Evaluation of Macular and Peripapillary Blood Flow in Response to Intraocular Pressure Reduction in Patients With Posner–Schlossman Syndrome

Purpose: The study aimed to evaluate the effect of intraocular pressure (IOP) reduction on macular and peripapillary microcirculation in patients with Posner–Schlossman syndrome (PSS) by optical coherence tomography angiography (OCTA).Methods: A prospective comparative study was conducted. Patients...

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Main Authors: Dan Liu, Cong Fan, Endong Zhang, Jie Yang, Yue Zhang, Jian Jiang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2022.886871/full
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author Dan Liu
Dan Liu
Dan Liu
Cong Fan
Cong Fan
Cong Fan
Endong Zhang
Endong Zhang
Endong Zhang
Jie Yang
Jie Yang
Jie Yang
Yue Zhang
Yue Zhang
Yue Zhang
Jian Jiang
Jian Jiang
Jian Jiang
author_facet Dan Liu
Dan Liu
Dan Liu
Cong Fan
Cong Fan
Cong Fan
Endong Zhang
Endong Zhang
Endong Zhang
Jie Yang
Jie Yang
Jie Yang
Yue Zhang
Yue Zhang
Yue Zhang
Jian Jiang
Jian Jiang
Jian Jiang
author_sort Dan Liu
collection DOAJ
description Purpose: The study aimed to evaluate the effect of intraocular pressure (IOP) reduction on macular and peripapillary microcirculation in patients with Posner–Schlossman syndrome (PSS) by optical coherence tomography angiography (OCTA).Methods: A prospective comparative study was conducted. Patients diagnosed with PSS at the Eye Center of Xiangya Hospital, Central South University, from February 2020 to November 2021 were consecutively included. OCTA was used for the macular and peripapillary microcirculation measurements, and optical coherence tomography (OCT) was employed for the retinal nerve fiber layer (RNFL) and lamina cribrosa depth (LCD) measurements. The patients received OCT and OCTA examinations at baseline and 1 week post-treatment when the IOP was under control. Changes in macular and peripapillary microcirculation, RNFL, and LCD were calculated for all the analyzed areas.Results: Twenty-one eyes from 21 patients were included in the study. Pre-treatment and post-treatment IOP were 43.17 ± 10.36 mm Hg (range, 30–60 mm Hg) and 17.17 ± 2.85 mm Hg (range, 13–23 mm Hg), respectively. No statistically significant changes were detected in RNFL, LCD, or macular and peripapillary microcirculation after significant IOP reduction.Conclusion: The results suggested that a large IOP reduction may not result in a significant increase in peripapillary and macular capillary perfusion in patients with PSS.
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spelling doaj.art-544a1aaa85314e4aae7954faff0787b22022-12-22T03:32:04ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-06-011310.3389/fphys.2022.886871886871Evaluation of Macular and Peripapillary Blood Flow in Response to Intraocular Pressure Reduction in Patients With Posner–Schlossman SyndromeDan Liu0Dan Liu1Dan Liu2Cong Fan3Cong Fan4Cong Fan5Endong Zhang6Endong Zhang7Endong Zhang8Jie Yang9Jie Yang10Jie Yang11Yue Zhang12Yue Zhang13Yue Zhang14Jian Jiang15Jian Jiang16Jian Jiang17Eye Center of Xiangya Hospital, Central South University, Changsha, ChinaHunan Key Laboratory of Ophthalmology, Changsha, ChinaNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, ChinaEye Center of Xiangya Hospital, Central South University, Changsha, ChinaHunan Key Laboratory of Ophthalmology, Changsha, ChinaNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, ChinaEye Center of Xiangya Hospital, Central South University, Changsha, ChinaHunan Key Laboratory of Ophthalmology, Changsha, ChinaNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, ChinaEye Center of Xiangya Hospital, Central South University, Changsha, ChinaHunan Key Laboratory of Ophthalmology, Changsha, ChinaNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, ChinaEye Center of Xiangya Hospital, Central South University, Changsha, ChinaHunan Key Laboratory of Ophthalmology, Changsha, ChinaNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, ChinaEye Center of Xiangya Hospital, Central South University, Changsha, ChinaHunan Key Laboratory of Ophthalmology, Changsha, ChinaNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, ChinaPurpose: The study aimed to evaluate the effect of intraocular pressure (IOP) reduction on macular and peripapillary microcirculation in patients with Posner–Schlossman syndrome (PSS) by optical coherence tomography angiography (OCTA).Methods: A prospective comparative study was conducted. Patients diagnosed with PSS at the Eye Center of Xiangya Hospital, Central South University, from February 2020 to November 2021 were consecutively included. OCTA was used for the macular and peripapillary microcirculation measurements, and optical coherence tomography (OCT) was employed for the retinal nerve fiber layer (RNFL) and lamina cribrosa depth (LCD) measurements. The patients received OCT and OCTA examinations at baseline and 1 week post-treatment when the IOP was under control. Changes in macular and peripapillary microcirculation, RNFL, and LCD were calculated for all the analyzed areas.Results: Twenty-one eyes from 21 patients were included in the study. Pre-treatment and post-treatment IOP were 43.17 ± 10.36 mm Hg (range, 30–60 mm Hg) and 17.17 ± 2.85 mm Hg (range, 13–23 mm Hg), respectively. No statistically significant changes were detected in RNFL, LCD, or macular and peripapillary microcirculation after significant IOP reduction.Conclusion: The results suggested that a large IOP reduction may not result in a significant increase in peripapillary and macular capillary perfusion in patients with PSS.https://www.frontiersin.org/articles/10.3389/fphys.2022.886871/fullOCTAPSSperipapillary microcirculationmacular microcirculationIOP reduction
spellingShingle Dan Liu
Dan Liu
Dan Liu
Cong Fan
Cong Fan
Cong Fan
Endong Zhang
Endong Zhang
Endong Zhang
Jie Yang
Jie Yang
Jie Yang
Yue Zhang
Yue Zhang
Yue Zhang
Jian Jiang
Jian Jiang
Jian Jiang
Evaluation of Macular and Peripapillary Blood Flow in Response to Intraocular Pressure Reduction in Patients With Posner–Schlossman Syndrome
Frontiers in Physiology
OCTA
PSS
peripapillary microcirculation
macular microcirculation
IOP reduction
title Evaluation of Macular and Peripapillary Blood Flow in Response to Intraocular Pressure Reduction in Patients With Posner–Schlossman Syndrome
title_full Evaluation of Macular and Peripapillary Blood Flow in Response to Intraocular Pressure Reduction in Patients With Posner–Schlossman Syndrome
title_fullStr Evaluation of Macular and Peripapillary Blood Flow in Response to Intraocular Pressure Reduction in Patients With Posner–Schlossman Syndrome
title_full_unstemmed Evaluation of Macular and Peripapillary Blood Flow in Response to Intraocular Pressure Reduction in Patients With Posner–Schlossman Syndrome
title_short Evaluation of Macular and Peripapillary Blood Flow in Response to Intraocular Pressure Reduction in Patients With Posner–Schlossman Syndrome
title_sort evaluation of macular and peripapillary blood flow in response to intraocular pressure reduction in patients with posner schlossman syndrome
topic OCTA
PSS
peripapillary microcirculation
macular microcirculation
IOP reduction
url https://www.frontiersin.org/articles/10.3389/fphys.2022.886871/full
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