Normative Vascular Features on OCT Angiography in Healthy Nepalese Eyes

Ranjila Shyangbo,1 Priya Bajgai,2 Raju Kaiti,3 Gopal Prasad Pokharel2 1Department of Optometry, National Academy of Medical Sciences (NAMS), Kathmandu, Nepal; 2Department of Ophthalmology, Nepal Eye Hospital, Kathmandu, Nepal; 3Department of Optometry, Nepal Eye Hospital, Kathmandu, NepalCorresponde...

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Main Authors: Shyangbo R, Bajgai P, Kaiti R, Pokharel GP
Format: Article
Language:English
Published: Dove Medical Press 2022-11-01
Series:Clinical Ophthalmology
Subjects:
Online Access:https://www.dovepress.com/normative-vascular-features-on-oct-angiography-in-healthy-nepalese-eye-peer-reviewed-fulltext-article-OPTH
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author Shyangbo R
Bajgai P
Kaiti R
Pokharel GP
author_facet Shyangbo R
Bajgai P
Kaiti R
Pokharel GP
author_sort Shyangbo R
collection DOAJ
description Ranjila Shyangbo,1 Priya Bajgai,2 Raju Kaiti,3 Gopal Prasad Pokharel2 1Department of Optometry, National Academy of Medical Sciences (NAMS), Kathmandu, Nepal; 2Department of Ophthalmology, Nepal Eye Hospital, Kathmandu, Nepal; 3Department of Optometry, Nepal Eye Hospital, Kathmandu, NepalCorrespondence: Ranjila Shyangbo, Department of Optometry, National Academy of Medical Sciences (NAMS), Mahaboudha, Kathmandu, 44600, Nepal, Tel +977- 9861499785, Email alijnar@gmail.comPurpose: To establish normative data on morphological characteristics and quantitative parameters of Foveal Avascular Zone (FAZ) as well as their systemic and ocular associations using OCT angiography (OCT-A) in healthy Nepalese subjects.Patients and Methods: A prospective, cross-sectional, population-based study recruiting 210 healthy samples (420 eyes) aged 10 to 70 years was conducted. All the samples underwent detailed comprehensive eye examination followed by Optical Coherence Tomography Angiography (OCTA) and Enhanced Depth Imaging performed in each eye using Spectral Domain Optical Coherence Tomography. Foveal avascular zone area and vessel density in superficial and deep retinal plexus and Sub foveal Choroidal Thickness (SFCT) were evaluated. Ocular and systemic associations of these parameters were also studied in a multivariate analysis utilizing linear regression.Results: The mean superficial and deep FAZ area was 459.96 ± 124.75 μm (95% confidence interval [CI], 443.08– 476.83) and 589.0 ± 141.39 μm (95% CL, 570.77– 609.02), respectively. The vessel density in superficial capillary plexus was 54.03 ± 9.34% (95% CL, 53.98– 54.11) while the vessel density in deep capillary plexus was 25.91 ± 38% (95% CL, 25.85– 25.96). The mean SFCT in this study was 308.89 ± 68.87μm (95% CL, 299.64– 318.14 μm). There was no statistically significant inter-eye difference in the FAZ parameters. Myopic eyes had smaller FAZ, lesser vessel density and thinner SFCT. Association was observed between superficial FAZ area and systolic blood pressure, and deep FAZ area and diastolic blood pressure.Conclusion: This study reports the normative data on FAZ parameters in healthy Nepalese subjects which can serve as references for interpreting these parameters in different retinal-choroidal diseases.Keywords: choroidal thickness, EDI-OCT, foveal avascular zone, healthy eyes, OCT-angiography
