Macular Vascularity and Ganglion Cell Complex Parameters in the Young Adults with Myopia and Progressive Myopia

Artur Małyszczak,1 Magdalena Żyto,2 Joanna Przeździecka-Dołyk,2 Marta Misiuk-Hojło1 1Department and Clinic of Ophthalmology, Wroclaw Medical University, Wroclaw, Dolnoslaskie, Poland; 2Department of Optics and Photonics, Wroclaw University of Scie...

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Main Authors: Małyszczak A, Żyto M, Przeździecka-Dołyk J, Misiuk-Hojło M
Format: Article
Language:English
Published: Dove Medical Press 2023-02-01
Series:Clinical Ophthalmology
Subjects:
Online Access:https://www.dovepress.com/macular-vascularity-and-ganglion-cell-complex-parameters-in-the-young--peer-reviewed-fulltext-article-OPTH
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author Małyszczak A
Żyto M
Przeździecka-Dołyk J
Misiuk-Hojło M
author_facet Małyszczak A
Żyto M
Przeździecka-Dołyk J
Misiuk-Hojło M
author_sort Małyszczak A
collection DOAJ
description Artur Małyszczak,1 Magdalena Żyto,2 Joanna Przeździecka-Dołyk,2 Marta Misiuk-Hojło1 1Department and Clinic of Ophthalmology, Wroclaw Medical University, Wroclaw, Dolnoslaskie, Poland; 2Department of Optics and Photonics, Wroclaw University of Science and Technology, Wroclaw, Dolnoslaskie, PolandCorrespondence: Artur Małyszczak, Department and Clinic of Ophthalmology, Wroclaw Medical University, Borowska 213 50-556, Wroclaw, Dolnoslaskie, Poland, Email arturm100@gmail.comPurpose: The purpose of this study is to determine the relationships between foveal avascular zone (FAZ), foveal vascular density (FD) and GCC (ganglion cell complex) parameters in a healthy myopic population using optical coherence tomography angiography (angio-OCT).Patients and Methods: Three hundred and eighty-one eyes of 381 healthy participants were included into this study and assigned to three groups according to their spherical equivalent (SE) values and an additional progressive myopia group. One randomly chosen eye from each patient was analyzed. GCC mean thickness, focal loss of volume (FLV), global loss of volume (GLV), FAZ area, FAZ perimeter, and FD parameters were obtained with the RTVue AngioOCT device.Results: FAZ area and its perimeter were strongly correlated with the belonging spherical equivalent group (p = 0.0001, p = 0.0008 accordingly), being the largest in progressive myopia subgroup (mean size 0.42mm2). Other factors that were significantly higher in myopic eyes were FLV (p = 0.0023), GLV (p = 0.0020). There were no differences in FD between groups. In the myopic and progressive myopia groups, there was a significant relationship between FAZ area and FLV, GLV, and GCC thickness. We found that in myopic eyes with AXL exceeding 26.6 mm, FAZ becomes negatively correlated to mean GCC thickness.Conclusion: In myopia, compared to non-myopic groups, there is a greater loss of neural tissue represented by a thinner GCC layer, greater FLV and GLV parameters, and worse blood supply represented by a larger FAZ area. Eye axial length of 26.6 mm is a breaking point, where the negative FAZ area to GCC thickness relationship curve is getting significantly steeper.Keywords: GCC, FAZ, optical coherence tomography angiography, OCTA
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spelling doaj.art-8d581ee7decc46608c4115c9c36108232023-02-12T17:45:33ZengDove Medical PressClinical Ophthalmology1177-54832023-02-01Volume 1756157081592Macular Vascularity and Ganglion Cell Complex Parameters in the Young Adults with Myopia and Progressive MyopiaMałyszczak AŻyto MPrzeździecka-Dołyk JMisiuk-Hojło MArtur Małyszczak,1 Magdalena Żyto,2 Joanna Przeździecka-Dołyk,2 Marta Misiuk-Hojło1 1Department and Clinic of Ophthalmology, Wroclaw Medical University, Wroclaw, Dolnoslaskie, Poland; 2Department of Optics and Photonics, Wroclaw University of Science and Technology, Wroclaw, Dolnoslaskie, PolandCorrespondence: Artur Małyszczak, Department and Clinic of Ophthalmology, Wroclaw Medical University, Borowska 213 50-556, Wroclaw, Dolnoslaskie, Poland, Email arturm100@gmail.comPurpose: The purpose of this study is to determine the relationships between foveal avascular zone (FAZ), foveal vascular density (FD) and GCC (ganglion cell complex) parameters in a healthy myopic population using optical coherence tomography angiography (angio-OCT).Patients and Methods: Three hundred and eighty-one eyes of 381 healthy participants were included into this study and assigned to three groups according to their spherical equivalent (SE) values and an additional progressive myopia group. One randomly chosen eye from each patient was analyzed. GCC mean thickness, focal loss of volume (FLV), global loss of volume (GLV), FAZ area, FAZ perimeter, and FD parameters were obtained with the RTVue AngioOCT device.Results: FAZ area and its perimeter were strongly correlated with the belonging spherical equivalent group (p = 0.0001, p = 0.0008 accordingly), being the largest in progressive myopia subgroup (mean size 0.42mm2). Other factors that were significantly higher in myopic eyes were FLV (p = 0.0023), GLV (p = 0.0020). There were no differences in FD between groups. In the myopic and progressive myopia groups, there was a significant relationship between FAZ area and FLV, GLV, and GCC thickness. We found that in myopic eyes with AXL exceeding 26.6 mm, FAZ becomes negatively correlated to mean GCC thickness.Conclusion: In myopia, compared to non-myopic groups, there is a greater loss of neural tissue represented by a thinner GCC layer, greater FLV and GLV parameters, and worse blood supply represented by a larger FAZ area. Eye axial length of 26.6 mm is a breaking point, where the negative FAZ area to GCC thickness relationship curve is getting significantly steeper.Keywords: GCC, FAZ, optical coherence tomography angiography, OCTAhttps://www.dovepress.com/macular-vascularity-and-ganglion-cell-complex-parameters-in-the-young--peer-reviewed-fulltext-article-OPTHgccfazoptical coherence tomography angiographyocta
spellingShingle Małyszczak A
Żyto M
Przeździecka-Dołyk J
Misiuk-Hojło M
Macular Vascularity and Ganglion Cell Complex Parameters in the Young Adults with Myopia and Progressive Myopia
Clinical Ophthalmology
gcc
faz
optical coherence tomography angiography
octa
title Macular Vascularity and Ganglion Cell Complex Parameters in the Young Adults with Myopia and Progressive Myopia
title_full Macular Vascularity and Ganglion Cell Complex Parameters in the Young Adults with Myopia and Progressive Myopia
title_fullStr Macular Vascularity and Ganglion Cell Complex Parameters in the Young Adults with Myopia and Progressive Myopia
title_full_unstemmed Macular Vascularity and Ganglion Cell Complex Parameters in the Young Adults with Myopia and Progressive Myopia
title_short Macular Vascularity and Ganglion Cell Complex Parameters in the Young Adults with Myopia and Progressive Myopia
title_sort macular vascularity and ganglion cell complex parameters in the young adults with myopia and progressive myopia
topic gcc
faz
optical coherence tomography angiography
octa
url https://www.dovepress.com/macular-vascularity-and-ganglion-cell-complex-parameters-in-the-young--peer-reviewed-fulltext-article-OPTH
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