Choroidal thickness, vascular hyperpermeability, and complement factor H in age-related macular degeneration and polypoidal choroidal vasculopathy

To investigate the relationship between subfoveal choroidal thickness, choroidal vascular hyperpermeability, and complement factor H (CFH) gene polymorphism in typical age-related macular degeneration (AMD) and polypoidal choroidal vasculopathy (PCV). Fifty-eight patients with typical AMD and 63 pat...

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Veröffentlicht in:Investigative ophthalmology & visual science 2012-06, Vol.53 (7), p.3663-3672
Hauptverfasser: Jirarattanasopa, Pichai, Ooto, Sotaro, Nakata, Isao, Tsujikawa, Akitaka, Yamashiro, Kenji, Oishi, Akio, Yoshimura, Nagahisa
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container_end_page 3672
container_issue 7
container_start_page 3663
container_title Investigative ophthalmology & visual science
container_volume 53
creator Jirarattanasopa, Pichai
Ooto, Sotaro
Nakata, Isao
Tsujikawa, Akitaka
Yamashiro, Kenji
Oishi, Akio
Yoshimura, Nagahisa
description To investigate the relationship between subfoveal choroidal thickness, choroidal vascular hyperpermeability, and complement factor H (CFH) gene polymorphism in typical age-related macular degeneration (AMD) and polypoidal choroidal vasculopathy (PCV). Fifty-eight patients with typical AMD and 63 patients with PCV underwent fluorescein angiography, indocyanine green angiography (IA), and spectral-domain optical coherence tomography (OCT) using enhanced depth imaging (EDI). Subfoveal choroidal thickness was measured using EDI-OCT images, and choroidal hyperpermeability was evaluated using late-phase IA images. The major AMD-associated single-nucleotide polymorphisms were genotyped in 86 patients. Mean subfoveal choroidal thickness was significantly lower in eyes with typical AMD than that in eyes with PCV (P = 0.025). Subfoveal choroidal thickness was greater in eyes with choroidal hyperpermeability than that in eyes without it in typical AMD (P < 0.001) and PCV (P = 0.020), and in the fellow eyes of typical AMD (P < 0.001) and PCV (P = 0.027). In eyes without choroidal hyperpermeability, the mean subfoveal choroidal thickness was greater in PCV than that in typical AMD (P = 0.001). Choroidal thickness decreased after photodynamic therapy combined with intravitreal ranibizumab in typical AMD (P = 0.016) and PCV (P = 0.036). In eyes with PCV, the I62V polymorphism in the CFH gene contributed to choroidal thickness (P = 0.043). Choroidal thickness is related to the AMD subtypes, choroidal hyperpermeability, and I62V CFH gene polymorphism. In eyes without choroidal hyperpermeability, EDI-OCT is useful as an auxiliary measure for differentiating typical AMD and PCV.
doi_str_mv 10.1167/iovs.12-9619
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Fifty-eight patients with typical AMD and 63 patients with PCV underwent fluorescein angiography, indocyanine green angiography (IA), and spectral-domain optical coherence tomography (OCT) using enhanced depth imaging (EDI). Subfoveal choroidal thickness was measured using EDI-OCT images, and choroidal hyperpermeability was evaluated using late-phase IA images. The major AMD-associated single-nucleotide polymorphisms were genotyped in 86 patients. Mean subfoveal choroidal thickness was significantly lower in eyes with typical AMD than that in eyes with PCV (P = 0.025). Subfoveal choroidal thickness was greater in eyes with choroidal hyperpermeability than that in eyes without it in typical AMD (P &lt; 0.001) and PCV (P = 0.020), and in the fellow eyes of typical AMD (P &lt; 0.001) and PCV (P = 0.027). In eyes without choroidal hyperpermeability, the mean subfoveal choroidal thickness was greater in PCV than that in typical AMD (P = 0.001). Choroidal thickness decreased after photodynamic therapy combined with intravitreal ranibizumab in typical AMD (P = 0.016) and PCV (P = 0.036). In eyes with PCV, the I62V polymorphism in the CFH gene contributed to choroidal thickness (P = 0.043). Choroidal thickness is related to the AMD subtypes, choroidal hyperpermeability, and I62V CFH gene polymorphism. 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Choroidal thickness decreased after photodynamic therapy combined with intravitreal ranibizumab in typical AMD (P = 0.016) and PCV (P = 0.036). In eyes with PCV, the I62V polymorphism in the CFH gene contributed to choroidal thickness (P = 0.043). Choroidal thickness is related to the AMD subtypes, choroidal hyperpermeability, and I62V CFH gene polymorphism. 