Optical Coherence Tomography Angiography Findings in Stargardt Disease

to assess vessel density of superficial capillary plexus (SCP), deep capillary plexus (DCP) and choriocapillaris (CC) in advanced Stargardt disease (STGD) using optical coherence tomography angiography (OCTA) and correlate these findings with macular function using pattern electroretinogram (PERG) a...

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Veröffentlicht in:PloS one 2017-02, Vol.12 (2), p.e0170343-e0170343
Hauptverfasser: Mastropasqua, Rodolfo, Toto, Lisa, Borrelli, Enrico, Di Antonio, Luca, Mattei, Peter A, Senatore, Alfonso, Di Nicola, Marta, Mariotti, Cesare
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creator Mastropasqua, Rodolfo
Toto, Lisa
Borrelli, Enrico
Di Antonio, Luca
Mattei, Peter A
Senatore, Alfonso
Di Nicola, Marta
Mariotti, Cesare
description to assess vessel density of superficial capillary plexus (SCP), deep capillary plexus (DCP) and choriocapillaris (CC) in advanced Stargardt disease (STGD) using optical coherence tomography angiography (OCTA) and correlate these findings with macular function using pattern electroretinogram (PERG) and multifocal electroretinogram (mfERG). Twelve patients (24 eyes) with advanced STGD underwent vessel densities and macular thickness measurements using OCTA. A control group of 24 healthy controls (24 eyes) was chosen for comparison. In the STGD group correlation between vessel density and macular thickness and between macular function and morphologic parameters were evaluated. Whole parafoveal vessel density (VD) of SCP was significantly lower in STGD group compared to the control group (p
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Twelve patients (24 eyes) with advanced STGD underwent vessel densities and macular thickness measurements using OCTA. A control group of 24 healthy controls (24 eyes) was chosen for comparison. In the STGD group correlation between vessel density and macular thickness and between macular function and morphologic parameters were evaluated. Whole parafoveal vessel density (VD) of SCP was significantly lower in STGD group compared to the control group (p&lt;0.05). Foveal VD and whole parafoveal VD of the DCP were significantly lower in STGD group compared to the controls (p&lt;0.05). CC was significantly decreased in STGD compared to controls (p&lt;0.05). Foveal macular thickness (MT), full parafoveal MT, and inner limiting membrane (ILM)-inner plexiform layer (IPL) parafoveal MT thickness were decreased in STGD eyes compared to controls (p&lt;0.001). PERG and mfERG were both significantly reduced in STGD compared to controls (p&lt;0.001). A direct correlation was found between full parafoveal MT and vessel density in the STGD group. Patients with advanced STGD showed a reduction of SCP, DCP and CC compared to healthy eyes related to a reduction of total and ILM-IPL macular thickness. These results suggest that both retinal capillaris plexuses and choriocapillaris reduction occur in STDG along with inner and outer retinal thinning.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0170343</identifier><identifier>PMID: 28151966</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Age ; Aged ; Aging ; Analysis ; Angiography ; Angiography - methods ; Biology and Life Sciences ; Capillaries ; Case-Control Studies ; Correlation ; Density ; Diabetes ; Diabetic retinopathy ; Disease ; Electroretinography - methods ; Eye ; Eye (anatomy) ; Female ; Health aspects ; Humans ; Macula Lutea - diagnostic imaging ; Macula Lutea - physiopathology ; Macular degeneration ; Macular Degeneration - congenital ; Macular Degeneration - diagnostic imaging ; Macular Degeneration - physiopathology ; Male ; Medical imaging ; Medicine ; Medicine and Health Sciences ; Middle Aged ; Optical Coherence Tomography ; Patients ; Photoreceptors ; Reduction ; Research and Analysis Methods ; Retina ; Retinal Vessels - diagnostic imaging ; Science ; Sexually transmitted diseases ; STD ; Thickness measurement ; Tomography ; Tomography, Optical Coherence - methods ; Young Adult</subject><ispartof>PloS one, 2017-02, Vol.12 (2), p.e0170343-e0170343</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Mastropasqua et al. 