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Evaluation of Capillary and Other Vessel Contribution to Macular Perfusion Density Measured with Optical Coherence Tomography Angiography
Published on: February 18, 2022
Changes in Optic Nerve Head Vessel Density After Acute Primary Angle Closure Episode.
Sasan Moghimi1,2, Mona SafiZadeh2, Masoud Aghsaei Fard2
1Hamilton Glaucoma Center, Shiley Eye Institute, The Viterbi Family Department of Ophthalmology, University of California San Diego, San Diego, California, United States.
Acute primary angle closure (APAC) reduces circumpapillary vessel density (cpVD) over six weeks. Retinal nerve fiber layer (RNFL) thickness initially increases then decreases after an APAC episode.
Area of Science:
- Ophthalmology
- Retinal Imaging
- Vascular Biology
Background:
- Acute primary angle closure (APAC) is a critical condition affecting ocular health.
- Understanding the microvascular and structural changes post-APAC is crucial for patient management.
Purpose of the Study:
- To investigate the longitudinal changes in circumpapillary vessel density (cpVD) and retinal nerve fiber layer (RNFL) thickness following an acute primary angle closure (APAC) episode.
Main Methods:
- Prospective observational study involving 28 patients with unilateral APAC and 39 controls.
- Optical coherence tomography angiography (OCTA) measured cpVD; spectral-domain optical coherence tomography (SD-OCT) measured RNFL thickness.
- Comparisons made at 1 and 6 weeks post-APAC between affected, fellow, and control eyes.
Main Results:
- At 6 weeks, APAC eyes showed significantly lower cpVD compared to fellow and control eyes (P < 0.001), with superonasal microvascular dropout.
- APAC eyes exhibited thinner RNFL globally and in most sectors at 6 weeks.
- Affected eyes had higher cpVD at 1 week than at 6 weeks (P = 0.003) but lower than fellow eyes (P < 0.001).
- RNFL thickness in APAC eyes was greater at 1 week than at 6 weeks (P = 0.037) and also greater than in fellow eyes at 6 weeks (P = 0.001).
Conclusions:
- Circumpapillary vessel density significantly decreases in the 6 weeks following an APAC episode.
- Retinal nerve fiber layer thickness shows a transient increase followed by a decrease in the weeks after APAC.
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