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Ooto, Sotaro ; Nakata, Isao ; Tsujikawa, Akitaka ; Yamashiro, Kenji ; Oishi, Akio ; Yoshimura, Nagahisa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-9814069e60ef5ec70cc04cbca5dd007558810f1aac7ca059e0b326ffb688d5fc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Antibodies, Monoclonal, Humanized - administration &amp; dosage</topic><topic>Capillary Permeability - physiology</topic><topic>Choroid - blood supply</topic><topic>Choroid - metabolism</topic><topic>Choroid - pathology</topic><topic>Choroidal Neovascularization - drug therapy</topic><topic>Choroidal Neovascularization - genetics</topic><topic>Choroidal Neovascularization - pathology</topic><topic>Complement Factor H - genetics</topic><topic>Complement Factor H - metabolism</topic><topic>DNA - genetics</topic><topic>Female</topic><topic>Fluorescein Angiography</topic><topic>Fundus Oculi</topic><topic>Genetic Predisposition to Disease</topic><topic>Genotype</topic><topic>Humans</topic><topic>Hypertrophy</topic><topic>Intravitreal Injections</topic><topic>Macular Degeneration - drug therapy</topic><topic>Macular Degeneration - genetics</topic><topic>Macular Degeneration - pathology</topic><topic>Male</topic><topic>Ophthalmoscopy</topic><topic>Photochemotherapy</topic><topic>Polymorphism, Single Nucleotide</topic><topic>Prognosis</topic><topic>Ranibizumab</topic><topic>Tomography, Optical Coherence</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jirarattanasopa, Pichai</creatorcontrib><creatorcontrib>Ooto, Sotaro</creatorcontrib><creatorcontrib>Nakata, Isao</creatorcontrib><creatorcontrib>Tsujikawa, Akitaka</creatorcontrib><creatorcontrib>Yamashiro, Kenji</creatorcontrib><creatorcontrib>Oishi, Akio</creatorcontrib><creatorcontrib>Yoshimura, Nagahisa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Investigative ophthalmology &amp; visual science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jirarattanasopa, Pichai</au><au>Ooto, Sotaro</au><au>Nakata, Isao</au><au>Tsujikawa, Akitaka</au><au>Yamashiro, Kenji</au><au>Oishi, Akio</au><au>Yoshimura, Nagahisa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Choroidal thickness, vascular hyperpermeability, and complement factor H in age-related macular degeneration and polypoidal choroidal vasculopathy</atitle><jtitle>Investigative ophthalmology &amp; visual science</jtitle><addtitle>Invest Ophthalmol Vis Sci</addtitle><date>2012-06-14</date><risdate>2012</risdate><volume>53</volume><issue>7</issue><spage>3663</spage><epage>3672</epage><pages>3663-3672</pages><issn>1552-5783</issn><eissn>1552-5783</eissn><abstract>To investigate the relationship between subfoveal choroidal thickness, choroidal vascular hyperpermeability, and complement factor H (CFH) gene polymorphism in typical age-related macular degeneration (AMD) and polypoidal choroidal vasculopathy (PCV). Fifty-eight patients with typical AMD and 63 patients with PCV underwent fluorescein angiography, indocyanine green angiography (IA), and spectral-domain optical coherence tomography (OCT) using enhanced depth imaging (EDI). Subfoveal choroidal thickness was measured using EDI-OCT images, and choroidal hyperpermeability was evaluated using late-phase IA images. The major AMD-associated single-nucleotide polymorphisms were genotyped in 86 patients. Mean subfoveal choroidal thickness was significantly lower in eyes with typical AMD than that in eyes with PCV (P = 0.025). Subfoveal choroidal thickness was greater in eyes with choroidal hyperpermeability than that in eyes without it in typical AMD (P &lt; 0.001) and PCV (P = 0.020), and in the fellow eyes of typical AMD (P &lt; 0.001) and PCV (P = 0.027). In eyes without choroidal hyperpermeability, the mean subfoveal choroidal thickness was greater in PCV than that in typical AMD (P = 0.001). Choroidal thickness decreased after photodynamic therapy combined with intravitreal ranibizumab in typical AMD (P = 0.016) and PCV (P = 0.036). In eyes with PCV, the I62V polymorphism in the CFH gene contributed to choroidal thickness (P = 0.043). Choroidal thickness is related to the AMD subtypes, choroidal hyperpermeability, and I62V CFH gene polymorphism. In eyes without choroidal hyperpermeability, EDI-OCT is useful as an auxiliary measure for differentiating typical AMD and PCV.</abstract><cop>United States</cop><pmid>22570352</pmid><doi>10.1167/iovs.12-9619</doi><tpages>10</tpages></addata></record>
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subjects Aged
Antibodies, Monoclonal, Humanized - administration & dosage
Capillary Permeability - physiology
Choroid - blood supply
Choroid - metabolism
Choroid - pathology
Choroidal Neovascularization - drug therapy
Choroidal Neovascularization - genetics
Choroidal Neovascularization - pathology
Complement Factor H - genetics
Complement Factor H - metabolism
DNA - genetics
Female
Fluorescein Angiography
Fundus Oculi
Genetic Predisposition to Disease
Genotype
Humans
Hypertrophy
Intravitreal Injections
Macular Degeneration - drug therapy
Macular Degeneration - genetics
Macular Degeneration - pathology
Male
Ophthalmoscopy
Photochemotherapy
Polymorphism, Single Nucleotide
Prognosis
Ranibizumab
Tomography, Optical Coherence
Visual Acuity
title Choroidal thickness, vascular hyperpermeability, and complement factor H in age-related macular degeneration and polypoidal choroidal vasculopathy
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