Structural analyses of choroid after half-dose verteporfin photodynamic therapy for central serous chorioretinopathy

Background/aimsTo investigate the changes in the intrachoroidal structures after half-dose verteporfin photodynamic therapy (PDT) for central serous chorioretinopathy (CSC).MethodsSwept-source optical coherence tomography cross-sectional images of 22 eyes of 22 patients with CSC were retrospectively...

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Veröffentlicht in:British journal of ophthalmology 2017-04, Vol.101 (4), p.433-437
Hauptverfasser: Izumi, Takahiko, Koizumi, Hideki, Maruko, Ichiro, Takahashi, Yohei, Sonoda, Shozo, Sakamoto, Taiji, Iida, Tomohiro
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container_issue 4
container_start_page 433
container_title British journal of ophthalmology
container_volume 101
creator Izumi, Takahiko
Koizumi, Hideki
Maruko, Ichiro
Takahashi, Yohei
Sonoda, Shozo
Sakamoto, Taiji
Iida, Tomohiro
description Background/aimsTo investigate the changes in the intrachoroidal structures after half-dose verteporfin photodynamic therapy (PDT) for central serous chorioretinopathy (CSC).MethodsSwept-source optical coherence tomography cross-sectional images of 22 eyes of 22 patients with CSC were retrospectively analysed by a manual delineation technique and binarisation method.ResultsIn the 22 eyes, the mean subfoveal choroidal thickness decreased from 412.9±112.9 μm at baseline to 340.0±111.0 μm at 3 months (p
doi_str_mv 10.1136/bjophthalmol-2016-308921
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The mean thickness of the large choroidal vessel layer decreased from 368.7±112.7 μm at baseline to 292.2±118.0 μm at 3 months (p&lt;0.0001), but the mean choriocapillaris-medium choroidal vessel layer thickness did not change from 44.2±29.2 μm at baseline to 47.8±25.7 μm at 3 months (p=0.85). Analyses of the binarised choroidal images showed that a 3 mm subfoveal choroidal area decreased from 1.141±0.290 mm2 at baseline to 0.962±0.320 mm2 at 3 months after PDT (p=0.0001). The mean luminal areas decreased from 0.826±0.246 mm2 at baseline to 0.665±0.234 mm2 at 3 months (p=0.0001), however, the mean stromal areas did not change from 0.315±0.066 mm2 at baseline to 0.297±0.095 mm2 at 3 months (p=0.60).ConclusionsHalf-dose PDT reduces subfoveal choroidal thickness and alters the intrachoroidal structures in eyes with CSC.</description><identifier>ISSN: 0007-1161</identifier><identifier>EISSN: 1468-2079</identifier><identifier>DOI: 10.1136/bjophthalmol-2016-308921</identifier><identifier>PMID: 27388248</identifier><identifier>CODEN: BJOPAL</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Central Serous Chorioretinopathy - diagnostic imaging ; Central Serous Chorioretinopathy - drug therapy ; Central Serous Chorioretinopathy - physiopathology ; Choroid - diagnostic imaging ; Choroid - drug effects ; Choroid - pathology ; Female ; Fluorescein Angiography ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Photochemotherapy ; Photosensitizing Agents - therapeutic use ; Porphyrins - therapeutic use ; Retrospective Studies ; Tomography, Optical Coherence ; Treatment Outcome ; Visual Acuity</subject><ispartof>British journal of ophthalmology, 2017-04, Vol.101 (4), p.433-437</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.</rights><rights>Copyright: 2016 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b387t-d80a158b088e6ee4255554485fbead2bc564d607834138ac7153276d53af8bac3</citedby><cites>FETCH-LOGICAL-b387t-d80a158b088e6ee4255554485fbead2bc564d607834138ac7153276d53af8bac3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27928,27929</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27388248$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Izumi, Takahiko</creatorcontrib><creatorcontrib>Koizumi, Hideki</creatorcontrib><creatorcontrib>Maruko, Ichiro</creatorcontrib><creatorcontrib>Takahashi, Yohei</creatorcontrib><creatorcontrib>Sonoda, Shozo</creatorcontrib><creatorcontrib>Sakamoto, Taiji</creatorcontrib><creatorcontrib>Iida, Tomohiro</creatorcontrib><title>Structural analyses of choroid after half-dose verteporfin photodynamic therapy for central serous