Optical coherence tomography angiography evaluation of optic disc and retinal vascular densities in obese patients

•We aimed to investigate vessel densities retinal, choroidal, and optic disc vascular changes using OCTA in obese patients.•The whole, parafoveal, and perifoveal vascular density values of the SCP and those of the DCP were statistically significantly lower in the obese group.•Statistically significa...

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Veröffentlicht in:Photodiagnosis and photodynamic therapy 2023-12, Vol.44, p.103826-103826, Article 103826
Hauptverfasser: Dogan, Berna, Dogan, Ugur, Gedik, Birumut, Turkmen, Berkay, Cakir, Remzi Can, Demirer, Metin Eren, Aslaner, Arif
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container_title Photodiagnosis and photodynamic therapy
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Dogan, Ugur
Gedik, Birumut
Turkmen, Berkay
Cakir, Remzi Can
Demirer, Metin Eren
Aslaner, Arif
description •We aimed to investigate vessel densities retinal, choroidal, and optic disc vascular changes using OCTA in obese patients.•The whole, parafoveal, and perifoveal vascular density values of the SCP and those of the DCP were statistically significantly lower in the obese group.•Statistically significant negative correlations were found between BMI and the whole, parafoveal and perifoveal vascular densities of the SCP and DCP and the density values of the optic disc for all vessels and small vessels. To evaluate optic disc and retinal vascular densities in obese patients using optical coherence tomography angiography (OCTA). This study included 27 eyes from 27 obese patients with a body mass index (BMI) of ≥35 who were scheduled for bariatric surgery at the general surgery clinic and 26 eyes from 26 healthy individuals with a BMI of 18.5–24.9 kg/m2 who were of similar age and gender to the obese group. The macular vascular densities of the superficial and deep capillary plexuses (SCP and DCP, respectively), choriocapillaris flow area, optic disc peripapillary vascular density, and retinal thicknesses were evaluated using the OCTA device in obese patients and controls. The mean age of the obese patients was 35.89 ± 10.93 years, and that of the controls was 32.31 ± 7.88 years (p = 0.199). The mean BMI values of the obese and control groups were 45.04 ± 6.89 kg/m2 and 23.19 ± 1.66 kg/m2, respectively (p < 0.0001). The whole, parafoveal, and perifoveal vascular density values of the SCP and those of the DCP were statistically significantly lower in the obese group than in the control group (p = 0.004, p = 0.011, p = 0.006, p = 0.036, p = 0.029, and p = 0.024, respectively). There was no significant difference between the two groups in terms of optic disc vascular density. Full retinal perifoveal thickness, full retinal perifoveal volume, inner retinal perifoveal thickness, and inner retinal perifoveal volume were statistically significantly lower in obese patients compared to the controls (p = 0.043, p = 0.042, p = 0.027, and p = 0.024, respectively). In addition, statistically significant negative correlations were found between BMI and the whole, parafoveal, and perifoveal vascular densities of the SCP and DCP and the whole vascular density values of the optic disc for all vessels and small vessels ​​(p = 0.017, r = -0.327; p = 0.043, r = -0.280; p = 0.033, r = -0.293; p = 0.034, r = -0.291; p = 0.017, r = -0.327; p = 0.023, r = -0.311; p = 0.031, r = -0.296; a
