Preclinical ocular features in patients with Behçet’s disease detected by optical coherence tomography angiography

Objective The aim of this study was to evaluate the perifoveal and peripapillary microvascular structure in patients with Behçet’s disease (BD) without clinically ocular involvement. Methods Fifty-six eyes of 28 patients with Behçet’s disease without clinically ocular involvement and 50 age-matched...

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Veröffentlicht in:Eye (London) 2021-10, Vol.35 (10), p.2719-2726
Hauptverfasser: Karalezli, Aylin, Kaderli, Sema Tamer, Sul, Sabahattin, Pektas, Suzan Demir
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creator Karalezli, Aylin
Kaderli, Sema Tamer
Sul, Sabahattin
Pektas, Suzan Demir
description Objective The aim of this study was to evaluate the perifoveal and peripapillary microvascular structure in patients with Behçet’s disease (BD) without clinically ocular involvement. Methods Fifty-six eyes of 28 patients with Behçet’s disease without clinically ocular involvement and 50 age-matched healthy eyes were included in this prospective study. Vessel densities (VD) of macula and optic nerve head, foveal avascular zone (FAZ), choroid capillary plexus (CCP) flow area, perifoveal capillary nonperfusion, capillary dilatation and/or telangiectasia and perifoveal capillary arcade disruption were analyzed with optical coherence tomography angiography (OCTA). The relationship between duration of disease and vessel densities was also evaluated. Results The FAZ was significantly higher in the BD group ( p  
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Methods Fifty-six eyes of 28 patients with Behçet’s disease without clinically ocular involvement and 50 age-matched healthy eyes were included in this prospective study. Vessel densities (VD) of macula and optic nerve head, foveal avascular zone (FAZ), choroid capillary plexus (CCP) flow area, perifoveal capillary nonperfusion, capillary dilatation and/or telangiectasia and perifoveal capillary arcade disruption were analyzed with optical coherence tomography angiography (OCTA). The relationship between duration of disease and vessel densities was also evaluated. Results The FAZ was significantly higher in the BD group ( p  < 0.001). VD of the foveal and parafoveal region in deep capillary plexus (DCP) were significantly lower in the BD group than in the control group ( p  < 0.001, p  < 0.001). Total disc, peripapillary and inside-disc VD were significantly lower in BD group ( p  = 0.001, p  = 0.002, p  = 0.004). Perifoveal morphological changes in DCP were significantly higher in nonocular BD ( p  < 0.001, p  < 0.001, p  < 0.001). There was a mild negative correlation between disease duration and whole VD in DCP, total disc VD, peripapillary VD was determined (For whole VD in DCP, r  = −0.400, p  = 0.035; for total disc VD r  = −0.396, p  = 0.037; for peripapillary VD r  = −0.442, p  = 0.018). Discussion Perifoveal and peripapillary microvascular changes that can be detected by OCTA may occur in Behçet’s patients without clinically ocular involvement.]]></description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/s41433-020-01294-z</identifier><identifier>PMID: 33235340</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/250/249 ; 692/1807/1482 ; Angiography ; Behcet Syndrome - diagnostic imaging ; Behcet's syndrome ; Eye ; Fluorescein Angiography ; Humans ; Laboratory Medicine ; Medical imaging ; Medicine ; Medicine &amp; Public Health ; Microvasculature ; Ophthalmology ; Optic nerve ; Pharmaceutical Sciences/Technology ; Prospective Studies ; Retinal Vessels - diagnostic imaging ; Sexually transmitted diseases ; STD ; Surgery ; Surgical Oncology ; Tomography ; Tomography, Optical Coherence ; Vein &amp; artery diseases</subject><ispartof>Eye (London), 2021-10, Vol.35 (10), p.2719-2726</ispartof><rights>The Author(s), under exclusive licence to The Royal College of Ophthalmologists 2020</rights><rights>2020. The Author(s), under exclusive licence to The Royal College of Ophthalmologists.</rights><rights>The Author(s), under exclusive licence to The Royal College of Ophthalmologists 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-c497d51ea5b62935338c4207eea2196af034ac69892b92e3287cc8f1c7de58203</citedby><cites>FETCH-LOGICAL-c474t-c497d51ea5b62935338c4207eea2196af034ac69892b92e3287cc8f1c7de58203</cites><orcidid>0000-0003-4851-6527</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8452614/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8452614/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,41487,42556,51318,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33235340$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Karalezli, Aylin</creatorcontrib><creatorcontrib>Kaderli, Sema Tamer</creatorcontrib><creatorcontrib>Sul, Sabahattin</creatorcontrib><creatorcontrib>Pektas, Suzan Demir</creatorcontrib><title>Preclinical ocular features in patients with Behçet’s disease detected by optical coherence tomography angiography</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description><![CDATA[Objective