Retinal vascular geometry and its association to silent brain infarction

Abstract Objective To examine the relationship between retinal vascular geometry and silent brain infarction (SBI) in the Chinese population. Methods We conducted a cross-sectional study that retrospectively analyzed the fundus photographs, MRI and other clinical data of 227 SBIs and 227 controls wh...

Full description

Saved in:
Bibliographic Details
Main Authors: Jing Wang, Tingli Chen, Xiyun Bian, Xiaowei Zhang, Xiaolong Yang, Xing Qi, Yihan Li, Haixia Huang, Qian Qian, Fei Yuan
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Ophthalmology
Subjects:
Online Access:https://doi.org/10.1186/s12886-025-03854-x
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832585932352520192
author Jing Wang
Tingli Chen
Jing Wang
Xiyun Bian
Xiaowei Zhang
Xiaolong Yang
Xing Qi
Yihan Li
Haixia Huang
Qian Qian
Fei Yuan
author_facet Jing Wang
Tingli Chen
Jing Wang
Xiyun Bian
Xiaowei Zhang
Xiaolong Yang
Xing Qi
Yihan Li
Haixia Huang
Qian Qian
Fei Yuan
author_sort Jing Wang
collection DOAJ
description Abstract Objective To examine the relationship between retinal vascular geometry and silent brain infarction (SBI) in the Chinese population. Methods We conducted a cross-sectional study that retrospectively analyzed the fundus photographs, MRI and other clinical data of 227 SBIs and 227 controls who visited Shanghai Health And Medical Center for physical examination. The retinal vessel fractal dimension (FD), retinal artery fractal dimension (FDa), retinal vein fractal dimension (FDv), central retinal artery diameter in the region from 0.5 ~ 1.0 disc diameter (DD) from the disc margin (CRAEB), central retinal artery diameter in the region from 1.0 ~ 2.0 DD from the disc margin (CRAEC), central retinal vein diameter in the region from 0.5 ~ 1.0 DD from the disc margin (CRVEB), central retinal vein diameter in the region from 1.0 ~ 2.0 DD from the disc margin (CRVEC), retinal arteriovenous diameter ratio in the region from 0.5 ~ 1.0 DD from the disc margin (AVRB), and retinal arteriovenous diameter ratio in the region from 1.0 ~ 2.0 DD from the disc margin (AVRC) were accessed by the Singapore “I” Vessel Assessment (SIVA) software. Results FD, FDa, FDv, CRAEB, CRAEC, CRVEB, CRVEC and AVRB in SBI subjects were 1.25 (1.21–1.28), 1.11 (1.08–1.14), 1.09 (1.06–1.13), 168.78 ± 19.39, 163.55 ± 18.97, 235.77 (222.64-254.08), 224.39 ± 23.29, 0.72 ± 0.06, respectively, significantly lower than those of control subjects [1.30 (1.28–1.32), 1.15 (1.13–1.18), 1.14 (1.12–1.16), 196.81 ± 27.94, 183.81 ± 25.46, 273.03 (247.59–296.30), 249.59 ± 32.03, and 0.73 ± 0.08]. Logistic regression results showed that higher FD (OR, 0.04), FDa (OR, 0.07), FDv (OR, 0.06), CRAEB (OR, 0.02), CRAEC (OR, 0.04), CRVEB (OR, 0.03), CRVEC (OR, 0.06), and AVRB (OR, 0.55) were associated with a lower of SBI. There was no significant difference in AVRC between the two groups. Conclusion Our study shows the association between retinal vascular geometry and SBI, and the results may provide new biomarkers for the early detection of SBI.
format Article
id doaj-art-9fecb4cf36de4762adce2c860195c17a
institution Kabale University
issn 1471-2415
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series BMC Ophthalmology
spelling doaj-art-9fecb4cf36de4762adce2c860195c17a2025-01-26T12:21:12ZengBMCBMC Ophthalmology1471-24152025-01-0125111010.1186/s12886-025-03854-xRetinal vascular geometry and its association to silent brain infarctionJing Wang0Tingli Chen1Jing Wang2Xiyun Bian3Xiaowei Zhang4Xiaolong Yang5Xing Qi6Yihan Li7Haixia Huang8Qian Qian9Fei Yuan10Department of Ophthalmology, Zhongshan Hospital, Fudan UniversityDepartment of Ophthalmology, Shanghai Health And Medical CenterDepartment of Ophthalmology, Shanghai Health And Medical CenterDepartment of Ophthalmology, Shanghai Health And Medical CenterDepartment of Nursing, Shanghai Health And Medical CenterDepartment of Ophthalmology, Shanghai Health And Medical CenterDepartment of Otolaryngology, Shanghai Health And Medical CenterDepartment of Otolaryngology, Shanghai Health And Medical