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To evaluate optic disc and retinal vascular densities in obese patients using optical coherence tomography angiography (OCTA). This study included 27 eyes from 27 obese patients with a body mass index (BMI) of ≥35 who were scheduled for bariatric surgery at the general surgery clinic and 26 eyes from 26 healthy individuals with a BMI of 18.5–24.9 kg/m2 who were of similar age and gender to the obese group. The macular vascular densities of the superficial and deep capillary plexuses (SCP and DCP, respectively), choriocapillaris flow area, optic disc peripapillary vascular density, and retinal thicknesses were evaluated using the OCTA device in obese patients and controls. The mean age of the obese patients was 35.89 ± 10.93 years, and that of the controls was 32.31 ± 7.88 years (p = 0.199). The mean BMI values of the obese and control groups were 45.04 ± 6.89 kg/m2 and 23.19 ± 1.66 kg/m2, respectively (p &lt; 0.0001). The whole, parafoveal, and perifoveal vascular density values of the SCP and those of the DCP were statistically significantly lower in the obese group than in the control group (p = 0.004, p = 0.011, p = 0.006, p = 0.036, p = 0.029, and p = 0.024, respectively). There was no significant difference between the two groups in terms of optic disc vascular density. Full retinal perifoveal thickness, full retinal perifoveal volume, inner retinal perifoveal thickness, and inner retinal perifoveal volume were statistically significantly lower in obese patients compared to the controls (p = 0.043, p = 0.042, p = 0.027, and p = 0.024, respectively). In addition, statistically significant negative correlations were found between BMI and the whole, parafoveal, and perifoveal vascular densities of the SCP and DCP and the whole vascular density values of the optic disc for all vessels and small vessels ​​(p = 0.017, r = -0.327; p = 0.043, r = -0.280; p = 0.033, r = -0.293; p = 0.034, r = -0.291; p = 0.017, r = -0.327; p = 0.023, r = -0.311; p = 0.031, r = -0.296; and p = 0.047, r = -0.274, respectively). We consider that the decrease in retinal vascular density and retinal thickness in obese patients is responsible for obesity-induced oxidative stress, increased inflammatory cytokines, and microvascular damage.</description><identifier>ISSN: 1572-1000</identifier><identifier>EISSN: 1873-1597</identifier><identifier>DOI: 10.1016/j.pdpdt.2023.103826</identifier><identifier>PMID: 37797912</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Body mass index ; Obesity ; Optic coherence tomography angiography ; Optic disc vascular density ; Retinal vascular density</subject><ispartof>Photodiagnosis and photodynamic therapy, 2023-12, Vol.44, p.103826-103826, Article 103826</ispartof><rights>2023</rights><rights>Copyright © 2023. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c354t-29daf7339fe45f5f9f833f3831fb9f02c881ca328b190891999cc3a9ff5ec0d43</cites><orcidid>0000-0002-7350-4790</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.pdpdt.2023.103826$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37797912$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dogan, Berna</creatorcontrib><creatorcontrib>Dogan, Ugur</creatorcontrib><creatorcontrib>Gedik, Birumut</creatorcontrib><creatorcontrib>Turkmen, Berkay</creatorcontrib><creatorcontrib>Cakir, Remzi Can</creatorcontrib><creatorcontrib>Demirer, Metin Eren</creatorcontrib><creatorcontrib>Aslaner, Arif</creatorcontrib><title>Optical coherence tomography angiography evaluation of optic disc and retinal vascular densities in obese patients</title><title>Photodiagnosis and photodynamic therapy</title><addtitle>Photodiagnosis Photodyn Ther</addtitle><description>•We aimed to investigate vessel densities retinal, choroidal, and optic disc vascular changes using OCTA in obese patients.•The whole, parafoveal, and perifoveal vascular density values of the SCP and those of the DCP were statistically significantly lower in the obese group.•Statistically significant negative correlations were found between BMI and the whole, parafoveal and perifoveal vascular densities of the SCP and DCP and the density values of the optic disc for all vessels and small vessels. To evaluate optic disc and retinal vascular densities in obese patients using optical coherence tomography angiography (OCTA). This study included 27 eyes from 27 obese patients with a body mass index (BMI) of ≥35 who were scheduled for bariatric surgery at the general surgery clinic and 26 eyes from 26 healthy individuals with a BMI of 18.5–24.9 kg/m2 who were of similar age and gender to the obese