期刊
JOURNAL OF CLINICAL MEDICINE
卷 12, 期 14, 页码 -出版社
MDPI
DOI: 10.3390/jcm12144817
关键词
nailfold videocapillaroscopy; central serous chorioretinopathy; microcirculation; choroid; vessel density
This study aimed to evaluate the results of nailfold videocapillaroscopies (NVCs) among patients with central serous chorioretinopathy (CSC) and their correlation with the choroid and retinal parameters. The results showed abnormal NVC patterns and dilated capillaries in CSC patients, and observed some microcirculation abnormalities among different types of CSC patients. These findings suggest that NVC examination may be helpful in assessing the prognosis of CSC.
Aim: This study seeks to evaluate the results of nailfold videocapillaroscopies (NVCs) among patients with central serous chorioretinopathy (CSC) and their correlation with the choroid and retinal parameters. Material and Methods: The examined group included 152 patients with acute, recurrent, chronic and neovascular CSC (34 F, 118 M, mean age 45.9 & PLUSMN; 8.9) and 41 healthy controls (12 F, 29 M, mean age 47 & PLUSMN; 11.5). The NVC examination, ophthalmoscopy, angio-OCT and OCT were performed. In addition, the medical history regarding chronic general disorders and known risk factors were recorded. Results: Abnormal NVC patterns and the dilated apical part of capillaries were found only in CSC patients (p = 0.000). Neoangiogenesis was observed in 25 acute (58.14%), 22 recurrent (42.31%), 16 chronic (36.36%) and 5 neovascular patients (45.45%) and 2 control subjects (4.88%) (p = 0.000). Glomerular capillaries were found in 8 acute (18.6%), 17 recurrent (31.48%), 25 chronic (56.82%) and 8 neovascular patients (72.73%) (p = 0.000). Meandering capillaries were more common in acute and recurrent CSC and glomerular capillaries were more common in chronic and aneurysmal dilations in neovascular CSC. Conclusions: The observed digital microcirculation abnormalities in patients with CSC, such as dilation, meandering, tortuosity and glomerular, may confirm systemic micro-vasculopathy. The potential role of the NVC examination in assessing the CSC prognosis requires further evaluation.
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