.

Methods

In this study, 32 eyes of 16 HLA-B27 positive AS patients with anterior uveitis and age-matched 19 eyes for control group were analyzed between January 2014 and April 2015. Assessment criteria were uveitis activity, visual acuity, flare existence, subfoveal choroidal thickness and central macular thickness measurements.

Results

The mean subfoveal choroidal thicknesses in affected eye group (Group 1), unaffected eye group (Group 2) and control group (Group 3) were 348.31 ± 72.7, 301.12 ± 49.2 and 318.0 ± 74.3, respectively, in active periods. (p = 0.04 between Group 1 and Group 2, p = 0.234 between Group 1 and Group 3) The mean central macular thicknesses of Group 1, Group 2 and Group 3 were 268.50 ± 16.5, 267.31 ± 16.3 and 249.7 ± 30.5, respectively, in active periods. (p = 0.84 between Group 1 and Group 2, p = 0.029 between Group 1 and Group 3). However, in convalescence period, the mean subfoveal choroidal thicknesses of Group 1, Group 2 and Group 3 were 322.40 ± 48.5, 300.75 ± 47.7 and 318.0 ± 74.3, respectively. (p = 0.22 between Group 1 and Group 2, p = 0.854 between Group 1 and Group 3) The mean central macular thicknesses of Group 1, Group 2 and Group 3 were 269.75 ± 21.9, 256.62 ± 21.5 and 249.7 ± 30.5, respectively. (p = 0.09 between Group 1 and Group 2, p = 0.03 between Group 1 and Group 3).

