Ocular microvascular alteration in Sjögren syndrome

2022 Quantitative Imaging in Medicine and Surgery. All rights reserved..

BACKGROUND: Sjögren syndrome (SjS) is a systemic disease affecting exocrine, including ocular lacrimal, glands. It is uncertain whether ocular microvascular alterations are associated with this disease. In this study, we evaluated retinal and conjunctival microvascular changes in SjS patients using optical coherence tomography angiography (OCTA).

METHODS: Twelve SjS patients (24 eyes) and 12 normal controls (24 eyes) were recruited to this study. Three-dimensional conjunctival and retinal OCTA images of each eye were captured and microvascular density was calculated. Each image was analyzed by retinal area based on the early treatment of diabetic retinopathy study method (R, S, L, and I) hemisphere segmentation method (SR, SL, IL, and IR); and central wheel division method (C1-C6). Correlation analyses were used to look for associations between retinal and conjunctival microvascular densities.

RESULTS: Superficial and deep retinal layer microvascular density was decreased in SjS patients compared with normal controls (P<0.05). This significant difference was found in both superficial and deep layers in S, L, SL, IL and C1-C3 regions, and additionally in the I and SR regions in the superficial layer. Conversely, in the conjunctiva microvascular density was higher in SjS patients than in controls. In SjS patients, a significant negative correlation was found between conjunctival and both superficial (r=-0.641; P=0.025) and deep (r=-0.958; P<0.0001) microvascular densities.

CONCLUSIONS: The changed microvascular densities measured in deep and superficial retinal layers and in the conjunctiva demonstrate that OCTA is a promising method in differentiating the eyes from those with SjS.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Quantitative imaging in medicine and surgery - 12(2022), 2 vom: 19. Feb., Seite 1324-1335

Sprache:

Englisch

Beteiligte Personen:

Yang, Qi-Chen [VerfasserIn]
Yao, Fan [VerfasserIn]
Li, Qiu-Yu [VerfasserIn]
Chen, Min-Jie [VerfasserIn]
Zhang, Li-Juan [VerfasserIn]
Shu, Hui-Ye [VerfasserIn]
Liang, Rong-Bin [VerfasserIn]
Pan, Yi-Cong [VerfasserIn]
Ge, Qian-Min [VerfasserIn]
Shao, Yi [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Optical coherence tomography angiography
Retinal microvascular density
Sjögren syndrome (SjS)

Anmerkungen:

Date Revised 30.04.2022

published: Print

Citation Status PubMed-not-MEDLINE

doi:

10.21037/qims-21-234

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM336443269