Choroidal vascularity index in obstructive sleep apnea syndrome

Background There is growing evidence supporting an association between obstructive sleep apnea syndrome (OSAS) and systemic vascular disorders. However, the data on choroidal microvasculature are limited. In recent years, choroidal thickness (CT) and choroidal vascularity index (CVI) have been of co...

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Veröffentlicht in:Sleep & breathing 2022-12, Vol.26 (4), p.1655-1659
Hauptverfasser: Özcan, Gökçen, Temel, Emine, Örnek, Kemal, Zerman, Nermin, Aşıkgarip, Nazife, Kocamış, Özkan, Ertürk, Arzu
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container_end_page 1659
container_issue 4
container_start_page 1655
container_title Sleep & breathing
container_volume 26
creator Özcan, Gökçen
Temel, Emine
Örnek, Kemal
Zerman, Nermin
Aşıkgarip, Nazife
Kocamış, Özkan
Ertürk, Arzu
description Background There is growing evidence supporting an association between obstructive sleep apnea syndrome (OSAS) and systemic vascular disorders. However, the data on choroidal microvasculature are limited. In recent years, choroidal thickness (CT) and choroidal vascularity index (CVI) have been of considerable interest as objective markers of choroidal vascularity. We hypothesized that the imbalance of vascular regulation in OSAS may adversely affect the CT and CVI and may help to assess the vascular risk in these patients. Purpose This study aimed to evaluate the choroidal morphology in patients with OSAS. Materials and methods Patients with moderate OSAS were included to this study. The subfoveal, nasal, and temporal CT were calculated. The choroidal area (CA) was binarized to the luminal area (LA) and stromal area (SA) using ImageJ software. The CVI was calculated as the proportion of the LA to the total CA. Results Of 40 eyes of 40 patients, the mean subfoveal CT was significantly decreased in the OSAS group in comparison to the controls ( p  = 0.032). The mean CA, LA, and SA were decreased in the OSAS group compared with the controls, but the differences did not reach a statistical significance ( p  = 0.132, p  = 0.104, and p  = 0.184, respectively). The CVI was not significantly changed in patients with OSAS ( p  = 1.000). Conclusion Unlike CT, there were no significant differences in choroidal structural parameters and CVI in patients with OSAS.
doi_str_mv 10.1007/s11325-021-02538-2
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However, the data on choroidal microvasculature are limited. In recent years, choroidal thickness (CT) and choroidal vascularity index (CVI) have been of considerable interest as objective markers of choroidal vascularity. We hypothesized that the imbalance of vascular regulation in OSAS may adversely affect the CT and CVI and may help to assess the vascular risk in these patients. Purpose This study aimed to evaluate the choroidal morphology in patients with OSAS. Materials and methods Patients with moderate OSAS were included to this study. The subfoveal, nasal, and temporal CT were calculated. The choroidal area (CA) was binarized to the luminal area (LA) and stromal area (SA) using ImageJ software. The CVI was calculated as the proportion of the LA to the total CA. Results Of 40 eyes of 40 patients, the mean subfoveal CT was significantly decreased in the OSAS group in comparison to the controls ( p  = 0.032). The mean CA, LA, and SA were decreased in the OSAS group compared with the controls, but the differences did not reach a statistical significance ( p  = 0.132, p  = 0.104, and p  = 0.184, respectively). The CVI was not significantly changed in patients with OSAS ( p  = 1.000). Conclusion Unlike CT, there were no significant differences in choroidal structural parameters and CVI in patients with OSAS.</description><identifier>ISSN: 1520-9512</identifier><identifier>EISSN: 1522-1709</identifier><identifier>DOI: 10.1007/s11325-021-02538-2</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Apnea ; Dentistry ; Internal Medicine ; Medicine ; Medicine &amp; Public Health ; Microvasculature ; Neurology ; Otorhinolaryngology ; Pediatrics ; Pneumology/Respiratory System ; Sleep apnea ; Sleep Breathing Physiology and Disorders • Original Article ; Sleep disorders</subject><ispartof>Sleep &amp; breathing, 2022-12, Vol.26 (4), p.1655-1659</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Switzerland AG 2021</rights><rights>The Author(s), under exclusive licence to Springer Nature Switzerland AG 