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Optical Coherence Tomography Angiography Assessment of Macular Choriocapillaris and Choroid Following Panretinal Photocoagulation in a Diverse Population With Advanced Diabetic Retinopathy

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单位: [1]University of California, San Francisco, Department of Ophthalmology, San Francisco, CA, USA. [2]Department of Ophthalmology, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA. [3]China-Japan Friendship Hospital, Department of Ophthalmology, Beijing, China. [4]Shenzhen Key Laboratory of Ophthalmology, Shenzhen Eye Hospital, Jinan University, School of Optometry, Shenzhen University, Shenzhen, China. [5]Department of Ophthalmology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
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关键词: diabetic retinopathy optical coherence tomography angiography panretinal photocoagulation

摘要:
Purpose: The aim of this study was to evaluate choroidal and retinal microvasculature with optical coherence tomography angiography (OCTA) after panretinal photocoagulation (PRP) for diabetic retinopathy in a primarily Hispanic and Asian population. Design: Retrospective study. Methods: Eyes were examined by OCTA in the macula (3 x 3 mm) just before PRP treatment and 1 to 3 months afterwards. Choroidal thickness (CT) and central retinal thickness (CRT) were measured. Choroidal flow signal voids (CFSV) and choriocapillaris flow signal voids (CCFSV) were acquired. Retinal microvasculature parameters, including superficial and deep vessel density, superficial and deeper perfusion density, fovea! avascular zone area, perimeter and circularity, were calculated. Ocular examinations and demographic information were analyzed. Results: CT at a location 1000 mu m temporal to the fovea increased significantly after PRP (from 278.64 p.m to 313.441.s.m, P = 0.026). CCFSV increased slightly from (46.72 +/- 8.52)% to (47.07 +/- 10.77)%, but the difference was not statistically significant (P = 0.782). A similar finding was observed in CFSV (increase from 35.81% to 36.64%, P= 0.165). The change in all retinal microvasculature parameters was also not significant. Best-corrected visual acuity (BCVA) decreased from 0.218 +/- 0.153 to 0.262 +/- 0.147 (P = 0.034). Increased CRT (from 245.41 +/- 33.18 mu m to 251.14 +/- 38.97 mu m, P = 0.007) was observed. The change in CRT positively correlated with pre-PRP CRT (r.-0.434, P = 0.019) and BCVA reduction (r_0.418, P - 0.024). Neither BCVA reduction nor CRT increase correlated with OCTA metrics. Conclusions: OCTA demonstrates redistribution of choroidal circulation from the periphery to the macula after PRP, with increased macular CT and stable choroidal blood flow density. Eyes with greater macular thickness are more likely to experience an increase in CRT.

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出版当年[2020]版:
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大类 | 2 区 医学
小类 | 2 区 眼科学
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出版当年[2019]版:
最新[2023]版:
Q1 OPHTHALMOLOGY

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2019版] 出版当年五年平均[2015-2019] 出版前一年[2018版] 出版后一年[2020版]

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第一作者单位: [1]University of California, San Francisco, Department of Ophthalmology, San Francisco, CA, USA. [2]Department of Ophthalmology, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA. [3]China-Japan Friendship Hospital, Department of Ophthalmology, Beijing, China.
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通讯机构: [1]University of California, San Francisco, Department of Ophthalmology, San Francisco, CA, USA. [2]Department of Ophthalmology, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA. [*1]University of California, San Francisco, Department of Ophthalmology, 10 Koret Way,K301, San Francisco, CA 94143-0730, USA
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