group. The macular vascular densities of the superficial and deep capillary plexuses (SCP and DCP, respectively), choriocapillaris flow area, optic disc peripapillary vascular density, and retinal thicknesses were evaluated using the OCTA device in obese patients and controls. The mean age of the obese patients was 35.89 ± 10.93 years, and that of the controls was 32.31 ± 7.88 years (p = 0.199). The mean BMI values of the obese and control groups were 45.04 ± 6.89 kg/m2 and 23.19 ± 1.66 kg/m2, respectively (p &lt; 0.0001). The whole, parafoveal, and perifoveal vascular density values of the SCP and those of the DCP were statistically significantly lower in the obese group than in the control group (p = 0.004, p = 0.011, p = 0.006, p = 0.036, p = 0.029, and p = 0.024, respectively). There was no significant difference between the two groups in terms of optic disc vascular density. Full retinal perifoveal thickness, full retinal perifoveal volume, inner retinal perifoveal thickness, and inner retinal perifoveal volume were statistically significantly lower in obese patients compared to the controls (p = 0.043, p = 0.042, p = 0.027, and p = 0.024, respectively). In addition, statistically significant negative correlations were found between BMI and the whole, parafoveal, and perifoveal vascular densities of the SCP and DCP and the whole vascular density values of the optic disc for all vessels and small vessels ​​(p = 0.017, r = -0.327; p = 0.043, r = -0.280; p = 0.033, r = -0.293; p = 0.034, r = -0.291; p = 0.017, r = -0.327; p = 0.023, r = -0.311; p = 0.031, r = -0.296; and p = 0.047, r = -0.274, respectively). We consider that the decrease in retinal vascular density and retinal thickness in obese patients is responsible for obesity-induced oxidative stress, increased inflammatory cytokines, and microvascular damage.</description><subject>Body mass index</subject><subject>Obesity</subject><subject>Optic coherence tomography angiography</subject><subject>Optic disc vascular density</subject><subject>Retinal vascular density</subject><issn>1572-1000</issn><issn>1873-1597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kE1PxCAQhonR-P0LTAxHL135aLdw8GCMX8kme9EzYWFQNt1SgW7iv5e66tHTTCbPOwMPQheUzCih8-v1bLCDzTNGGC8TLth8Dx1T0fKKNrLdL33TsooSQo7QSUprQngtSX2IjnjbylZSdozicsje6A6b8A4RegM4h014i3p4_8S6f_O_PWx1N-rsQ4-Dw2GKYeuTKZDFEbLvy5atTmbsdMQW-uSzh4R94VeQAA8lDH1OZ-jA6S7B-U89Ra8P9y93T9Vi-fh8d7uoDG_qXDFptWs5lw7qxjVOOsG544JTt5KOMCMENZozsaKSCEmllMZwLZ1rwBBb81N0tds7xPAxQspqU54LXad7CGNSTLQ1m5N5TQrKd6iJIaUITg3Rb3T8VJSoSbZaq2_ZapKtdrJL6vLnwLjagP3L_NotwM0OgPLNrYeokvGTY-sjmKxs8P8e-AKp15Oi</recordid><startdate>202312</startdate><enddate>202312</enddate><creator>Dogan, Berna</creator><creator>Dogan, Ugur</creator><creator>Gedik, Birumut</creator><creator>Turkmen, Berkay</creator><creator>Cakir, Remzi Can</creator><creator>Demirer, Metin Eren</creator><creator>Aslaner, Arif</creator><general>Elsevier B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7350-4790</orcidid></search><sort><creationdate>202312</creationdate><title>Optical coherence tomography angiography evaluation of optic disc and retinal vascular densities in obese patients</title><author>Dogan, Berna ; Dogan, Ugur ; Gedik, Birumut ; Turkmen, Berkay ; Cakir, Remzi Can ; Demirer, Metin Eren ; Aslaner, Arif</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-29daf7339fe45f5f9f833f3831fb9f02c881ca328b190891999cc3a9ff5ec0d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Body mass index</topic><topic>Obesity</topic><topic>Optic coherence tomography angiography</topic><topic>Optic disc vascular density</topic><topic>Retinal vascular density</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dogan, Berna</creatorcontrib><creatorcontrib>Dogan, Ugur</creatorcontrib><creatorcontrib>Gedik, Birumut</creatorcontrib><creatorcontrib>Turkmen, Berkay</creatorcontrib><creatorcontrib>Cakir, Remzi Can</creatorcontrib><creatorcontrib>Demirer, Metin Eren</creatorcontrib><creatorcontrib>Aslaner, Arif</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Photodiagnosis