Short Axial Length Is Related to Asymmetric Vortex Veins in Central Serous Chorioretinopathy
Purpose: To investigate the clinical and morphologic factors related to asymmetric dilated vortex veins in central serous chorioretinopathy (CSC). Design: Retrospective, comparative study. Participants: One hundred fifty-eight eyes of 158 patients with CSC. Methods: All patients with CSC underwent o...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-12-01
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| Series: | Ophthalmology Science |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666914521000695 |
| _version_ | 1818978448538861568 |
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| author | Nobuhiro Terao, MD, PhD Naoya Imanaga, MD Sorako Wakugawa, MD Shota Sawaguchi, MD Tamaki Tamashiro, MD Yukihide Yamauchi, MD Hideki Koizumi, MD, PhD |
| author_facet | Nobuhiro Terao, MD, PhD Naoya Imanaga, MD Sorako Wakugawa, MD Shota Sawaguchi, MD Tamaki Tamashiro, MD Yukihide Yamauchi, MD Hideki Koizumi, MD, PhD |
| author_sort | Nobuhiro Terao, MD, PhD |
| collection | DOAJ |
| description | Purpose: To investigate the clinical and morphologic factors related to asymmetric dilated vortex veins in central serous chorioretinopathy (CSC). Design: Retrospective, comparative study. Participants: One hundred fifty-eight eyes of 158 patients with CSC. Methods: All patients with CSC underwent ophthalmic examination and multimodal imaging, including measurements of axial length (AL), fluorescein angiography, indocyanine green angiography, swept-source OCT, and anterior segment OCT. Using en face OCT images at the level of the outer choroid, the eyes were divided into 2 groups: eyes with symmetric vortex veins (symmetry group) and those with asymmetric vortex veins (asymmetry group). Main Outcome Measures: Clinical and morphologic factors related to asymmetric vortex veins in CSC. Results: Of the 158 eyes, 120 eyes (75.9%) were classified into the asymmetry group and 38 eyes (24.1%) were classified into the symmetry group. The asymmetry group showed significantly greater spherical equivalent (–0.32 ± 1.78 diopters [D] vs. –1.35 ± 2.64 D; P = 0.033), shorter AL (23.52 ± 0.86 mm vs. 24.10 ± 1.06 mm; P = 0.005), and greater subfoveal choroidal thickness (414.6 ± 105.3 μm vs. 360.4 ± 91.8 μm; P = 0.005) than the symmetry group. No significant differences existed between the 2 groups regarding age, sex, or all scleral thicknesses at the superior, temporal, inferior, and nasal points. In the multivariate analyses, shorter AL (odds ratio, 0.56; 95% confidence interval, 0.36–0.88; P = 0.011) was found to be significantly associated with the presence of asymmetric vortex veins. Conclusions: The asymmetric dilated vortex vein is a common finding in patients with CSC. Our results suggest that certain biometric factors, such as short AL, may be associated with asymmetric dilated vortex veins developing in patients with CSC. |
| first_indexed | 2024-12-20T16:43:48Z |
| format | Article |
| id | doaj.art-510e98780ea54f4484cd14ab392b93f5 |
| institution | Directory Open Access Journal |
| issn | 2666-9145 |
| language | English |
| last_indexed | 2024-12-20T16:43:48Z |
| publishDate | 2021-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Ophthalmology Science |
| spelling | doaj.art-510e98780ea54f4484cd14ab392b93f52022-12-21T19:32:58ZengElsevierOphthalmology Science2666-91452021-12-0114100071Short Axial Length Is Related to Asymmetric Vortex Veins in Central Serous ChorioretinopathyNobuhiro Terao, MD, PhD0Naoya Imanaga, MD1Sorako Wakugawa, MD2Shota Sawaguchi, MD3Tamaki Tamashiro, MD4Yukihide Yamauchi, MD5Hideki Koizumi, MD, PhD6Department of Ophthalmology, Graduate School of Medicine, University of the Ryukyus, Okinawa, JapanDepartment of Ophthalmology, Graduate School of Medicine, University of the Ryukyus, Okinawa, JapanDepartment of Ophthalmology, Graduate School of Medicine, University of the Ryukyus, Okinawa, JapanDepartment of