Skip to main content
Erschienen in: International Ophthalmology 2/2018

04.04.2017 | Original Paper

The correlation of hyperopia and choroidal thickness, vessel diameter and area

verfasst von: Ahmet Kaderli, Mehmet Akif Acar, Nurten Ünlü, Güner Özkan Üney, Firdevs Örnek

Erschienen in: International Ophthalmology | Ausgabe 2/2018

Einloggen, um Zugang zu erhalten

Abstract

Objective

This study evaluates the effect of axial length and hyperopia error on macular choroidal thickness as well as choroidal vessel lumen diameter and area with EDI-OCT in short eyes.

Materials and methods

The study includes 64 volunteers who are over 18 years of ages and applied to Eye Clinic of Ankara Training and Research Hospital. Choroidal thickness, choroidal vessel lumen diameter and areas were measured with Spectralis® OCT device using EDI technique.

Results

The study group included 44 volunteers with hyperopic refractive error, and control group included 20 emmetropic volunteers. Macular choroid was statistically significantly thicker in all quadrants as the hyperopia error increased (p < 0.001). There was a statistically significant negative correlation between axial lengths and macular choroidal thicknesses in all quadrants (p < 0.001). There was a statistically significant difference in choroidal vessel lumen diameter and area between hyperopia groups for both large and small vessels (p < 0.01). The relationships between mean axial length and mean large choroidal vessel diameter and mean area measurements were negatively correlated and they were statistically significant. On the other hand, there was no such negative correlation with small choroidal vessels that have small diameter and area.

