Evaluation of choroidal thickness and retinal nerve fiber layer thickness in Chinese pregnant women and healthy non-pregnant women

Purpose: To evaluate choroidal thickness and retinal nerve fiber layer (RNFL) thickness in different trimesters using enhanced depth imaging optical coherence tomography (EDI-OCT). Methods: A prospective comparative study included 45 healthy pregnant women in the first trimester, 45 women in the sec...

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Main Authors: Hanfei Wu, Haishuang Lin, Mengting Ruan, Huanjie Fang, Nannan Dong, Tiewei Wang, Feifei Yu, Jiawei Zhao
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Advances in Ophthalmology Practice and Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667376223000628
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author Hanfei Wu
Haishuang Lin
Mengting Ruan
Huanjie Fang
Nannan Dong
Tiewei Wang
Feifei Yu
Jiawei Zhao
author_facet Hanfei Wu
Haishuang Lin
Mengting Ruan
Huanjie Fang
Nannan Dong
Tiewei Wang
Feifei Yu
Jiawei Zhao
author_sort Hanfei Wu
collection DOAJ
description Purpose: To evaluate choroidal thickness and retinal nerve fiber layer (RNFL) thickness in different trimesters using enhanced depth imaging optical coherence tomography (EDI-OCT). Methods: A prospective comparative study included 45 healthy pregnant women in the first trimester, 45 women in the second, 45 women in the third and 45 healthy non-pregnant women as the control group. Macular choroidal thickness was measured at three locations: The subfoveal, 1 ​mm temporal, and 1 ​mm nasal from the fovea with EDI-OCT. Peripapillary choroidal thickness (PPCT) and RNFL thickness parameters were automatically calculated by the Spectralis OCT. Results: The subfoveal, temporal and nasal macular choroidal thickness were all significantly thicker in the second trimester, compared with those parameters in the first, the third trimesters and the control group (all P ​< ​0.05). The PPCT was significantly increased in the second trimeter compared with the control group at global, temporal, temporal inferior, nasal and nasal inferior positions (all P ​< ​0.05). The RNFL thickness was also significantly increased in pregnant women at nasal superior and nasal inferior quadrants (all P ​< ​0.05). Conclusions: The choroidal thickness in pregnant women was found to be thicker than the control group, regardless of macular or optic disc location. Findings of RNFL thickening might indicate subclinical involvement of the central nervous system.
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spelling doaj.art-10485fab8bb44f2385d84841d32aaa202024-03-21T05:38:24ZengElsevierAdvances in Ophthalmology Practice and Research2667-37622024-02-0141813Evaluation of choroidal thickness and retinal nerve fiber layer thickness in Chinese pregnant women and healthy non-pregnant womenHanfei Wu0Haishuang Lin1Mengting Ruan2Huanjie Fang3Nannan Dong4Tiewei Wang5Feifei Yu6Jiawei Zhao7Department of Opthalmology, The People's Hospital of Zhuji, Shaoxing, Zhejiang, ChinaDepartment of Opthalmology, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Obstetrics, The People's Hospital of Zhuji, Zhejiang, ChinaDepartment of Opthalmology, The People's Hospital of Zhuji, Shaoxing, Zhejiang, ChinaDepartment of Opthalmology, The People's Hospital of Zhuji, Shaoxing, Zhejiang, ChinaDepartment of Opthalmology, The People's Hospital of Zhuji, Shaoxing, Zhejiang, ChinaDepartment of Opthalmology, The People's Hospital of Zhuji, Shaoxing, Zhejiang, ChinaDepartment of Opthalmology, The People's Hospital of Zhuji, Shaoxing, Zhejiang, China; Corresponding author.Purpose: To evaluate choroidal thickness and retinal nerve fiber layer (RNFL) thickness in different trimesters using enhanced depth imaging optical coherence tomography (EDI-OCT). Methods: A prospective comparative study included 45 healthy pregnant women in the first trimester, 45 women in the second, 45 women in the third and 45 healthy non-pregnant women as the control group. Macular choroidal thickness was measured at three locations: The subfoveal, 1 ​mm temporal, and 1 ​mm nasal from the fovea with EDI-OCT. Peripapillary choroidal thickness (PPCT) and RNFL thickness parameters were automatically calculated by the Spectralis OCT. Results: The subfoveal, temporal and nasal macular choroidal thickness were all significantly thicker in the second trimester, compared with those parameters in the first, the third trimesters and the control group (all P ​< ​0.05). The PPCT was significantly increased in the second trimeter compared with the control group at global, temporal, temporal inferior, nasal and nasal inferior positions (all P ​< ​0.05). The RNFL thickness was also significantly increased in pregnant women at nasal superior and nasal inferior quadrants (all P ​< ​0.05). Conclusions: The choroidal thickness in pregnant women was found to be thicker than the control group, regardless of macular or optic disc location. Findings of RNFL thickening might indicate subclinical involvement of the central nervous system.http://www.sciencedirect.com/science/article/pii/S2667376223000628ChoroidRetinal nerve fiber layerOptical coherence tomographyPregnancy
spellingShingle Hanfei Wu
Haishuang Lin
Mengting Ruan
Huanjie Fang
Nannan Dong
Tiewei Wang
Feifei Yu
Jiawei Zhao
Evaluation of choroidal thickness and retinal nerve fiber layer thickness in Chinese pregnant women and healthy non-pregnant women
Advances in Ophthalmology Practice and Research
Choroid
Retinal nerve fiber layer
Optical coherence tomography
Pregnancy
title Evaluation of choroidal thickness and retinal nerve fiber layer thickness in Chinese pregnant women and healthy non-pregnant women
title_full Evaluation of choroidal thickness and retinal nerve fiber layer thickness in Chinese pregnant women and healthy non-pregnant women
title_fullStr Evaluation of choroidal thickness and retinal nerve fiber layer thickness in Chinese pregnant women and healthy non-pregnant women
title_full_unstemmed Evaluation of choroidal thickness and retinal nerve fiber layer thickness in Chinese pregnant women and healthy non-pregnant women
title_short Evaluation of choroidal thickness and retinal nerve fiber layer thickness in Chinese pregnant women and healthy non-pregnant women
title_sort evaluation of choroidal thickness and retinal nerve fiber layer thickness in chinese pregnant women and healthy non pregnant women
topic Choroid
Retinal nerve fiber layer
Optical coherence tomography
Pregnancy
url http://www.sciencedirect.com/science/article/pii/S2667376223000628
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