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spelling doaj.art-27c51b7a06594fc98fc6418f300110ea2022-12-22T04:34:26ZengDove Medical PressClinical Ophthalmology1177-54832022-11-01Volume 163613362479402Normative Vascular Features on OCT Angiography in Healthy Nepalese EyesShyangbo RBajgai PKaiti RPokharel GPRanjila Shyangbo,1 Priya Bajgai,2 Raju Kaiti,3 Gopal Prasad Pokharel2 1Department of Optometry, National Academy of Medical Sciences (NAMS), Kathmandu, Nepal; 2Department of Ophthalmology, Nepal Eye Hospital, Kathmandu, Nepal; 3Department of Optometry, Nepal Eye Hospital, Kathmandu, NepalCorrespondence: Ranjila Shyangbo, Department of Optometry, National Academy of Medical Sciences (NAMS), Mahaboudha, Kathmandu, 44600, Nepal, Tel +977- 9861499785, Email alijnar@gmail.comPurpose: To establish normative data on morphological characteristics and quantitative parameters of Foveal Avascular Zone (FAZ) as well as their systemic and ocular associations using OCT angiography (OCT-A) in healthy Nepalese subjects.Patients and Methods: A prospective, cross-sectional, population-based study recruiting 210 healthy samples (420 eyes) aged 10 to 70 years was conducted. All the samples underwent detailed comprehensive eye examination followed by Optical Coherence Tomography Angiography (OCTA) and Enhanced Depth Imaging performed in each eye using Spectral Domain Optical Coherence Tomography. Foveal avascular zone area and vessel density in superficial and deep retinal plexus and Sub foveal Choroidal Thickness (SFCT) were evaluated. Ocular and systemic associations of these parameters were also studied in a multivariate analysis utilizing linear regression.Results: The mean superficial and deep FAZ area was 459.96 ± 124.75 μm (95% confidence interval [CI], 443.08– 476.83) and 589.0 ± 141.39 μm (95% CL, 570.77– 609.02), respectively. The vessel density in superficial capillary plexus was 54.03 ± 9.34% (95% CL, 53.98– 54.11) while the vessel density in deep capillary plexus was 25.91 ± 38% (95% CL, 25.85– 25.96). The mean SFCT in this study was 308.89 ± 68.87μm (95% CL, 299.64– 318.14 μm). There was no statistically significant inter-eye difference in the FAZ parameters. Myopic eyes had smaller FAZ, lesser vessel density and thinner SFCT. Association was observed between superficial FAZ area and systolic blood pressure, and deep FAZ area and diastolic blood pressure.Conclusion: This study reports the normative data on FAZ parameters in healthy Nepalese subjects which can serve as references for interpreting these parameters in different retinal-choroidal diseases.Keywords: choroidal thickness, EDI-OCT, foveal avascular zone, healthy eyes, OCT-angiographyhttps://www.dovepress.com/normative-vascular-features-on-oct-angiography-in-healthy-nepalese-eye-peer-reviewed-fulltext-article-OPTHchoroidal thicknessedi-octfoveal avascular zonehealthy eyesoct- angiography
spellingShingle Shyangbo R
Bajgai P
Kaiti R
Pokharel GP
Normative Vascular Features on OCT Angiography in Healthy Nepalese Eyes
Clinical Ophthalmology
choroidal thickness
edi-oct
foveal avascular zone
healthy eyes
oct- angiography
title Normative Vascular Features on OCT Angiography in Healthy Nepalese Eyes
title_full Normative Vascular Features on OCT Angiography in Healthy Nepalese Eyes
title_fullStr Normative Vascular Features on OCT Angiography in Healthy Nepalese Eyes
title_full_unstemmed Normative Vascular Features on OCT Angiography in Healthy Nepalese Eyes
title_short Normative Vascular Features on OCT Angiography in Healthy Nepalese Eyes
title_sort normative vascular features on oct angiography in healthy nepalese eyes
topic choroidal thickness
edi-oct
foveal avascular zone
healthy eyes
oct- angiography
url https://www.dovepress.com/normative-vascular-features-on-oct-angiography-in-healthy-nepalese-eye-peer-reviewed-fulltext-article-OPTH
work_keys_str_mv AT shyangbor normativevascularfeaturesonoctangiographyinhealthynepaleseeyes
AT bajgaip normativevascularfeaturesonoctangiographyinhealthynepaleseeyes
AT kaitir normativevascularfeaturesonoctangiographyinhealthynepaleseeyes
AT pokharelgp normativevascularfeaturesonoctangiographyinhealthynepaleseeyes