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Macular vessel density versus ganglion cell complex thickness for detection of early primary open-angle glaucoma

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机构: [1]Beijing Institute of Ophthalmology, Beijing Tongren Eye Centre, BeijingTongren Hospital, Capital Medical University, 1 Dongjiaominxiang Street,Dongcheng District, Beijing 100730, China [2]Beijing Ophthalmology & VisualSciences Key Laboratory, 1 Dongjiaominxiang Street, Dongcheng District,Beijing 100730, China [3]Department of Ophthalmology, Boston UniversitySchool of Medicine, Boston, MA 02118, USA [4]Department of Anatomy andNeurobiology, Boston University School of Medicine, Boston, MA 02118, USA [5]Department of Ophthalmology, Beijing Tongren Eye Centre, Beijing TongrenHospital, Capital Medical University, Beijing 100730, China
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关键词: Primary open-angle glaucoma Pre-perimetric glaucoma Macular vessel density Ganglion cell complex Optical coherence tomography angiography

摘要:
Background To evaluate the macular vessel density (VD) and ganglion cell complex (GCC) thickness in pre-perimetric (PPG) and early perimetric primary open-angle glaucoma (PG) eyes, and to compare the diagnostic ability of the two measurements to discriminate PPG and early PG eyes from healthy eyes. Methods Seventy-nine eyes in 72 subjects (31 normal, 26 PPG, and 22 early PG eyes) were included in the consecutive case series. Macular VD and GCC thickness were acquired simultaneously using the 6 x 6 mm(2) high-density AngioRetina scanning mode. Diagnostic abilities were assessed using the area under the receiver operating characteristic curve (AUROC). Results Compared to healthy eyes, whole image VD (wiVD) and GCC thickness were significantly lower in PPG and early PG eyes (all P < 0.025). The percent reduction of wiVD was lower than that of GCC thickness in early PG eyes (P < 0.05), while they were similar in PPG eyes (P > 0.05). Regionally, greater VD attenuation and GCC thinning were identified in the perifovea than in the parafovea in both groups (all P < 0.05). Moreover, the percent reduction of VD was less than that of GCC thickness in the perifoveal region in PPG eyes (P < 0.05). The AUROCs for wiVD and GCC thickness were 0.824 and 0.881, respectively, in PPG eyes (P > 0.05), and 0.918 and 0.977, respectively, in early PG eyes (P > 0.05). Conclusions Macular VD and GCC thickness significantly decreased in PPG and early PG eyes. The perifoveal region appeared to be more vulnerable to macular VD attenuation and GCC thinning in early glaucoma. Our results showed that macular VD measurements may be helpful for detecting and understanding early glaucomatous damage.

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出版当年[2019]版:
大类 | 4 区 医学
小类 | 4 区 眼科学
最新[2023]版:
大类 | 4 区 医学
小类 | 3 区 眼科学
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出版当年[2018]版:
Q3 OPHTHALMOLOGY
最新[2023]版:
Q3 OPHTHALMOLOGY

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第一作者机构: [1]Beijing Institute of Ophthalmology, Beijing Tongren Eye Centre, BeijingTongren Hospital, Capital Medical University, 1 Dongjiaominxiang Street,Dongcheng District, Beijing 100730, China [2]Beijing Ophthalmology & VisualSciences Key Laboratory, 1 Dongjiaominxiang Street, Dongcheng District,Beijing 100730, China
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通讯机构: [1]Beijing Institute of Ophthalmology, Beijing Tongren Eye Centre, BeijingTongren Hospital, Capital Medical University, 1 Dongjiaominxiang Street,Dongcheng District, Beijing 100730, China [2]Beijing Ophthalmology & VisualSciences Key Laboratory, 1 Dongjiaominxiang Street, Dongcheng District,Beijing 100730, China
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