Conclusions

In HLA-B27 positive ankylosing spondylitis patients with anterior uveitis, the choroidal thicknesses of the affected eyes were found as thicker than fellow unaffected one or control eyes in active period. The central macular thicknesses are not affected on both active and convalescent period.
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Literatur
1.
Zurück zum Zitat Stolwijk C, van Tubergen A, Castillo-Ortiz JD et al (2015) Prevalence of extra-articular manifestations in patients with ankylosing spondylitis: a systematic review and meta-analysis. Ann Rheum Dis 74:65–73CrossRefPubMed Stolwijk C, van Tubergen A, Castillo-Ortiz JD et al (2015) Prevalence of extra-articular manifestations in patients with ankylosing spondylitis: a systematic review and meta-analysis. Ann Rheum Dis 74:65–73CrossRefPubMed
2.
Zurück zum Zitat Rosenbaum JT (1992) Acute anterior uveitis and spondyloarthropathies. Rheum Dis Clin N Am 18(1):143–151 (Review) Rosenbaum JT (1992) Acute anterior uveitis and spondyloarthropathies. Rheum Dis Clin N Am 18(1):143–151 (Review)
3.
Zurück zum Zitat Martin TM, Smith JR, Rosenbaum JT (2002) Anterior uveitis: current concepts of pathogenesis and interactions with the spondyloarthropathies. Curr Opin Rheumatol 14(4):337–341 (Review) CrossRefPubMed Martin TM, Smith JR, Rosenbaum JT (2002) Anterior uveitis: current concepts of pathogenesis and interactions with the spondyloarthropathies. Curr Opin Rheumatol 14(4):337–341 (Review) CrossRefPubMed
4.
5.
Zurück zum Zitat Margolis R, Spaide RF (2009) A pilot study of enhanced depth imaging optical coherence tomography of choroids in normal eyes. Am J Ophthalmol 147:811–815CrossRefPubMed Margolis R, Spaide RF (2009) A pilot study of enhanced depth imaging optical coherence tomography of choroids in normal eyes. Am J Ophthalmol 147:811–815CrossRefPubMed
6.
Zurück zum Zitat Spaide RF, Koizumi H, Pozzoni MC (2008) Enhanced depth imaging spectral-domain optical coherence tomography. Am J Ophthalmol 146(4):496–500CrossRefPubMed Spaide RF, Koizumi H, Pozzoni MC (2008) Enhanced depth imaging spectral-domain optical coherence tomography. Am J Ophthalmol 146(4):496–500CrossRefPubMed
7.
Zurück zum Zitat McLeod DS, Taomoto M, Otsuji T et al (2002) Quantifying changes in RPE and choroidal vasculature in eyes with age-related macular degeneration. Investig Ophthalmol Vis Sci 43:1986–1993 McLeod DS, Taomoto M, Otsuji T et al (2002) Quantifying changes in RPE and choroidal vasculature in eyes with age-related macular degeneration. Investig Ophthalmol Vis Sci 43:1986–1993
8.
Zurück zum Zitat Koizumi H, Yamagishi T, Yamazaki T et al (2011) Subfoveal choroidal thickness in typical age-related macular degeneration and polypoidal choroidal vasculopathy. Graefes Arch Clin Exp Ophthalmol 249:1123–1128CrossRefPubMed Koizumi H, Yamagishi T, Yamazaki T et al (2011) Subfoveal choroidal thickness in typical age-related macular degeneration and polypoidal choroidal vasculopathy. Graefes Arch Clin Exp Ophthalmol 249:1123–1128CrossRefPubMed
9.
Zurück zum Zitat Yue BY, Kurosawa A, Duvall J et al (1988) Nanophthalmic sclera. Fibronectin studies. Ophthalmology 95:56–60CrossRefPubMed Yue BY, Kurosawa A, Duvall J et al (1988) Nanophthalmic sclera. Fibronectin studies. Ophthalmology 95:56–60CrossRefPubMed
10.
Zurück zum Zitat Jalkh AE, Avila MP, Trempe CL et al (1983) Diffuse choroidal thickening detected by ultrasonography in various ocular disorders. Retina 3:83–180 Ophthalmology 2013; 120:175–80 Jalkh AE, Avila MP, Trempe CL et al (1983) Diffuse choroidal thickening detected by ultrasonography in various ocular disorders. Retina 3:83–180 Ophthalmology 2013; 120:175–80
11.
Zurück zum Zitat Bijlsma WR, van Schooneveld MJ, Van der Lelij A (2008) Optical coherence tomography findings for nanophthalmic eyes. Retina 28:1002–1007CrossRefPubMed Bijlsma WR, van Schooneveld MJ, Van der Lelij A (2008) Optical coherence tomography findings for nanophthalmic eyes. Retina 28:1002–1007CrossRefPubMed
12.
Zurück zum Zitat Géhl Z, Kulcsár K, Kiss HJ, Németh J, Maneschg OA, Resch MD (2014) Retinal and choroidal thickness measurements using spectral domain optical coherence tomography in anterior and intermediate uveitis. BMC Ophthalmol 30(14):103. doi:10.1186/1471-2415-14-103 CrossRef Géhl Z, Kulcsár K, Kiss HJ, Németh J, Maneschg OA, Resch MD (2014) Retinal and choroidal thickness measurements using spectral domain optical coherence tomography in anterior and intermediate uveitis. BMC Ophthalmol 30(14):103. doi:10.​1186/​1471-2415-14-103 CrossRef
13.
Zurück zum Zitat Jabs DA, Nussenblatt RB, Rosenbaum JT (2005) Standardization of Uveitis Nomenclature (SUN) Working Group: standardization of uveitis nomenclature for reporting clinical data. Results of the First International Workshop. Am J Ophthalmol 140:509–516CrossRefPubMed Jabs DA, Nussenblatt RB, Rosenbaum JT (2005) Standardization of Uveitis Nomenclature (SUN) Working Group: standardization of uveitis nomenclature for reporting clinical data. Results of the First International Workshop. Am J Ophthalmol 140:509–516CrossRefPubMed