Conclusion

Macular choroid thickens as the hyperopic error increases as well as axial length decreases in short eyes. The diameters and areas of noticeable large choroidal vessels in EDI-OCT also increase. These findings in EDI-OCT measurements may play a role in developing population nomograms, as a correcting parameter and in understanding the pathophysiology of certain diseases in short eyes.
Literatur
1.
2.
Zurück zum Zitat Hidayat AA, Fine BS (1985) Diabetic choroidopathy. Light and electron microscopic observations of seven cases. Ophthalmology 92:512–522CrossRefPubMed Hidayat AA, Fine BS (1985) Diabetic choroidopathy. Light and electron microscopic observations of seven cases. Ophthalmology 92:512–522CrossRefPubMed
3.
Zurück zum Zitat Bressler NM (2009) Antiangiogenic approaches to age-related macular degeneration today. Ophthalmology 116(suppl):S15–S23CrossRefPubMed Bressler NM (2009) Antiangiogenic approaches to age-related macular degeneration today. Ophthalmology 116(suppl):S15–S23CrossRefPubMed
4.
Zurück zum Zitat Gemenetzi M, De Salvo G, Lotery AJ (2010) Central serous chorioretinopathy: an update on pathogenesis and treatment. Eye (Lond) 24:1743–1756CrossRef Gemenetzi M, De Salvo G, Lotery AJ (2010) Central serous chorioretinopathy: an update on pathogenesis and treatment. Eye (Lond) 24:1743–1756CrossRef
5.
Zurück zum Zitat Spaide RF, Yannuzzi LA, Slakter JS, Sorenson J, Dennis A (1995) Indocyanine green videoangiography of idiopathic polypoidal choroidal vasculopathy. Retina 15:87–178CrossRef Spaide RF, Yannuzzi LA, Slakter JS, Sorenson J, Dennis A (1995) Indocyanine green videoangiography of idiopathic polypoidal choroidal vasculopathy. Retina 15:87–178CrossRef
6.
Zurück zum Zitat Yannuzzi LA, Rohrer KT, Tindel LJ (1986) Fluorescein angiography complication survey. Ophthalmology 93:611–617CrossRefPubMed Yannuzzi LA, Rohrer KT, Tindel LJ (1986) Fluorescein angiography complication survey. Ophthalmology 93:611–617CrossRefPubMed
8.
Zurück zum Zitat Wojtkowski M, Leitgeb R, Kowalczyk A (2002) In vivo human retinal imaging by Fourier domain optical coherence tomography. J Biomed Opt 7:457–463CrossRefPubMed Wojtkowski M, Leitgeb R, Kowalczyk A (2002) In vivo human retinal imaging by Fourier domain optical coherence tomography. J Biomed Opt 7:457–463CrossRefPubMed
9.
Zurück zum Zitat Hung LF, Wallman J, Smith EL III (2000) Vision-dependent changes in the choroidal thickness of macaque monkeys. Invest Ophthalmol Vis Sci 41:1259–1269PubMed Hung LF, Wallman J, Smith EL III (2000) Vision-dependent changes in the choroidal thickness of macaque monkeys. Invest Ophthalmol Vis Sci 41:1259–1269PubMed
10.
Zurück zum Zitat Wallman J, Wildsoet C, Xu A (2006) Moving the retina: choroidal modulation of refractive state. Vision Res 46:267–283CrossRef Wallman J, Wildsoet C, Xu A (2006) Moving the retina: choroidal modulation of refractive state. Vision Res 46:267–283CrossRef
11.
Zurück zum Zitat Chen TC, Cense B, Miller JW, Rubin PA, Deschler DG, Gragoudas ES, de Boer JF (2006) Histologic correlation of in vivo optical coherence tomography images of the human retina. Am J Ophthalmol 141(6):1165–1168CrossRefPubMed Chen TC, Cense B, Miller JW, Rubin PA, Deschler DG, Gragoudas ES, de Boer JF (2006) Histologic correlation of in vivo optical coherence tomography images of the human retina. Am J Ophthalmol 141(6):1165–1168CrossRefPubMed
12.
Zurück zum Zitat Guyer DR, Schachat AP, Green WR (2006) The choroid: structural considerations. In: Ryan SJ (ed) Retina, 4th edn. Elsevier, Philadelphia, pp 34–42 Guyer DR, Schachat AP, Green WR (2006) The choroid: structural considerations. In: Ryan SJ (ed) Retina, 4th edn. Elsevier, Philadelphia, pp 34–42
13.
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
14.
Zurück zum Zitat Ikuno Y, Kawaguchi K, Nouchi T, Yasuno Y (2010) Choroidal thickness in healthy Japanese subjects. Invest Ophthalmol Vis Sci 51(4):2173–2176CrossRefPubMed Ikuno Y, Kawaguchi K, Nouchi T, Yasuno Y (2010) Choroidal thickness in healthy Japanese subjects. Invest Ophthalmol Vis Sci 51(4):2173–2176CrossRefPubMed
15.
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(5):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(5):811–815CrossRefPubMed
16.
Zurück zum Zitat Li XQ, Larsen M, Munch IC (2011) Subfoveal choroidal thickness in relation to sex and axial length in 93 Danish University students. Invest Ophthalmol Vis Sci 52(11):8438–8441CrossRefPubMed Li XQ, Larsen M, Munch IC (2011) Subfoveal choroidal thickness in relation to sex and axial length in 93 Danish University students. Invest Ophthalmol Vis Sci 52(11):8438–8441CrossRefPubMed
17.
Zurück zum Zitat Wei WB, Xu L, Jonas JB, Shao L, Du KF, Wang S (2013) Subfoveal choroidal thickness: the Beijing Eye Study. Ophthalmology 120(1):175–180CrossRefPubMed Wei WB, Xu L, Jonas JB, Shao L, Du KF, Wang S (2013) Subfoveal choroidal thickness: the Beijing Eye Study. Ophthalmology 120(1):175–180CrossRefPubMed
18.
Zurück zum Zitat Ding X, Li J, Zeng J, Wei Ma, Liu R, Li T et al (2011) Choroidal thickness in healthy Chinese subjects. Invest Ophthalmol Vis Sci 52:9555–9560CrossRefPubMed Ding X, Li J, Zeng J, Wei Ma, Liu R, Li T et al (2011) Choroidal thickness in healthy Chinese subjects. Invest Ophthalmol Vis Sci 52:9555–9560CrossRefPubMed
19.
Zurück zum Zitat Fujiwara A, Shiragami C, Shirakata Y, Manabe S, Izumibata S, Shiraga F (2012) Enhanced depth imaging spectral-domain optical coherence tomography of subfoveal choroidal thickness in normal Japanese eyes. Jpn J Ophthalmol 56:230–235CrossRefPubMed Fujiwara A, Shiragami C, Shirakata Y, Manabe S, Izumibata S, Shiraga F (2012) Enhanced depth imaging spectral-domain optical coherence tomography of subfoveal choroidal thickness in normal Japanese eyes. Jpn J Ophthalmol 56:230–235CrossRefPubMed
20.
Zurück zum Zitat Sanchez-Cano A, Orduna E, Segura F, Lopez C, Cuenca N, Abecia E et al (2014) Choroidal thickness and volume in healthy young white adults and the relationships between them and axial length, ammetropy and sex. Am J Ophthalmol 158:574–583CrossRefPubMed Sanchez-Cano A, Orduna E, Segura F, Lopez C, Cuenca N, Abecia E et al (2014) Choroidal thickness and volume in healthy young white adults and the relationships between them and axial length, ammetropy and sex. Am J Ophthalmol 158:574–583CrossRefPubMed
21.
Zurück zum Zitat Kim SW, Oh J, Kwon SS, Yoo J, Huh K (2011) Comparison of choroidal thickness among patients with healthy eyes, age-related maculopathy, central serous chorioretinopathy, and polypoidal choroidal vasculopathy. Retina 31(9):1904–1911CrossRefPubMed Kim SW, Oh J, Kwon SS, Yoo J, Huh K (2011) Comparison of choroidal thickness among patients with healthy eyes, age-related maculopathy, central serous chorioretinopathy, and polypoidal choroidal vasculopathy. Retina 31(9):1904–1911CrossRefPubMed
22.
Zurück zum Zitat Park K, Sei YO (2014) An optical coherence tomography-based analysis of choroidal morphologic features and choroidal vascular diameter in children and adults. Am J Ophthalmol 158:716–723CrossRefPubMed Park K, Sei YO (2014) An optical coherence tomography-based analysis of choroidal morphologic features and choroidal vascular diameter in children and adults. Am J Ophthalmol 158:716–723CrossRefPubMed
23.
Zurück zum Zitat Spraul CW, Lang GE, Grossniklaus HE (1996) Morphometric analysis of the choroid, Bruch’s membrane, and retinal pigment epithelium in eyes with age-related macular degeneration. Invest Ophthalmol Vis Sci 37:2724–2735PubMed Spraul CW, Lang GE, Grossniklaus HE (1996) Morphometric analysis of the choroid, Bruch’s membrane, and retinal pigment epithelium in eyes with age-related macular degeneration. Invest Ophthalmol Vis Sci 37:2724–2735PubMed
24.
Zurück zum Zitat Yang L, Jost J, Wei W (2013) Choroidal vessel diameter in central serous chorioretinopathy. Acta Ophthalmol 91:358–362CrossRef Yang L, Jost J, Wei W (2013) Choroidal vessel diameter in central serous chorioretinopathy. Acta Ophthalmol 91:358–362CrossRef
Metadaten
Titel
The correlation of hyperopia and choroidal thickness, vessel diameter and area
verfasst von
Ahmet Kaderli
Mehmet Akif Acar
Nurten Ünlü
Güner Özkan Üney
Firdevs Örnek
Publikationsdatum
04.04.2017
Verlag
Springer Netherlands
Erschienen in
International Ophthalmology / Ausgabe 2/2018
Print ISSN: 0165-5701
Elektronische ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-017-0509-3