Ophthalmology, Graduate School of Medicine, University of the Ryukyus, Okinawa, JapanDepartment of Ophthalmology, Graduate School of Medicine, University of the Ryukyus, Okinawa, JapanDepartment of Ophthalmology, Graduate School of Medicine, University of the Ryukyus, Okinawa, JapanCorrespondence: Hideki Koizumi, MD, PhD, Department of Ophthalmology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara-cho, Nakagami-gun, Okinawa 903-0215, Japan.; Department of Ophthalmology, Graduate School of Medicine, University of the Ryukyus, Okinawa, JapanPurpose: To investigate the clinical and morphologic factors related to asymmetric dilated vortex veins in central serous chorioretinopathy (CSC). Design: Retrospective, comparative study. Participants: One hundred fifty-eight eyes of 158 patients with CSC. Methods: All patients with CSC underwent ophthalmic examination and multimodal imaging, including measurements of axial length (AL), fluorescein angiography, indocyanine green angiography, swept-source OCT, and anterior segment OCT. Using en face OCT images at the level of the outer choroid, the eyes were divided into 2 groups: eyes with symmetric vortex veins (symmetry group) and those with asymmetric vortex veins (asymmetry group). Main Outcome Measures: Clinical and morphologic factors related to asymmetric vortex veins in CSC. Results: Of the 158 eyes, 120 eyes (75.9%) were classified into the asymmetry group and 38 eyes (24.1%) were classified into the symmetry group. The asymmetry group showed significantly greater spherical equivalent (–0.32 ± 1.78 diopters [D] vs. –1.35 ± 2.64 D; P = 0.033), shorter AL (23.52 ± 0.86 mm vs. 24.10 ± 1.06 mm; P = 0.005), and greater subfoveal choroidal thickness (414.6 ± 105.3 μm vs. 360.4 ± 91.8 μm; P = 0.005) than the symmetry group. No significant differences existed between the 2 groups regarding age, sex, or all scleral thicknesses at the superior, temporal, inferior, and nasal points. In the multivariate analyses, shorter AL (odds ratio, 0.56; 95% confidence interval, 0.36–0.88; P = 0.011) was found to be significantly associated with the presence of asymmetric vortex veins. Conclusions: The asymmetric dilated vortex vein is a common finding in patients with CSC. Our results suggest that certain biometric factors, such as short AL, may be associated with asymmetric dilated vortex veins developing in patients with CSC.http://www.sciencedirect.com/science/article/pii/S2666914521000695Asymmetric dilated vortex veinAxial lengthCentral serous chorioretinopathyChoroidal thicknessChoroidal vascular hyperpermeabilityPachychoroid |
| spellingShingle | Nobuhiro Terao, MD, PhD Naoya Imanaga, MD Sorako Wakugawa, MD Shota Sawaguchi, MD Tamaki Tamashiro, MD Yukihide Yamauchi, MD Hideki Koizumi, MD, PhD Short Axial Length Is Related to Asymmetric Vortex Veins in Central Serous Chorioretinopathy Ophthalmology Science Asymmetric dilated vortex vein Axial length Central serous chorioretinopathy Choroidal thickness Choroidal vascular hyperpermeability Pachychoroid |
| title | Short Axial Length Is Related to Asymmetric Vortex Veins in Central Serous Chorioretinopathy |
| title_full | Short Axial Length Is Related to Asymmetric Vortex Veins in Central Serous Chorioretinopathy |
| title_fullStr | Short Axial Length Is Related to Asymmetric Vortex Veins in Central Serous Chorioretinopathy |
| title_full_unstemmed | Short Axial Length Is Related to Asymmetric Vortex Veins in Central Serous Chorioretinopathy |
| title_short | Short Axial Length Is Related to Asymmetric Vortex Veins in Central Serous Chorioretinopathy |
| title_sort | short axial length is related to asymmetric vortex veins in central serous chorioretinopathy |
| topic | Asymmetric dilated vortex vein Axial length Central serous chorioretinopathy Choroidal thickness Choroidal vascular hyperpermeability Pachychoroid |
| url | http://www.sciencedirect.com/science/article/pii/S2666914521000695 |
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