Factors affecting choroidal circulation parameters in 4-14-year-old Chinese children measured by SS-OCT/OCTA

Haoming Geng1, Jingyu Mu2, Juan Wen3

  • 1Chengdu University of TCM, Chengdu, Sichuan, China; Eye college of Chengdu University of TCM, Chengdu, Sichuan, China; Key Laboratory of Sichuan Province Ophthalmopathy Prevention & Cure and Visual Function Protection with TCM Laboratory, Chengdu, Sichuan, China.

Insights

Choroidal vascular volume and stromal volume decrease with longer axial length in children. Choroidal vascularity index increases with age after 8 years, correlating with choroidal thickness.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Optical Coherence Tomography Imaging

Background:

  • Choroidal circulatory parameters are crucial for ocular health.
  • Understanding these parameters in children is essential for monitoring eye development and detecting potential issues.

Purpose of the Study:

  • To measure choroidal circulatory parameters in Han Chinese children aged 4-14 years.
  • To investigate the relationship between these parameters and age, axial length (AL), and choroidal thickness (ChT).

Main Methods:

  • A cross-sectional study included 284 eyes from 142 children.
  • Cycloplegic refraction and IOLMaster500 examination were performed.
  • Swept-source optical coherence tomography (SS-OCT) assessed submacular choroidal thickness, choroidal vascular volume (CVV), choroidal stromal volume (CSV), choroidal vascularity index (CVI), and CVV/CSV ratio.

Main Results:

  • Mean CVV was 2.92 mm³, CSV was 4.69 mm³, CVI was 38.22%, and CVV/CSV ratio was 62.11%.
  • CVV and CSV were negatively correlated with AL and positively correlated with ChT (P < 0.001).
  • CVI correlated positively with age after 8 years (P < 0.01) and with ChT (P < 0.01).

Conclusions:

  • Age positively correlates with CVI after 8 years.
  • Choroidal thickness (ChT) is well correlated with CVI.
  • Longer AL and thinner ChT are linked to reduced CVV and CSV, with CVV declining faster than CSV.
Abstract