Quantitative measures of vortex veins in the posterior pole in eyes with pachychoroid spectrum diseases

Pachychoroid spectrum diseases have attracted increasing attention, though their pathophysiology has yet to be fully elucidated. In this study, we assessed the vascular diameters of vortex veins in pachychoroid spectrum diseases such as central serous chorioretinopathy (CSC), pachychoroid neovasculo...

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Veröffentlicht in:Scientific reports 2020-11, Vol.10 (1), p.19505-19505, Article 19505
Hauptverfasser: Matsumoto, Hidetaka, Hoshino, Junki, Arai, Yosuke, Mukai, Ryo, Nakamura, Kosuke, Kikuchi, Yuka, Kishi, Shoji, Akiyama, Hideo
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container_title Scientific reports
container_volume 10
creator Matsumoto, Hidetaka
Hoshino, Junki
Arai, Yosuke
Mukai, Ryo
Nakamura, Kosuke
Kikuchi, Yuka
Kishi, Shoji
Akiyama, Hideo
description Pachychoroid spectrum diseases have attracted increasing attention, though their pathophysiology has yet to be fully elucidated. In this study, we assessed the vascular diameters of vortex veins in pachychoroid spectrum diseases such as central serous chorioretinopathy (CSC), pachychoroid neovasculopathy without polypoidal lesions (PNV), and pachychoroid neovasculopathy with polypoidal lesions (polypoidal choroidal vasculopathy: PCV). In a retrospective case series of 94 eyes with CSC, 60 eyes with PNV and 57 with PCV, we binarized en face optical coherence tomography (OCT) images of choroidal vortex veins and analyzed the mean diameter of vortex veins. The presence of anastomosis between the superior and inferior vortex veins and central choroidal thickness (CCT) were also evaluated using OCT images. CSC showed significantly larger mean diameter of vortex veins than PCV (P 
doi_str_mv 10.1038/s41598-020-75789-w
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In this study, we assessed the vascular diameters of vortex veins in pachychoroid spectrum diseases such as central serous chorioretinopathy (CSC), pachychoroid neovasculopathy without polypoidal lesions (PNV), and pachychoroid neovasculopathy with polypoidal lesions (polypoidal choroidal vasculopathy: PCV). In a retrospective case series of 94 eyes with CSC, 60 eyes with PNV and 57 with PCV, we binarized en face optical coherence tomography (OCT) images of choroidal vortex veins and analyzed the mean diameter of vortex veins. The presence of anastomosis between the superior and inferior vortex veins and central choroidal thickness (CCT) were also evaluated using OCT images. CSC showed significantly larger mean diameter of vortex veins than PCV (P &lt; 0.05). Anastomosis between superior and inferior vortex veins was observed in over 90% of eyes with each pachychoroid spectrum disease. The patients with CSC were the youngest, followed by PNV patients, and then patients with PCV. The largest CCT values were observed in CSC eyes, followed by PNV eyes, and then PCV eyes. CCT correlated with the mean diameter of vortex veins (rs = 0.51, P &lt; 0.01). These findings suggest that congestion of vortex veins might show gradual amelioration corresponding to the development of anastomosis between the superior and inferior vortex veins during the course of progression of pachychoroid spectrum diseases. 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In this study, we assessed the vascular diameters of vortex veins in pachychoroid spectrum diseases such as central serous chorioretinopathy (CSC), pachychoroid neovasculopathy without polypoidal lesions (PNV), and pachychoroid neovasculopathy with polypoidal lesions (polypoidal choroidal vasculopathy: PCV). In a retrospective case series of 94 eyes with CSC, 60 eyes with PNV and 57 with PCV, we binarized en face optical coherence tomography (OCT) images of choroidal vortex veins and analyzed the mean diameter of vortex veins. The presence of anastomosis between the superior and inferior vortex veins and central choroidal thickness (CCT) were also evaluated using OCT images. CSC showed significantly larger mean diameter of vortex veins than PCV (P &lt; 0.05). Anastomosis between superior and inferior vortex veins was observed in over 90% of eyes with each pachychoroid spectrum disease. The patients with CSC were the youngest, followed by PNV patients, and then patients with PCV. The largest CCT values were observed in CSC eyes, followed by PNV eyes, and then PCV eyes. CCT correlated with the mean diameter of vortex veins (rs = 0.51, P &lt; 0.01). These findings suggest that congestion of vortex veins might show gradual amelioration corresponding to the development of anastomosis between the superior and inferior vortex veins during the course of progression of pachychoroid spectrum diseases. Moreover, the mean diameter of vortex veins can be used as a parameter indicating choroidal congestion.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>33177540</pmid><doi>10.1038/s41598-020-75789-w</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects 692/308
692/617
692/699
Adult
Age
Aged
Anastomosis
Central Serous Chorioretinopathy - complications
Central Serous Chorioretinopathy - diagnostic imaging
Central Serous Chorioretinopathy - pathology
Choroid - blood supply
Choroid - diagnostic imaging
Choroid - pathology
Choroid Diseases - complications
Choroid Diseases - diagnostic imaging
Choroid Diseases - pathology
Choroidal Neovascularization - diagnostic imaging
Choroidal Neovascularization - pathology
Disease Progression
Female
Fluorescein Angiography
Fundus Oculi
Humanities and Social Sciences
Humans
Lesions
Male
Medical imaging
Middle Aged
multidisciplinary
Pathophysiology
Posterior Eye Segment - blood supply
Posterior Eye Segment - diagnostic imaging
Retinal Detachment - diagnostic imaging
Retinal Detachment - pathology
Retinal Pigment Epithelium - diagnostic imaging
Retinal Pigment Epithelium - pathology
Retinal Vein - diagnostic imaging
Retinal Vein - pathology
Retrospective Studies
Science
Science (multidisciplinary)
Tomography, Optical Coherence
Vascular diseases
Veins & arteries
title Quantitative measures of vortex veins in the posterior pole in eyes with pachychoroid spectrum diseases
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