14.
Zurück zum Zitat Kim JS, Knickelbein JE, Jaworski L, Kaushal P, Vitale S, Nussenblatt RB, Sen HN (2016) Enhanced depth imaging optical coherence tomography in uveitis: an intravisit and interobserver reproducibility study. Am J Ophthalmol 164:49–56CrossRefPubMedPubMedCentral Kim JS, Knickelbein JE, Jaworski L, Kaushal P, Vitale S, Nussenblatt RB, Sen HN (2016) Enhanced depth imaging optical coherence tomography in uveitis: an intravisit and interobserver reproducibility study. Am J Ophthalmol 164:49–56CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Bittencourt MG, Kherani S, Ferraz DA, Ansari M, Nasir H, Sepah YJ, Hanout M, Do DV, Nguyen QD (2014) Variation of choroidal thickness and vessel diameter in patients with posterior non-infectious uveitis. J Ophthalmic Inflamm Infect 4(1):14CrossRefPubMedPubMedCentral Bittencourt MG, Kherani S, Ferraz DA, Ansari M, Nasir H, Sepah YJ, Hanout M, Do DV, Nguyen QD (2014) Variation of choroidal thickness and vessel diameter in patients with posterior non-infectious uveitis. J Ophthalmic Inflamm Infect 4(1):14CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Rosenbaum JT (2004) Effect of etanercept on iritis in patients with ankylosing spondylitis. Arthritis Rheum 50(11):3736–3737CrossRefPubMed Rosenbaum JT (2004) Effect of etanercept on iritis in patients with ankylosing spondylitis. Arthritis Rheum 50(11):3736–3737CrossRefPubMed
18.
Zurück zum Zitat Yan H, Li J, Zhang J, Yang L (2015) Retinal and choroidal thickness in patients with uveitis. Ocul Immunol Inflamm 29:1–8 Yan H, Li J, Zhang J, Yang L (2015) Retinal and choroidal thickness in patients with uveitis. Ocul Immunol Inflamm 29:1–8
19.
Zurück zum Zitat Moreno-Arrones JP, Gorroño-Echebarría MB, Teus MA (2009) OCT in acute anerior uveitis. Arch Soc Esp Oftalmol 84:185–190CrossRefPubMed Moreno-Arrones JP, Gorroño-Echebarría MB, Teus MA (2009) OCT in acute anerior uveitis. Arch Soc Esp Oftalmol 84:185–190CrossRefPubMed
20.
Zurück zum Zitat Castellano CG, Stinnett SS, Mettu PS et al (2009) Retinal thickening in iridocyclitis. Am J Ophthalmol 148:341–349CrossRefPubMed Castellano CG, Stinnett SS, Mettu PS et al (2009) Retinal thickening in iridocyclitis. Am J Ophthalmol 148:341–349CrossRefPubMed
21.
Zurück zum Zitat Karampelas M, Sim DA, Keane PA, Zarranz-Ventura J, Patel PJ, Tufail A, Westcott M, Lee R, Pavesio CE (2013) Choroidal assessment in idiopathic panuveitis using optical coherence tomography. Graefes Arch Clin Exp Ophthalmol 251(8):2029–2036CrossRefPubMed Karampelas M, Sim DA, Keane PA, Zarranz-Ventura J, Patel PJ, Tufail A, Westcott M, Lee R, Pavesio CE (2013) Choroidal assessment in idiopathic panuveitis using optical coherence tomography. Graefes Arch Clin Exp Ophthalmol 251(8):2029–2036CrossRefPubMed
22.
Zurück zum Zitat Maruko I, Iida T, Sugano Y et al (2011) Subfoveal choroidal thickness after treatment of Vogt–Koyanagi–Harada disease. Retina 31:510–517CrossRefPubMed Maruko I, Iida T, Sugano Y et al (2011) Subfoveal choroidal thickness after treatment of Vogt–Koyanagi–Harada disease. Retina 31:510–517CrossRefPubMed
23.
Zurück zum Zitat Nakayama M, Keino H, Okada AA et al (2012) Enhanced depth imaging optical coherence tomography of the choroid in Vogt–Koyanagi–Harada disease. Retina 32:2061–2069CrossRefPubMed Nakayama M, Keino H, Okada AA et al (2012) Enhanced depth imaging optical coherence tomography of the choroid in Vogt–Koyanagi–Harada disease. Retina 32:2061–2069CrossRefPubMed
24.
Zurück zum Zitat Margolis R, Spaide RF (2009) A pilot study of enhanced depth imaging optical coherence tomography of the choroid in normal eyes. Am J Ophthalmol 147:811–815CrossRefPubMed Margolis R, Spaide RF (2009) A pilot study of enhanced depth imaging optical coherence tomography of the choroid in normal eyes. Am J Ophthalmol 147:811–815CrossRefPubMed
25.
Zurück zum Zitat Rahman W, Chen FK, Yeoh J, Patel P, Tufail A, Da Cruz L (2011) Repeatability of manual subfoveal choroidal thickness measurements in healthy subjects using the technique of enhanced depth imaging optical coherence tomography. Investig Ophthalmol Vis Sci 52:2267–2271CrossRef Rahman W, Chen FK, Yeoh J, Patel P, Tufail A, Da Cruz L (2011) Repeatability of manual subfoveal choroidal thickness measurements in healthy subjects using the technique of enhanced depth imaging optical coherence tomography. Investig Ophthalmol Vis Sci 52:2267–2271CrossRef
Metadaten
Titel
Choroidal thickness changes determined by EDI-OCT on acute anterior uveitis in patients with HLA-B27-positive ankylosing spondylitis
verfasst von
Berna Basarir
Ugur Celik
Cigdem Altan
Nimet Burcu Celik
Publikationsdatum
14.02.2017
Verlag
Springer Netherlands
Erschienen in
International Ophthalmology / Ausgabe 1/2018
Print ISSN: 0165-5701
Elektronische ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-017-0464-z

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