Optic Disc Vascularization in Glaucoma: Value of Spectral-Domain Optical Coherence Tomography Angiography
Purpose. To detect changes in optic nerve head (ONH) vascularization in glaucoma patients using spectral-domain OCT angiography (OCT-A). Material and Method. Fifty glaucoma patients and 30 normal subjects were evaluated with OCT-A (AngioVue®, Optovue). The total ONH vessel density and temporal disc...
Saved in:
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2016-01-01
|
Series: | Journal of Ophthalmology |
Online Access: | http://dx.doi.org/10.1155/2016/6956717 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
_version_ | 1832548957986750464 |
---|---|
author | Pierre-Maxime Lévêque Pierre Zéboulon Emmanuelle Brasnu Christophe Baudouin Antoine Labbé |
author_facet | Pierre-Maxime Lévêque Pierre Zéboulon Emmanuelle Brasnu Christophe Baudouin Antoine Labbé |
author_sort | Pierre-Maxime Lévêque |
collection | DOAJ |
description | Purpose. To detect changes in optic nerve head (ONH) vascularization in glaucoma patients using spectral-domain OCT angiography (OCT-A). Material and Method. Fifty glaucoma patients and 30 normal subjects were evaluated with OCT-A (AngioVue®, Optovue). The total ONH vessel density and temporal disc vessel density were measured. Clinical data, visual field (VF) parameters, and spectral-domain OCT evaluation (RNFL: retinal nerve fiber layer thickness, GCC: ganglion cell complex thickness, and rim area) were recorded for glaucoma patients. Correlations among total and temporal ONH vessel density and structural and VF parameters were analyzed. Results. In the glaucoma group, total and temporal ONH vessel density were reduced by 24.7% (0.412 versus 0.547; p<0.0001) and 22.88% (0.364 versus 0.472; p=0.001), respectively, as compared with the control group. Univariate analysis showed significant correlation between rim area (mm2) and temporal ONH vessel density (r=0.623; p<0.0001) and total ONH vessel density (r=0.609; p<0.0001). Significant correlations were found between temporal and total ONH vessel density and RNFL, GCC, VF mean deviation, and visual field index. Conclusion. In glaucoma patients OCT-A might detect reduced ONH blood vessel density that is associated with structural and functional glaucomatous damage. OCT-A might become a useful tool for the evaluation of ONH microcirculation changes in glaucoma. |
format | Article |
id | doaj-art-7bfce531faf449e2a47b431156a1bf40 |
institution | Kabale University |
issn | 2090-004X 2090-0058 |
language | English |
publishDate | 2016-01-01 |
publisher | Wiley |
record_format | Article |
series | Journal of Ophthalmology |
spelling | doaj-art-7bfce531faf449e2a47b431156a1bf402025-02-03T06:12:31ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/69567176956717Optic Disc Vascularization in Glaucoma: Value of Spectral-Domain Optical Coherence Tomography AngiographyPierre-Maxime Lévêque0Pierre Zéboulon1Emmanuelle Brasnu2Christophe Baudouin3Antoine Labbé4CHNO des Quinze-Vingts, DHU Sight Restore, INSERM-DHOS CIC, 28 rue de Charenton, 75012 Paris, FranceCHNO des Quinze-Vingts, DHU Sight Restore, INSERM-DHOS CIC, 28 rue de Charenton, 75012 Paris, FranceCHNO des Quinze-Vingts, DHU Sight Restore, INSERM-DHOS CIC, 28 rue de Charenton, 75012 Paris, FranceCHNO des Quinze-Vingts, DHU Sight Restore, INSERM-DHOS CIC, 28 rue de Charenton, 75012 Paris, FranceCHNO des Quinze-Vingts, DHU Sight Restore, INSERM-DHOS CIC, 28 rue de Charenton, 75012 Paris, FrancePurpose. To detect changes in optic nerve head (ONH) vascularization in glaucoma patients using spectral-domain OCT angiography (OCT-A). Material and Method. Fifty glaucoma patients and 30 normal subjects were evaluated with OCT-A (AngioVue®, Optovue). The total ONH vessel density and temporal disc vessel density were measured. Clinical data, visual field (VF) parameters, and spectral-domain OCT evaluation (RNFL: retinal nerve fiber layer thickness, GCC: ganglion cell complex thickness, and rim area) were recorded for glaucoma patients. Correlations among total and temporal ONH vessel density and structural and VF parameters were analyzed. Results. In the glaucoma group, total and temporal ONH vessel density were reduced by 24.7% (0.412 versus 0.547; p<0.0001) and 22.88% (0.364 versus 0.472; p=0.001), respectively, as compared with the control group. Univariate analysis showed significant correlation between rim area (mm2) and temporal ONH vessel density (r=0.623; p<0.0001) and total ONH vessel density (r=0.609; p<0.0001). Significant correlations were found between temporal and total ONH vessel density and RNFL, GCC, VF mean deviation, and visual field index. Conclusion. In glaucoma patients OCT-A might detect reduced ONH blood vessel density that is associated with structural and functional glaucomatous damage. OCT-A might become a useful tool for the evaluation of ONH microcirculation changes in glaucoma.http://dx.doi.org/10.1155/2016/6956717 |
spellingShingle | Pierre-Maxime Lévêque Pierre Zéboulon Emmanuelle Brasnu Christophe Baudouin Antoine Labbé Optic Disc Vascularization in Glaucoma: Value of Spectral-Domain Optical Coherence Tomography Angiography Journal of Ophthalmology |
title | Optic Disc Vascularization in Glaucoma: Value of Spectral-Domain Optical Coherence Tomography Angiography |
title_full | Optic Disc Vascularization in Glaucoma: Value of Spectral-Domain Optical Coherence Tomography Angiography |
title_fullStr | Optic Disc Vascularization in Glaucoma: Value of Spectral-Domain Optical Coherence Tomography Angiography |
title_full_unstemmed | Optic Disc Vascularization in Glaucoma: Value of Spectral-Domain Optical Coherence Tomography Angiography |
title_short | Optic Disc Vascularization in Glaucoma: Value of Spectral-Domain Optical Coherence Tomography Angiography |
title_sort | optic disc vascularization in glaucoma value of spectral domain optical coherence tomography angiography |
url | http://dx.doi.org/10.1155/2016/6956717 |
work_keys_str_mv | AT pierremaximeleveque opticdiscvascularizationinglaucomavalueofspectraldomainopticalcoherencetomographyangiography AT pierrezeboulon opticdiscvascularizationinglaucomavalueofspectraldomainopticalcoherencetomographyangiography AT emmanuellebrasnu opticdiscvascularizationinglaucomavalueofspectraldomainopticalcoherencetomographyangiography AT christophebaudouin opticdiscvascularizationinglaucomavalueofspectraldomainopticalcoherencetomographyangiography AT antoinelabbe opticdiscvascularizationinglaucomavalueofspectraldomainopticalcoherencetomographyangiography |