The aim of this study was to evaluate the perifoveal and peripapillary microvascular structure in patients with Behçet’s disease (BD) without clinically ocular involvement. Methods Fifty-six eyes of 28 patients with Behçet’s disease without clinically ocular involvement and 50 age-matched healthy eyes were included in this prospective study. Vessel densities (VD) of macula and optic nerve head, foveal avascular zone (FAZ), choroid capillary plexus (CCP) flow area, perifoveal capillary nonperfusion, capillary dilatation and/or telangiectasia and perifoveal capillary arcade disruption were analyzed with optical coherence tomography angiography (OCTA). The relationship between duration of disease and vessel densities was also evaluated. Results The FAZ was significantly higher in the BD group ( p  < 0.001). VD of the foveal and parafoveal region in deep capillary plexus (DCP) were significantly lower in the BD group than in the control group ( p  < 0.001, p  < 0.001). Total disc, peripapillary and inside-disc VD were significantly lower in BD group ( p  = 0.001, p  = 0.002, p  = 0.004). Perifoveal morphological changes in DCP were significantly higher in nonocular BD ( p  < 0.001, p  < 0.001, p  < 0.001). There was a mild negative correlation between disease duration and whole VD in DCP, total disc VD, peripapillary VD was determined (For whole VD in DCP, r  = −0.400, p  = 0.035; for total disc VD r  = −0.396, p  = 0.037; for peripapillary VD r  = −0.442, p  = 0.018). 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artery diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karalezli, Aylin</creatorcontrib><creatorcontrib>Kaderli, Sema Tamer</creatorcontrib><creatorcontrib>Sul, Sabahattin</creatorcontrib><creatorcontrib>Pektas, Suzan Demir</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>Neurosciences Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Eye (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karalezli, Aylin</au><au>Kaderli, Sema Tamer</au><au>Sul, Sabahattin</au><au>Pektas, Suzan Demir</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preclinical ocular features in patients with Behçet’s disease detected by optical coherence tomography angiography</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><addtitle>Eye (Lond)</addtitle><date>2021-10-01</date><risdate>2021</risdate><volume>35</volume><issue>10</issue><spage>2719</spage><epage>2726</epage><pages>2719-2726</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><abstract><![CDATA[Objective The aim of this study was to evaluate the perifoveal and peripapillary microvascular structure in patients with Behçet’s disease (BD) without clinically ocular involvement. Methods Fifty-six eyes of 28 patients with Behçet’s disease without clinically ocular involvement and 50 age-matched healthy eyes were included in this prospective study. Vessel densities (VD) of macula and optic nerve head, foveal avascular zone (FAZ), choroid capillary plexus (CCP) flow area, perifoveal capillary nonperfusion, capillary dilatation and/or telangiectasia and perifoveal capillary arcade disruption were analyzed with optical coherence tomography angiography (OCTA). The relationship between duration of disease and vessel densities was also evaluated. Results The FAZ was significantly higher in the BD group ( p  < 0.001). VD of the foveal and parafoveal region in deep capillary plexus (DCP) were significantly lower in the BD group than in the control group ( p  < 0.001, p  < 0.001). Total disc, peripapillary and inside-disc VD were significantly lower in BD group ( p  = 0.001, p  = 0.002, p  = 0.004). Perifoveal morphological changes in DCP were significantly higher in nonocular BD ( p  < 0.001, p  < 0.001, p  < 0.001). There was a mild negative correlation between disease duration and whole VD in DCP, total disc VD, peripapillary VD was determined (For whole VD in DCP, r  = −0.400, p  = 0.035; for total disc VD r  = −0.396, p  = 0.037; for peripapillary VD r  = −0.442, p  = 0.018). Discussion Perifoveal and peripapillary microvascular changes that can be detected by OCTA may occur in Behçet’s patients without clinically ocular involvement.]]></abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>33235340</pmid><doi>10.1038/s41433-020-01294-z</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-4851-6527</orcidid><oa>free_for_read</oa></addata></record>
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subjects 631/250/249
692/1807/1482
Angiography
Behcet Syndrome - diagnostic imaging
Behcet's syndrome
Eye
Fluorescein Angiography
Humans
Laboratory Medicine
Medical imaging
Medicine
Medicine & Public Health
Microvasculature
Ophthalmology
Optic nerve
Pharmaceutical Sciences/Technology
Prospective Studies
Retinal Vessels - diagnostic imaging
Sexually transmitted diseases
STD
Surgery
Surgical Oncology
Tomography
Tomography, Optical Coherence
Vein & artery diseases
title Preclinical ocular features in patients with Behçet’s disease detected by optical coherence tomography angiography
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