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-34d68426f60e286ec4e5ee379e0fc40017d87afa4d9ea28f2561d5a0fbe7ab313</citedby><cites>FETCH-LOGICAL-c352t-34d68426f60e286ec4e5ee379e0fc40017d87afa4d9ea28f2561d5a0fbe7ab313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11325-021-02538-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11325-021-02538-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids></links><search><creatorcontrib>Özcan, Gökçen</creatorcontrib><creatorcontrib>Temel, Emine</creatorcontrib><creatorcontrib>Örnek, Kemal</creatorcontrib><creatorcontrib>Zerman, Nermin</creatorcontrib><creatorcontrib>Aşıkgarip, Nazife</creatorcontrib><creatorcontrib>Kocamış, Özkan</creatorcontrib><creatorcontrib>Ertürk, Arzu</creatorcontrib><title>Choroidal vascularity index in obstructive sleep apnea syndrome</title><title>Sleep &amp; breathing</title><addtitle>Sleep Breath</addtitle><description>Background There is growing evidence supporting an association between obstructive sleep apnea syndrome (OSAS) and systemic vascular disorders. However, the data on choroidal microvasculature are limited. In recent years, choroidal thickness (CT) and choroidal vascularity index (CVI) have been of considerable interest as objective markers of choroidal vascularity. We hypothesized that the imbalance of vascular regulation in OSAS may adversely affect the CT and CVI and may help to assess the vascular risk in these patients. Purpose This study aimed to evaluate the choroidal morphology in patients with OSAS. Materials and methods Patients with moderate OSAS were included to this study. The subfoveal, nasal, and temporal CT were calculated. The choroidal area (CA) was binarized to the luminal area (LA) and stromal area (SA) using ImageJ software. The CVI was calculated as the proportion of the LA to the total CA. Results Of 40 eyes of 40 patients, the mean subfoveal CT was significantly decreased in the OSAS group in comparison to the controls ( p  = 0.032). The mean CA, LA, and SA were decreased in the OSAS group compared with the controls, but the differences did not reach a statistical significance ( p  = 0.132, p  = 0.104, and p  = 0.184, respectively). The CVI was not significantly changed in patients with OSAS ( p  = 1.000). 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breathing</jtitle><stitle>Sleep Breath</stitle><date>2022-12-01</date><risdate>2022</risdate><volume>26</volume><issue>4</issue><spage>1655</spage><epage>1659</epage><pages>1655-1659</pages><issn>1520-9512</issn><eissn>1522-1709</eissn><abstract>Background There is growing evidence supporting an association between obstructive sleep apnea syndrome (OSAS) and systemic vascular disorders. However, the data on choroidal microvasculature are limited. In recent years, choroidal thickness (CT) and choroidal vascularity index (CVI) have been of considerable interest as objective markers of choroidal vascularity. We hypothesized that the imbalance of vascular regulation in OSAS may adversely affect the CT and CVI and may help to assess the vascular risk in these patients. Purpose This study aimed to evaluate the choroidal morphology in patients with OSAS. Materials and methods Patients with moderate OSAS were included to this study. The subfoveal, nasal, and temporal CT were calculated. The choroidal area (CA) was binarized to the luminal area (LA) and stromal area (SA) using ImageJ software. The CVI was calculated as the proportion of the LA to the total CA. Results Of 40 eyes of 40 patients, the mean subfoveal CT was significantly decreased in the OSAS group in comparison to the controls ( p  = 0.032). The mean CA, LA, and SA were decreased in the OSAS group compared with the controls, but the differences did not reach a statistical significance ( p  = 0.132, p  = 0.104, and p  = 0.184, respectively). The CVI was not significantly changed in patients with OSAS ( p  = 1.000). Conclusion Unlike CT, there were no significant differences in choroidal structural parameters and CVI in patients with OSAS.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><doi>10.1007/s11325-021-02538-2</doi><tpages>5</tpages></addata></record>
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subjects Apnea
Dentistry
Internal Medicine
Medicine
Medicine & Public Health
Microvasculature
Neurology
Otorhinolaryngology
Pediatrics
Pneumology/Respiratory System
Sleep apnea
Sleep Breathing Physiology and Disorders • Original Article
Sleep disorders
title Choroidal vascularity index in obstructive sleep apnea syndrome
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