Choroidal Vascularity Index Changes After Exercise in Patients With Glaucoma

Purpose: To investigate the changes in choroidal vascular structures after exercise in patients with glaucoma using an image binarisation algorithm with enhanced-depth imaging optical coherence tomography.Methods: Thirty-four eyes of 19 patients with primary open-angle glaucoma and 40 eyes of 20 nor...

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Main Authors: Dan Cheng, Jia Fang, Weiqian Gao, Minhui Wu, Yilin Qiao, Kaiming Ruan, Hengli Lian, Jiner Cen, Lin Fu, Lijun Shen, Li Nie
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2022.844795/full
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author Dan Cheng
Jia Fang
Weiqian Gao
Minhui Wu
Yilin Qiao
Kaiming Ruan
Hengli Lian
Jiner Cen
Lin Fu
Lijun Shen
Li Nie
author_facet Dan Cheng
Jia Fang
Weiqian Gao
Minhui Wu
Yilin Qiao
Kaiming Ruan
Hengli Lian
Jiner Cen
Lin Fu
Lijun Shen
Li Nie
author_sort Dan Cheng
collection DOAJ
description Purpose: To investigate the changes in choroidal vascular structures after exercise in patients with glaucoma using an image binarisation algorithm with enhanced-depth imaging optical coherence tomography.Methods: Thirty-four eyes of 19 patients with primary open-angle glaucoma and 40 eyes of 20 normal subjects were included in the glaucoma and control groups, respectively. All subjects were evaluated before, immediately after, and 30 min after 20-min running at moderate speed. The subfoveal choroidal area was segmented into the luminal area (LA) and stromal area (SA), and the choroidal vascularity index (CVI) was measured by calculating the ratio of LA to the total choroidal area (TCA). The mean intraocular pressure (IOP), subfoveal choroidal thickness, CVI, SA, CA, and TCA were compared within and between both groups. The correlation between CVI, IOP, and other vascular indexes was investigated.Results: In the glaucoma group, a significantly lower CVI was found immediately after exercise and recovered 30 min after exercise. Higher TCA and LA levels were demonstrated 30 min after exercise compared to immediately after exercise. In both groups, IOP decreased immediately after exercise but was restored after a 30-min rest. In the glaucoma group, there was a higher correlation between CVI and other choroidal vascular parameters than in the control group. There was no difference in IOP or choroidal parameters between the groups at different time points.Conclusion: In patients with glaucoma, CVI decreased significantly immediately after exercise, indicating that the choroidal layer is affected by exercise and an unhealthy vascular regulatory mechanism.
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spelling doaj.art-025592270d564762a0389ca781a24c272022-12-22T03:20:28ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-03-011310.3389/fphys.2022.844795844795Choroidal Vascularity Index Changes After Exercise in Patients With GlaucomaDan Cheng0Jia Fang1Weiqian Gao2Minhui Wu3Yilin Qiao4Kaiming Ruan5Hengli Lian6Jiner Cen7Lin Fu8Lijun Shen9Li Nie10The Affiliated Eye Hospital of Wenzhou Medical University, Hangzhou, ChinaYongkang First People’s Hospital of Hangzhou Medical College, Yongkang, ChinaThe Affiliated Eye Hospital of Wenzhou Medical University, Hangzhou, ChinaThe Affiliated Eye Hospital of Wenzhou Medical University, Hangzhou, ChinaThe Affiliated Eye Hospital of Wenzhou Medical University, Hangzhou, ChinaThe Affiliated Eye Hospital of Wenzhou Medical University, Hangzhou, ChinaThe Affiliated Eye Hospital of Wenzhou Medical University, Hangzhou, ChinaThe Affiliated Eye Hospital of Wenzhou Medical University, Hangzhou, ChinaThe Affiliated Eye Hospital of Wenzhou Medical University, Hangzhou, ChinaThe Affiliated Eye Hospital of Wenzhou Medical University, Hangzhou, ChinaThe Affiliated Eye Hospital of Wenzhou Medical University, Hangzhou, ChinaPurpose: To investigate the changes in choroidal vascular structures after exercise in patients with glaucoma using an image binarisation algorithm with enhanced-depth imaging optical coherence tomography.Methods: Thirty-four eyes of 19 patients with primary open-angle glaucoma and 40 eyes of 20 normal subjects were included in the glaucoma and control groups, respectively. All subjects were evaluated before, immediately after, and 30 min after 20-min running at moderate speed. The subfoveal choroidal area was segmented into the luminal area (LA) and stromal area (SA), and the choroidal vascularity index (CVI) was measured by calculating the ratio of LA to the total choroidal area (TCA). The mean intraocular pressure (IOP), subfoveal choroidal thickness, CVI, SA, CA, and TCA were compared within and between both groups. The correlation between CVI, IOP, and other vascular indexes was investigated.Results: In the glaucoma group, a significantly lower CVI was found immediately after exercise and recovered 30 min after exercise. Higher TCA and LA levels were demonstrated 30 min after exercise compared to immediately after exercise. In both groups, IOP decreased immediately after exercise but was restored after a 30-min rest. In the glaucoma group, there was a higher correlation between CVI and other choroidal vascular parameters than in the control group. There was no difference in IOP or choroidal parameters between the groups at different time points.Conclusion: In patients with glaucoma, CVI decreased significantly immediately after exercise, indicating that the choroidal layer is affected by exercise and an unhealthy vascular regulatory mechanism.https://www.frontiersin.org/articles/10.3389/fphys.2022.844795/fullchoroidal vascularity indexexerciseglaucomaoptical coherence tomographyprimary open-angle glaucoma
spellingShingle Dan Cheng
Jia Fang
Weiqian Gao
Minhui Wu
Yilin Qiao
Kaiming Ruan
Hengli Lian
Jiner Cen
Lin Fu
Lijun Shen
Li Nie
Choroidal Vascularity Index Changes After Exercise in Patients With Glaucoma
Frontiers in Physiology
choroidal vascularity index
exercise
glaucoma
optical coherence tomography
primary open-angle glaucoma
title Choroidal Vascularity Index Changes After Exercise in Patients With Glaucoma
title_full Choroidal Vascularity Index Changes After Exercise in Patients With Glaucoma
title_fullStr Choroidal Vascularity Index Changes After Exercise in Patients With Glaucoma
title_full_unstemmed Choroidal Vascularity Index Changes After Exercise in Patients With Glaucoma
title_short Choroidal Vascularity Index Changes After Exercise in Patients With Glaucoma
title_sort choroidal vascularity index changes after exercise in patients with glaucoma
topic choroidal vascularity index
exercise
glaucoma
optical coherence tomography
primary open-angle glaucoma
url https://www.frontiersin.org/articles/10.3389/fphys.2022.844795/full
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