Comparison and correlation of choroidal parameters in children and adolescents with different refractive status

AIM:To compare the choroidal parameters in children and adolescents with different refractive status, and to investigate the associations between ocular biometrics and choroidal parameters.METHODS:A cross sectional study. A total of 121 healthy children and adolescents(121 right eyes)aged 3-18 years...

Full description

Bibliographic Details
Main Authors: Feng-Tao Ji, Hui Wang, Zhi-Min Wang, Wei Dai, Qin Wang, Yong-Rong Li, Rong-Feng Liao
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2022-10-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2022/10/202210017.pdf
_version_ 1818060812600737792
author Feng-Tao Ji
Hui Wang
Zhi-Min Wang
Wei Dai
Qin Wang
Yong-Rong Li
Rong-Feng Liao
author_facet Feng-Tao Ji
Hui Wang
Zhi-Min Wang
Wei Dai
Qin Wang
Yong-Rong Li
Rong-Feng Liao
author_sort Feng-Tao Ji
collection DOAJ
description AIM:To compare the choroidal parameters in children and adolescents with different refractive status, and to investigate the associations between ocular biometrics and choroidal parameters.METHODS:A cross sectional study. A total of 121 healthy children and adolescents(121 right eyes)aged 3-18 years treated in the Second People's Hospital of Hefei were collected. The data were divided into three groups according to spherical equivalent refraction(SER): emmetropia(-0.50<SER≤+1.75D), low myopia(-3.00<SER≤-0.50D)and moderate-to-high myopia(SER≤-3.00D). Ocular biometrics were measured by using the IOL Master. Data of the choroidal structures extracted from a 6mm sub-macular region centered on the fovea, including choroidal thickness(CT), the total choroidal area(TCA), luminal area(LA), stromal area(SA)and choroidal vascularity index(CVI)were determined by image binarization of the enhanced depth imaging-optical coherence tomography(EDI-OCT). Comparing all biology parameters among the three groups, associations among demographic factors, ocular parameters, and choroidal structures were evaluated by using multiple linear regression analysis.RESULTS:TCA, LA, SA and CT were all different among the three groups before age correction(all P<0.001), and CVI was not different(P >0.05). TCA, LA, SA, CT and CVI were found to be statistically different among the three groups after age correction(all P<0.001), and there were differences in pairwise comparisons of TCA, LA, SA and CT among the three groups(all P<0.001), which were the highest in emmetropic eyes and lowest in moderate-to-high myopic eyes, However, the CVI in pairwise comparisons among the three groups showed that only the moderate-to-high myopia group was significantly lower than the emmetropic group(P=0.014). Multiple regression analysis showed that the LA was significantly associated with SER(P=0.020), whereas CT were significantly associated with the axial length(AL)(P=0.028).CONCLUSIONS: The choroidal LA and CVI tend to decrease in children and adolescents with higher myopia, indicating that the decrease of sub-foveal choroidal blood flow may be related to the progression of myopia.
first_indexed 2024-12-10T13:38:22Z
format Article
id doaj.art-332ac858fe6d404f865f471345a8a9a2
institution Directory Open Access Journal
issn 1672-5123
language English
last_indexed 2024-12-10T13:38:22Z
publishDate 2022-10-01
publisher Press of International Journal of Ophthalmology (IJO PRESS)
record_format Article
series Guoji Yanke Zazhi
spelling doaj.art-332ac858fe6d404f865f471345a8a9a22022-12-22T01:46:46ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232022-10-0122101682168610.3980/j.issn.1672-5123.2022.10.17202210017Comparison and correlation of choroidal parameters in children and adolescents with different refractive statusFeng-Tao Ji0Hui Wang1Zhi-Min Wang2Wei Dai3Qin Wang4Yong-Rong Li5Rong-Feng Liao6Department of Ophthalmology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China; the Second People's Hospital of Hefei;Hefei Hospital Affiliated to Anhui Medical University, Hefei 230011, Anhui Province, Chinathe Second People's Hospital of Hefei;Hefei Hospital Affiliated to Anhui Medical University, Hefei 230011, Anhui Province, Chinathe Second People's Hospital of Hefei;Hefei Hospital Affiliated to Anhui Medical University, Hefei 230011, Anhui Province, Chinathe Second People's Hospital of Hefei;Hefei Hospital Affiliated to Anhui Medical University, Hefei 230011, Anhui Province, Chinathe Second People's Hospital of Hefei;Hefei Hospital Affiliated to Anhui Medical University, Hefei 230011, Anhui Province, Chinathe Second People's Hospital of