CenterDepartment of Radiology, Shanghai Health And Medical CenterDepartment of Ophthalmology, Future Vision Shanghai Anrong Eye ClinicDepartment of Ophthalmology, Zhongshan Hospital, Fudan UniversityAbstract Objective To examine the relationship between retinal vascular geometry and silent brain infarction (SBI) in the Chinese population. Methods We conducted a cross-sectional study that retrospectively analyzed the fundus photographs, MRI and other clinical data of 227 SBIs and 227 controls who visited Shanghai Health And Medical Center for physical examination. The retinal vessel fractal dimension (FD), retinal artery fractal dimension (FDa), retinal vein fractal dimension (FDv), central retinal artery diameter in the region from 0.5 ~ 1.0 disc diameter (DD) from the disc margin (CRAEB), central retinal artery diameter in the region from 1.0 ~ 2.0 DD from the disc margin (CRAEC), central retinal vein diameter in the region from 0.5 ~ 1.0 DD from the disc margin (CRVEB), central retinal vein diameter in the region from 1.0 ~ 2.0 DD from the disc margin (CRVEC), retinal arteriovenous diameter ratio in the region from 0.5 ~ 1.0 DD from the disc margin (AVRB), and retinal arteriovenous diameter ratio in the region from 1.0 ~ 2.0 DD from the disc margin (AVRC) were accessed by the Singapore “I” Vessel Assessment (SIVA) software. Results FD, FDa, FDv, CRAEB, CRAEC, CRVEB, CRVEC and AVRB in SBI subjects were 1.25 (1.21–1.28), 1.11 (1.08–1.14), 1.09 (1.06–1.13), 168.78 ± 19.39, 163.55 ± 18.97, 235.77 (222.64-254.08), 224.39 ± 23.29, 0.72 ± 0.06, respectively, significantly lower than those of control subjects [1.30 (1.28–1.32), 1.15 (1.13–1.18), 1.14 (1.12–1.16), 196.81 ± 27.94, 183.81 ± 25.46, 273.03 (247.59–296.30), 249.59 ± 32.03, and 0.73 ± 0.08]. Logistic regression results showed that higher FD (OR, 0.04), FDa (OR, 0.07), FDv (OR, 0.06), CRAEB (OR, 0.02), CRAEC (OR, 0.04), CRVEB (OR, 0.03), CRVEC (OR, 0.06), and AVRB (OR, 0.55) were associated with a lower of SBI. There was no significant difference in AVRC between the two groups. Conclusion Our study shows the association between retinal vascular geometry and SBI, and the results may provide new biomarkers for the early detection of SBI.https://doi.org/10.1186/s12886-025-03854-xSilent brain infarctionRetinal vascular geometryFractal dimension
spellingShingle Jing Wang
Tingli Chen
Jing Wang
Xiyun Bian
Xiaowei Zhang
Xiaolong Yang
Xing Qi
Yihan Li
Haixia Huang
Qian Qian
Fei Yuan
Retinal vascular geometry and its association to silent brain infarction
BMC Ophthalmology
Silent brain infarction
Retinal vascular geometry
Fractal dimension
title Retinal vascular geometry and its association to silent brain infarction
title_full Retinal vascular geometry and its association to silent brain infarction
title_fullStr Retinal vascular geometry and its association to silent brain infarction
title_full_unstemmed Retinal vascular geometry and its association to silent brain infarction
title_short Retinal vascular geometry and its association to silent brain infarction
title_sort retinal vascular geometry and its association to silent brain infarction
topic Silent brain infarction
Retinal vascular geometry
Fractal dimension
url https://doi.org/10.1186/s12886-025-03854-x
work_keys_str_mv AT jingwang retinalvasculargeometryanditsassociationtosilentbraininfarction
AT tinglichen retinalvasculargeometryanditsassociationtosilentbraininfarction
AT jingwang retinalvasculargeometryanditsassociationtosilentbraininfarction
AT xiyunbian retinalvasculargeometryanditsassociationtosilentbraininfarction
AT xiaoweizhang retinalvasculargeometryanditsassociationtosilentbraininfarction
AT xiaolongyang retinalvasculargeometryanditsassociationtosilentbraininfarction
AT xingqi retinalvasculargeometryanditsassociationtosilentbraininfarction
AT yihanli retinalvasculargeometryanditsassociationtosilentbraininfarction
AT haixiahuang retinalvasculargeometryanditsassociationtosilentbraininfarction
AT qianqian retinalvasculargeometryanditsassociationtosilentbraininfarction
AT feiyuan retinalvasculargeometryanditsassociationtosilentbraininfarction