Choroidal thickness and choroidal vascularity index in diabetic retinopathy and diabetic macular edema – A clinical study

Purpose: To evaluate the choroidal thickness and choroidal vascularity index (CVI) in various stages of diabetic retinopathy and to assess its significance in diabetic macular edema. Materials and Methods: 166 eyes of 83 patients were evaluated in this study. 116 eyes were with various stages of dia...

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Main Authors: Sozhamadevi Subramaniyan, Venkatesh Perumal, Jaya Prabha Balachandar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:TNOA Journal of Ophthalmic Science and Research
Subjects:
Online Access:http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2022;volume=60;issue=3;spage=254;epage=258;aulast=Subramaniyan
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author Sozhamadevi Subramaniyan
Venkatesh Perumal
Jaya Prabha Balachandar
author_facet Sozhamadevi Subramaniyan
Venkatesh Perumal
Jaya Prabha Balachandar
author_sort Sozhamadevi Subramaniyan
collection DOAJ
description Purpose: To evaluate the choroidal thickness and choroidal vascularity index (CVI) in various stages of diabetic retinopathy and to assess its significance in diabetic macular edema. Materials and Methods: 166 eyes of 83 patients were evaluated in this study. 116 eyes were with various stages of diabetic retinopathy and 50 eyes were non-diabetic healthy controls. Spectral Domain Optical Coherence Tomography (SD OCT) was done for all patients. The choroidal thickness and the macular thickness at the fovea, 500 μm nasal, temporal, superior and inferior to the fovea were measured manually, and CVI was calculated as the ratio between the total choroidal area and the luminal area using ImageJ software. Results: The mean age of the study group was 55.95 ± 10.57 years and that of the control group was 53.33 ± 11.28 years. The choroidal thickness was significantly decreased in patients with proliferative diabetic retinopathy (p < 0.005). CVI was inversely proportional to the severity of diabetic retinopathy and was statistically significant (p < 0.01 to 0.005). In eyes with DR and macular edema a significant decrease in choroidal thickness (p = 0.019) was observed; however, the decrease in CVI was not significant (p = 0.056). Conclusion: In diabetic retinopathy, the choriodal thickness and CVI decreases as the severity of the retinopathy increases. Choroid plays an important role in disease progression. But in eyes with diabetic retinopathy associated with or without macular edema, there is no significant difference in CVI.
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spelling doaj.art-6768f1bb3c7744daad14e631a2ae9ab72022-12-22T03:31:51ZengWolters Kluwer Medknow PublicationsTNOA Journal of Ophthalmic Science and Research2589-45282589-45362022-01-0160325425810.4103/tjosr.tjosr_18_22Choroidal thickness and choroidal vascularity index in diabetic retinopathy and diabetic macular edema – A clinical studySozhamadevi SubramaniyanVenkatesh PerumalJaya Prabha BalachandarPurpose: To evaluate the choroidal thickness and choroidal vascularity index (CVI) in various stages of diabetic retinopathy and to assess its significance in diabetic macular edema. Materials and Methods: 166 eyes of 83 patients were evaluated in this study. 116 eyes were with various stages of diabetic retinopathy and 50 eyes were non-diabetic healthy controls. Spectral Domain Optical Coherence Tomography (SD OCT) was done for all patients. The choroidal thickness and the macular thickness at the fovea, 500 μm nasal, temporal, superior and inferior to the fovea were measured manually, and CVI was calculated as the ratio between the total choroidal area and the luminal area using ImageJ software. Results: The mean age of the study group was 55.95 ± 10.57 years and that of the control group was 53.33 ± 11.28 years. The choroidal thickness was significantly decreased in patients with proliferative diabetic retinopathy (p < 0.005). CVI was inversely proportional to the severity of diabetic retinopathy and was statistically significant (p < 0.01 to 0.005). In eyes with DR and macular edema a significant decrease in choroidal thickness (p = 0.019) was observed; however, the decrease in CVI was not significant (p = 0.056). Conclusion: In diabetic retinopathy, the choriodal thickness and CVI decreases as the severity of the retinopathy increases. Choroid plays an important role in disease progression. But in eyes with diabetic retinopathy associated with or without macular edema, there is no significant difference in CVI.http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2022;volume=60;issue=3;spage=254;epage=258;aulast=Subramaniyanchoroidal thicknesschoroidal vascularity indexdiabetic retinopathy
spellingShingle Sozhamadevi Subramaniyan
Venkatesh Perumal
Jaya Prabha Balachandar
Choroidal thickness and choroidal vascularity index in diabetic retinopathy and diabetic macular edema – A clinical study
TNOA Journal of Ophthalmic Science and Research
choroidal thickness
choroidal vascularity index
diabetic retinopathy
title Choroidal thickness and choroidal vascularity index in diabetic retinopathy and diabetic macular edema – A clinical study
title_full Choroidal thickness and choroidal vascularity index in diabetic retinopathy and diabetic macular edema – A clinical study
title_fullStr Choroidal thickness and choroidal vascularity index in diabetic retinopathy and diabetic macular edema – A clinical study
title_full_unstemmed Choroidal thickness and choroidal vascularity index in diabetic retinopathy and diabetic macular edema – A clinical study
title_short Choroidal thickness and choroidal vascularity index in diabetic retinopathy and diabetic macular edema – A clinical study
title_sort choroidal thickness and choroidal vascularity index in diabetic retinopathy and diabetic macular edema a clinical study
topic choroidal thickness
choroidal vascularity index
diabetic retinopathy
url http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2022;volume=60;issue=3;spage=254;epage=258;aulast=Subramaniyan
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AT venkateshperumal choroidalthicknessandchoroidalvascularityindexindiabeticretinopathyanddiabeticmacularedemaaclinicalstudy
AT jayaprabhabalachandar choroidalthicknessandchoroidalvascularityindexindiabeticretinopathyanddiabeticmacularedemaaclinicalstudy