Elevated endothelin-1 levels as risk factor for an impaired ocular blood flow measured by OCT-A in glaucoma

Abstract The purpose of this study was to ascertain whether a correlation exists between glaucoma-associated alteration of ocular vascular haemodynamics and endothelin-1 (ET-1) levels exist. Eyes of patients with cataract (n = 30) or glaucoma (n = 68) were examined with optical coherence tomography...

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Main Authors: Claudia Lommatzsch, Kai Rothaus, Lasse Schopmeyer, Maria Feldmann, Dirk Bauer, Swaantje Grisanti, Carsten Heinz, Maren Kasper
Format: Article
Language:English
Published: Nature Portfolio 2022-07-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-15401-5
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author Claudia Lommatzsch
Kai Rothaus
Lasse Schopmeyer
Maria Feldmann
Dirk Bauer
Swaantje Grisanti
Carsten Heinz
Maren Kasper
author_facet Claudia Lommatzsch
Kai Rothaus
Lasse Schopmeyer
Maria Feldmann
Dirk Bauer
Swaantje Grisanti
Carsten Heinz
Maren Kasper
author_sort Claudia Lommatzsch
collection DOAJ
description Abstract The purpose of this study was to ascertain whether a correlation exists between glaucoma-associated alteration of ocular vascular haemodynamics and endothelin-1 (ET-1) levels exist. Eyes of patients with cataract (n = 30) or glaucoma (n = 68) were examined with optical coherence tomography (OCT) and OCT-angiography (OCT-A; AngioVue™-RTVue-XR; Optovue, Fremont, California, USA). The peripapillary and the macular vessel density (VD) values were measured. Inferior and superior retinal nerve fibre layer (RNFL) thickness loss was used for further OCT staging. Aqueous humour of the examined eye and plasma were sampled during cataract or glaucoma surgery and analysed by means of ELISA to determine their ET-1 level. Glaucoma eyes are characterised by reductions in RNFL thickness and VD that correlate significantly with the OCT GSS score. Peripheral and ocular ET-1 level were significantly elevated in patients with glaucoma and correlate positively with the OCT-GSS score of the entire study population. Peripapillary and macula VD of glaucoma patients correlates negatively with plasma ET-1 levels. Multivariable analysis showed a subordinate role of intraocular pressure predictive factor for impaired retinal blood flow compared with plasma ET-1 level in glaucoma. Peripheral ET-1 level serves as risk factor for detection of ocular blood flow changes in the optic nerve head region of glaucomatous eyes.
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spelling doaj.art-72b4e7513fc14e6581bf8e714dfa7cc92022-12-22T03:01:11ZengNature PortfolioScientific Reports2045-23222022-07-0112111210.1038/s41598-022-15401-5Elevated endothelin-1 levels as risk factor for an impaired ocular blood flow measured by OCT-A in glaucomaClaudia Lommatzsch0Kai Rothaus1Lasse Schopmeyer2Maria Feldmann3Dirk Bauer4Swaantje Grisanti5Carsten Heinz6Maren Kasper7Department of Ophthalmology and Ophtha Lab at St. Franziskus HospitalDepartment of Ophthalmology and Ophtha Lab at St. Franziskus HospitalAmsterdam UMC, Location AMCDepartment of Ophthalmology, Braunschweig HospitalDepartment of Ophthalmology and Ophtha Lab at St. Franziskus HospitalDepartment of Ophthalmology, University of LuebeckDepartment of Ophthalmology and Ophtha Lab at St. Franziskus HospitalDepartment of Ophthalmology and Ophtha Lab at St. Franziskus HospitalAbstract The purpose of this study was to ascertain whether a correlation exists between glaucoma-associated alteration of ocular vascular haemodynamics and endothelin-1 (ET-1) levels exist. Eyes of patients with cataract (n = 30) or glaucoma (n = 68) were examined with optical coherence tomography (OCT) and OCT-angiography (OCT-A; AngioVue™-RTVue-XR; Optovue, Fremont, California, USA). The peripapillary and the macular vessel density (VD) values were measured. Inferior and superior retinal nerve fibre layer (RNFL) thickness loss was used for further OCT staging. Aqueous humour of the examined eye and plasma were sampled during cataract or glaucoma surgery and analysed by means of ELISA to determine their ET-1 level. Glaucoma eyes are characterised by reductions in RNFL thickness and VD that correlate significantly with the OCT GSS score. Peripheral and ocular ET-1 level were significantly elevated in patients with glaucoma and correlate positively with the OCT-GSS score of the entire study population. Peripapillary and macula VD of glaucoma patients correlates negatively with plasma ET-1 levels. Multivariable analysis showed a subordinate role of intraocular pressure predictive factor for impaired retinal blood flow compared with plasma ET-1 level in glaucoma. Peripheral ET-1 level serves as risk factor for detection of ocular blood flow changes in the optic nerve head region of glaucomatous eyes.https://doi.org/10.1038/s41598-022-15401-5
spellingShingle Claudia Lommatzsch
Kai Rothaus
Lasse Schopmeyer
Maria Feldmann
Dirk Bauer
Swaantje Grisanti
Carsten Heinz
Maren Kasper
Elevated endothelin-1 levels as risk factor for an impaired ocular blood flow measured by OCT-A in glaucoma
Scientific Reports
title Elevated endothelin-1 levels as risk factor for an impaired ocular blood flow measured by OCT-A in glaucoma
title_full Elevated endothelin-1 levels as risk factor for an impaired ocular blood flow measured by OCT-A in glaucoma
title_fullStr Elevated endothelin-1 levels as risk factor for an impaired ocular blood flow measured by OCT-A in glaucoma
title_full_unstemmed Elevated endothelin-1 levels as risk factor for an impaired ocular blood flow measured by OCT-A in glaucoma
title_short Elevated endothelin-1 levels as risk factor for an impaired ocular blood flow measured by OCT-A in glaucoma
title_sort elevated endothelin 1 levels as risk factor for an impaired ocular blood flow measured by oct a in glaucoma
url https://doi.org/10.1038/s41598-022-15401-5
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