机构:[1]Beijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Institute of Ophthalmology, Capital Medical University, Beijing, China,首都医科大学附属北京同仁医院研究所眼科研究所临床科室眼科青光眼一科眼底科[2]Department of Ophthalmology, School of Medicine, University of California, San Francisco, San Francisco, CA, United States
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.
基金:
This work was supported by Beihang University-CMU, Advanced
Innovation Center for Big Data-Based Precision Medicine,
Ophthalmic subcenter, and Sanming Project of Medicine in
Shenzhen (No. SZSM201512045).
第一作者机构:[1]Beijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Institute of Ophthalmology, Capital Medical University, Beijing, China,
通讯作者:
推荐引用方式(GB/T 7714):
Tian Jiaxin,Xie Yuan,Li Meng,et al.The Relationship Between Nailfold Microcirculation and Retinal Microcirculation in Healthy Subjects[J].FRONTIERS IN PHYSIOLOGY.2020,11:doi:10.3389/fphys.2020.00880.
APA:
Tian, Jiaxin,Xie, Yuan,Li, Meng,Oatts, Julius,Han, Ying...&Wang, Ningli.(2020).The Relationship Between Nailfold Microcirculation and Retinal Microcirculation in Healthy Subjects.FRONTIERS IN PHYSIOLOGY,11,
MLA:
Tian, Jiaxin,et al."The Relationship Between Nailfold Microcirculation and Retinal Microcirculation in Healthy Subjects".FRONTIERS IN PHYSIOLOGY 11.(2020)