Hefei;Hefei Hospital Affiliated to Anhui Medical University, Hefei 230011, Anhui Province, ChinaDepartment of Ophthalmology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, ChinaAIM:To compare the choroidal parameters in children and adolescents with different refractive status, and to investigate the associations between ocular biometrics and choroidal parameters.METHODS:A cross sectional study. A total of 121 healthy children and adolescents(121 right eyes)aged 3-18 years treated in the Second People's Hospital of Hefei were collected. The data were divided into three groups according to spherical equivalent refraction(SER): emmetropia(-0.50<SER≤+1.75D), low myopia(-3.00<SER≤-0.50D)and moderate-to-high myopia(SER≤-3.00D). Ocular biometrics were measured by using the IOL Master. Data of the choroidal structures extracted from a 6mm sub-macular region centered on the fovea, including choroidal thickness(CT), the total choroidal area(TCA), luminal area(LA), stromal area(SA)and choroidal vascularity index(CVI)were determined by image binarization of the enhanced depth imaging-optical coherence tomography(EDI-OCT). Comparing all biology parameters among the three groups, associations among demographic factors, ocular parameters, and choroidal structures were evaluated by using multiple linear regression analysis.RESULTS:TCA, LA, SA and CT were all different among the three groups before age correction(all P<0.001), and CVI was not different(P >0.05). TCA, LA, SA, CT and CVI were found to be statistically different among the three groups after age correction(all P<0.001), and there were differences in pairwise comparisons of TCA, LA, SA and CT among the three groups(all P<0.001), which were the highest in emmetropic eyes and lowest in moderate-to-high myopic eyes, However, the CVI in pairwise comparisons among the three groups showed that only the moderate-to-high myopia group was significantly lower than the emmetropic group(P=0.014). Multiple regression analysis showed that the LA was significantly associated with SER(P=0.020), whereas CT were significantly associated with the axial length(AL)(P=0.028).CONCLUSIONS: The choroidal LA and CVI tend to decrease in children and adolescents with higher myopia, indicating that the decrease of sub-foveal choroidal blood flow may be related to the progression of myopia.http://ies.ijo.cn/cn_publish/2022/10/202210017.pdfmyopiachildren and adolescentschoroidal vascularity indexbinarizationenhanced depth imaging-optical coherence tomography
spellingShingle Feng-Tao Ji
Hui Wang
Zhi-Min Wang
Wei Dai
Qin Wang
Yong-Rong Li
Rong-Feng Liao
Comparison and correlation of choroidal parameters in children and adolescents with different refractive status
Guoji Yanke Zazhi
myopia
children and adolescents
choroidal vascularity index
binarization
enhanced depth imaging-optical coherence tomography
title Comparison and correlation of choroidal parameters in children and adolescents with different refractive status
title_full Comparison and correlation of choroidal parameters in children and adolescents with different refractive status
title_fullStr Comparison and correlation of choroidal parameters in children and adolescents with different refractive status
title_full_unstemmed Comparison and correlation of choroidal parameters in children and adolescents with different refractive status
title_short Comparison and correlation of choroidal parameters in children and adolescents with different refractive status
title_sort comparison and correlation of choroidal parameters in children and adolescents with different refractive status
topic myopia
children and adolescents
choroidal vascularity index
binarization
enhanced depth imaging-optical coherence tomography
url http://ies.ijo.cn/cn_publish/2022/10/202210017.pdf
work_keys_str_mv AT fengtaoji comparisonandcorrelationofchoroidalparametersinchildrenandadolescentswithdifferentrefractivestatus
AT huiwang comparisonandcorrelationofchoroidalparametersinchildrenandadolescentswithdifferentrefractivestatus
AT zhiminwang comparisonandcorrelationofchoroidalparametersinchildrenandadolescentswithdifferentrefractivestatus
AT weidai comparisonandcorrelationofchoroidalparametersinchildrenandadolescentswithdifferentrefractivestatus
AT qinwang comparisonandcorrelationofchoroidalparametersinchildrenandadolescentswithdifferentrefractivestatus
AT yongrongli comparisonandcorrelationofchoroidalparametersinchildrenandadolescentswithdifferentrefractivestatus
AT rongfengliao comparisonandcorrelationofchoroidalparametersinchildrenandadolescentswithdifferentrefractivestatus