Weitere Artikel der Ausgabe 2/2018

International Ophthalmology 2/2018 Zur Ausgabe

Neu im Fachgebiet Augenheilkunde

Metastase in der periokulären Region

Metastasen Leitthema

Orbitale und periokuläre metastatische Tumoren galten früher als sehr selten. Aber mit der ständigen Aktualisierung von Medikamenten und Nachweismethoden für die Krebsbehandlung werden neue Chemotherapien und Strahlenbehandlungen eingesetzt. Die …

Staging und Systemtherapie bei okulären und periokulären Metastasen

Metastasen Leitthema

Metastasen bösartiger Erkrankungen sind die häufigsten Tumoren, die im Auge diagnostiziert werden. Sie treten bei ungefähr 5–10 % der Patienten mit soliden Tumoren im Verlauf der Erkrankung auf. Besonders häufig sind diese beim Mammakarzinom und …

CME: Wundheilung nach Trabekulektomie

Trabekulektomie CME-Artikel

Wird ein Glaukom chirurgisch behandelt, ist die anschließende Wundheilung von entscheidender Bedeutung. In diesem CME-Kurs lernen Sie, welche Pathomechanismen der Vernarbung zugrunde liegen, wie perioperativ therapiert und Operationsversagen frühzeitig erkannt werden kann.

„standard operating procedures“ (SOP) – Vorschlag zum therapeutischen Management bei periokulären sowie intraokulären Metastasen

Metastasen Leitthema

Peri- sowie intraokuläre Metastasen sind insgesamt gesehen selten und meist Zeichen einer fortgeschrittenen primären Tumorerkrankung. Die Therapie ist daher zumeist palliativ und selten kurativ. Zudem ist die Therapiefindung sehr individuell. Die …

Update Augenheilkunde

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.