and photodynamic therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dogan, Berna</au><au>Dogan, Ugur</au><au>Gedik, Birumut</au><au>Turkmen, Berkay</au><au>Cakir, Remzi Can</au><au>Demirer, Metin Eren</au><au>Aslaner, Arif</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Optical coherence tomography angiography evaluation of optic disc and retinal vascular densities in obese patients</atitle><jtitle>Photodiagnosis and photodynamic therapy</jtitle><addtitle>Photodiagnosis Photodyn Ther</addtitle><date>2023-12</date><risdate>2023</risdate><volume>44</volume><spage>103826</spage><epage>103826</epage><pages>103826-103826</pages><artnum>103826</artnum><issn>1572-1000</issn><eissn>1873-1597</eissn><abstract>•We aimed to investigate vessel densities retinal, choroidal, and optic disc vascular changes using OCTA in obese patients.•The whole, parafoveal, and perifoveal vascular density values of the SCP and those of the DCP were statistically significantly lower in the obese group.•Statistically significant negative correlations were found between BMI and the whole, parafoveal and perifoveal vascular densities of the SCP and DCP and the density values of the optic disc for all vessels and small vessels. To evaluate optic disc and retinal vascular densities in obese patients using optical coherence tomography angiography (OCTA). This study included 27 eyes from 27 obese patients with a body mass index (BMI) of ≥35 who were scheduled for bariatric surgery at the general surgery clinic and 26 eyes from 26 healthy individuals with a BMI of 18.5–24.9 kg/m2 who were of similar age and gender to the obese group. The macular vascular densities of the superficial and deep capillary plexuses (SCP and DCP, respectively), choriocapillaris flow area, optic disc peripapillary vascular density, and retinal thicknesses were evaluated using the OCTA device in obese patients and controls. The mean age of the obese patients was 35.89 ± 10.93 years, and that of the controls was 32.31 ± 7.88 years (p = 0.199). The mean BMI values of the obese and control groups were 45.04 ± 6.89 kg/m2 and 23.19 ± 1.66 kg/m2, respectively (p &lt; 0.0001). The whole, parafoveal, and perifoveal vascular density values of the SCP and those of the DCP were statistically significantly lower in the obese group than in the control group (p = 0.004, p = 0.011, p = 0.006, p = 0.036, p = 0.029, and p = 0.024, respectively). There was no significant difference between the two groups in terms of optic disc vascular density. Full retinal perifoveal thickness, full retinal perifoveal volume, inner retinal perifoveal thickness, and inner retinal perifoveal volume were statistically significantly lower in obese patients compared to the controls (p = 0.043, p = 0.042, p = 0.027, and p = 0.024, respectively). In addition, statistically significant negative correlations were found between BMI and the whole, parafoveal, and perifoveal vascular densities of the SCP and DCP and the whole vascular density values of the optic disc for all vessels and small vessels ​​(p = 0.017, r = -0.327; p = 0.043, r = -0.280; p = 0.033, r = -0.293; p = 0.034, r = -0.291; p = 0.017, r = -0.327; p = 0.023, r = -0.311; p = 0.031, r = -0.296; and p = 0.047, r = -0.274, respectively). We consider that the decrease in retinal vascular density and retinal thickness in obese patients is responsible for obesity-induced oxidative stress, increased inflammatory cytokines, and microvascular damage.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>37797912</pmid><doi>10.1016/j.pdpdt.2023.103826</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-7350-4790</orcidid><oa>free_for_read</oa></addata></record>
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subjects Body mass index
Obesity
Optic coherence tomography angiography
Optic disc vascular density
Retinal vascular density
title Optical coherence tomography angiography evaluation of optic disc and retinal vascular densities in obese patients
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