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The Relationship Between Nailfold Microcirculation and Retinal Microcirculation in Healthy Subjects

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机构: [1]Beijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Institute of Ophthalmology, Capital Medical University, Beijing, China, [2]Department of Ophthalmology, School of Medicine, University of California, San Francisco, San Francisco, CA, United States
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关键词: nailfold microcirculation retinal microcirculation nailfold capillaroscopy optical coherence tomography angiography relationship

摘要:
Objective: To evaluate whether the nailfold microcirculation is associated with retinal microcirculation in healthy subjects. Methods: Fifty subjects without systematic and ocular diseases were enrolled. Thickness of peripapillary retinal nerve fiber layer (RNFL), vessel density (VD) of radial peripapillary capillaries (RPCs), and superficial capillary VD in macular zone were measured with optical coherence tomography angiography (OCTA) in left eyes. Nailfold microcirculation, including capillary density, avascular zones, dilated capillaries, and hemorrhages was examined on the fourth digit of each subject's non-dominant (left) hand with nailfold capillaroscopy (NFC). Results: After adjustment for relatively systemic factors, multivariate regression analyses showed a significant direct relationship between RNFL thickness and nailfold capillary density (OR=1.09;p=0.046). RNFL thickness and RPCs VD were negatively correlated with nailfold avascular zones (OR=0.855;p=0.007; OR=0.596;p=0.010). Superficial VD of parafovea was negatively associated with dilated nailfold capillaries (OR=0.794;p=0.012). Conclusion: In healthy subjects, nailfold capillary lower density and abnormalities are associated with reduced RNFL thickness and retinal VD. The results provide a theoretical foundation for relevant studies on ocular diseases with microvascular abnormalities and could contribute to pathogenesis understanding in the future. NFC and OCTA have the potential to identify risk factors and improve accuracy of the early diagnosis and treatment of ocular diseases, even systemic diseases with any microvascular component in clinical practice. Clinical Trail Registration: http://www.chictr.org.cn/index.aspx, identifier ChiCTR 1800017875.

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出版当年[2019]版:
大类 | 2 区 医学
小类 | 2 区 生理学
最新[2025]版:
大类 | 3 区 医学
小类 | 2 区 生理学
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出版当年[2018]版:
Q2 PHYSIOLOGY
最新[2023]版:
Q2 PHYSIOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者机构: [1]Beijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Institute of Ophthalmology, Capital Medical University, Beijing, China,
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