Retinal and Choroidal Thinning-A Predictor of Coronary Artery Occlusion

Introduction. Optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) allowed visualization of retina and choroid to nearly the capillary level; however, the relationship between systemic macrovascular status and retinal microvascular changes is not yet known well. Aim. Our purpose was to assess the impact of retinal optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) parameters on prediction of coronary heart disease (CHD) in acute myocardial infarction (MI) and chronic three vessel disease (3VD) groups. Methods. This observational study included 184 patients-26 in 3VD, 76 in MI and 82 in healthy participants groups. Radial scans of the macula and OCTA scans of the central macula (superficial (SCP) and deep (DCP) capillary plexuses) were performed on all participants. All participants underwent coronary angiography. Results. Patients in MI groups showed decreased parafoveal total retinal thickness as well as GCL(+) retinal thickness. Outer circle total retinal thickness and GCL(+) retinal thickness were lowest in the 3VD group. The MI group had thinner, while 3VD the thinnest, choroid. A decrease in choroidal thickness and vascular density could predict 3VD. Conclusions. A decrease in retinal and choroidal thickness as well as decreased vascular density in the central retinal region may predict coronary artery disease. OCT and OCTA could be a significant, safe, and noninvasive tool for the prediction of coronary artery disease.

Automated summary

This study used optical coherence tomography and optical coherence tomography angiography to investigate the relationship between retinal and choroidal microvascular changes and coronary heart disease. The results showed that a decrease in retinal and choroidal thickness as well as decreased vascular density may predict coronary artery disease. This study suggests that OCT and OCTA could be a significant, safe, and noninvasive tool for the prediction of coronary artery disease.