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Twelve patients (24 eyes) with advanced STGD underwent vessel densities and macular thickness measurements using OCTA. A control group of 24 healthy controls (24 eyes) was chosen for comparison. In the STGD group correlation between vessel density and macular thickness and between macular function and morphologic parameters were evaluated. Whole parafoveal vessel density (VD) of SCP was significantly lower in STGD group compared to the control group (p&lt;0.05). Foveal VD and whole parafoveal VD of the DCP were significantly lower in STGD group compared to the controls (p&lt;0.05). CC was significantly decreased in STGD compared to controls (p&lt;0.05). Foveal macular thickness (MT), full parafoveal MT, and inner limiting membrane (ILM)-inner plexiform layer (IPL) parafoveal MT thickness were decreased in STGD eyes compared to controls (p&lt;0.001). PERG and mfERG were both significantly reduced in STGD compared to controls (p&lt;0.001). A direct correlation was found between full parafoveal MT and vessel density in the STGD group. Patients with advanced STGD showed a reduction of SCP, DCP and CC compared to healthy eyes related to a reduction of total and ILM-IPL macular thickness. These results suggest that both retinal capillaris plexuses and choriocapillaris reduction occur in STDG along with inner and outer retinal thinning.</description><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Aging</subject><subject>Analysis</subject><subject>Angiography</subject><subject>Angiography - methods</subject><subject>Biology and Life Sciences</subject><subject>Capillaries</subject><subject>Case-Control Studies</subject><subject>Correlation</subject><subject>Density</subject><subject>Diabetes</subject><subject>Diabetic retinopathy</subject><subject>Disease</subject><subject>Electroretinography - methods</subject><subject>Eye</subject><subject>Eye (anatomy)</subject><subject>Female</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Macula Lutea - diagnostic imaging</subject><subject>Macula Lutea - physiopathology</subject><subject>Macular degeneration</subject><subject>Macular Degeneration - congenital</subject><subject>Macular Degeneration - 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Twelve patients (24 eyes) with advanced STGD underwent vessel densities and macular thickness measurements using OCTA. A control group of 24 healthy controls (24 eyes) was chosen for comparison. In the STGD group correlation between vessel density and macular thickness and between macular function and morphologic parameters were evaluated. Whole parafoveal vessel density (VD) of SCP was significantly lower in STGD group compared to the control group (p&lt;0.05). Foveal VD and whole parafoveal VD of the DCP were significantly lower in STGD group compared to the controls (p&lt;0.05). CC was significantly decreased in STGD compared to controls (p&lt;0.05). Foveal macular thickness (MT), full parafoveal MT, and inner limiting membrane (ILM)-inner plexiform layer (IPL) parafoveal MT thickness were decreased in STGD eyes compared to controls (p&lt;0.001). PERG and mfERG were both significantly reduced in STGD compared to controls (p&lt;0.001). A direct correlation was found between full parafoveal MT and vessel density in the STGD group. Patients with advanced STGD showed a reduction of SCP, DCP and CC compared to healthy eyes related to a reduction of total and ILM-IPL macular thickness. These results suggest that both retinal capillaris plexuses and choriocapillaris reduction occur in STDG along with inner and outer retinal thinning.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28151966</pmid><doi>10.1371/journal.pone.0170343</doi><tpages>e0170343</tpages><orcidid>https://orcid.org/0000-0001-5311-5184</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Age
Aged
Aging
Analysis
Angiography
Angiography - methods
Biology and Life Sciences
Capillaries
Case-Control Studies
Correlation
Density
Diabetes
Diabetic retinopathy
Disease
Electroretinography - methods
Eye
Eye (anatomy)
Female
Health aspects
Humans
Macula Lutea - diagnostic imaging
Macula Lutea - physiopathology
Macular degeneration
Macular Degeneration - congenital
Macular Degeneration - diagnostic imaging
Macular Degeneration - physiopathology
Male
Medical imaging
Medicine
Medicine and Health Sciences
Middle Aged
Optical Coherence Tomography
Patients
Photoreceptors
Reduction
Research and Analysis Methods
Retina
Retinal Vessels - diagnostic imaging
Science
Sexually transmitted diseases
STD
Thickness measurement
Tomography
Tomography, Optical Coherence - methods
Young Adult
title Optical Coherence Tomography Angiography Findings in Stargardt Disease
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