chorioretinopathy</title><title>British journal of ophthalmology</title><addtitle>Br J Ophthalmol</addtitle><description>Background/aimsTo investigate the changes in the intrachoroidal structures after half-dose verteporfin photodynamic therapy (PDT) for central serous chorioretinopathy (CSC).MethodsSwept-source optical coherence tomography cross-sectional images of 22 eyes of 22 patients with CSC were retrospectively analysed by a manual delineation technique and binarisation method.ResultsIn the 22 eyes, the mean subfoveal choroidal thickness decreased from 412.9±112.9 μm at baseline to 340.0±111.0 μm at 3 months (p&lt;0.0001). The mean thickness of the large choroidal vessel layer decreased from 368.7±112.7 μm at baseline to 292.2±118.0 μm at 3 months (p&lt;0.0001), but the mean choriocapillaris-medium choroidal vessel layer thickness did not change from 44.2±29.2 μm at baseline to 47.8±25.7 μm at 3 months (p=0.85). Analyses of the binarised choroidal images showed that a 3 mm subfoveal choroidal area decreased from 1.141±0.290 mm2 at baseline to 0.962±0.320 mm2 at 3 months after PDT (p=0.0001). 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Koizumi, Hideki ; Maruko, Ichiro ; Takahashi, Yohei ; Sonoda, Shozo ; Sakamoto, Taiji ; Iida, Tomohiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b387t-d80a158b088e6ee4255554485fbead2bc564d607834138ac7153276d53af8bac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Central Serous Chorioretinopathy - diagnostic imaging</topic><topic>Central Serous Chorioretinopathy - drug therapy</topic><topic>Central Serous Chorioretinopathy - physiopathology</topic><topic>Choroid - diagnostic imaging</topic><topic>Choroid - drug effects</topic><topic>Choroid - pathology</topic><topic>Female</topic><topic>Fluorescein Angiography</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Photochemotherapy</topic><topic>Photosensitizing Agents - therapeutic use</topic><topic>Porphyrins - therapeutic use</topic><topic>Retrospective Studies</topic><topic>Tomography, Optical Coherence</topic><topic>Treatment Outcome</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Izumi, Takahiko</creatorcontrib><creatorcontrib>Koizumi, Hideki</creatorcontrib><creatorcontrib>Maruko, Ichiro</creatorcontrib><creatorcontrib>Takahashi, Yohei</creatorcontrib><creatorcontrib>Sonoda, Shozo</creatorcontrib><creatorcontrib>Sakamoto, Taiji</creatorcontrib><creatorcontrib>Iida, Tomohiro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; 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The mean thickness of the large choroidal vessel layer decreased from 368.7±112.7 μm at baseline to 292.2±118.0 μm at 3 months (p&lt;0.0001), but the mean choriocapillaris-medium choroidal vessel layer thickness did not change from 44.2±29.2 μm at baseline to 47.8±25.7 μm at 3 months (p=0.85). Analyses of the binarised choroidal images showed that a 3 mm subfoveal choroidal area decreased from 1.141±0.290 mm2 at baseline to 0.962±0.320 mm2 at 3 months after PDT (p=0.0001). The mean luminal areas decreased from 0.826±0.246 mm2 at baseline to 0.665±0.234 mm2 at 3 months (p=0.0001), however, the mean stromal areas did not change from 0.315±0.066 mm2 at baseline to 0.297±0.095 mm2 at 3 months (p=0.60).ConclusionsHalf-dose PDT reduces subfoveal choroidal thickness and alters the intrachoroidal structures in eyes with CSC.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>27388248</pmid><doi>10.1136/bjophthalmol-2016-308921</doi><tpages>5</tpages></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Central Serous Chorioretinopathy - diagnostic imaging
Central Serous Chorioretinopathy - drug therapy
Central Serous Chorioretinopathy - physiopathology
Choroid - diagnostic imaging
Choroid - drug effects
Choroid - pathology
Female
Fluorescein Angiography
Follow-Up Studies
Humans
Male
Middle Aged
Photochemotherapy
Photosensitizing Agents - therapeutic use
Porphyrins - therapeutic use
Retrospective Studies
Tomography, Optical Coherence
Treatment Outcome
Visual Acuity
title Structural analyses of choroid after half-dose verteporfin photodynamic therapy for central serous chorioretinopathy
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