Evaluating Retinal and Choroidal Perfusion Changes after Isometric and Dynamic Activity Using Optical Coherence Tomography Angiography

Optical coherence tomography angiography (OCTA) is a non-invasive tool for imaging and quantifying the retinal and choroidal perfusion state in vivo. This study aimed to evaluate the acute effects of isometric and dynamic exercise on retinal and choroidal sublayer perfusion using OCTA. A pilot study...

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Main Authors: Max Philipp Brinkmann, Nikolas Xavier Kibele, Michelle Prasuhn, Vinodh Kakkassery, Mario Damiano Toro, Mahdy Ranjbar, Salvatore Grisanti, Matthias Becker, Felix Rommel
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/11/5/808
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author Max Philipp Brinkmann
Nikolas Xavier Kibele
Michelle Prasuhn
Vinodh Kakkassery
Mario Damiano Toro
Mahdy Ranjbar
Salvatore Grisanti
Matthias Becker
Felix Rommel
author_facet Max Philipp Brinkmann
Nikolas Xavier Kibele
Michelle Prasuhn
Vinodh Kakkassery
Mario Damiano Toro
Mahdy Ranjbar
Salvatore Grisanti
Matthias Becker
Felix Rommel
author_sort Max Philipp Brinkmann
collection DOAJ
description Optical coherence tomography angiography (OCTA) is a non-invasive tool for imaging and quantifying the retinal and choroidal perfusion state in vivo. This study aimed to evaluate the acute effects of isometric and dynamic exercise on retinal and choroidal sublayer perfusion using OCTA. A pilot study was conducted on young, healthy participants, each of whom performed a specific isometric exercise on the first day and a dynamic exercise the day after. At baseline and immediately after the exercise, heart rate (HR), mean arterial pressure (MAP), superficial capillary plexus perfusion (SCPP), deep capillary plexus perfusion (DCPP), choriocapillaris perfusion (CCP), Sattlers’s layer perfusion (SLP), and Haller’s layer perfusion (HLP) were recorded. A total of 34 eyes of 34 subjects with a mean age of 32.35 ± 7.87 years were included. HR as well as MAP increased significantly after both types of exercise. Both SCPP and DCPP did not show any significant alteration due to isometric or dynamic exercise. After performing dynamic exercise, CCP, SLP, as well as HLP significantly increased. Changes in MAP correlated significantly with changes in HLP after the dynamic activity. OCTA-based analysis in healthy adults following physical activity demonstrated a constant retinal perfusion, supporting the theory of autoregulatory mechanisms. Dynamic exercise, as opposed to isometric activity, significantly changed choroidal perfusion. OCTA imaging may represent a novel and sensitive tool to expand the diagnostic spectrum in the field of sports medicine.
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spelling doaj.art-8dbfe05f37fd47b59177de7f11f9021b2023-11-21T17:48:44ZengMDPI AGDiagnostics2075-44182021-04-0111580810.3390/diagnostics11050808Evaluating Retinal and Choroidal Perfusion Changes after Isometric and Dynamic Activity Using Optical Coherence Tomography AngiographyMax Philipp Brinkmann0Nikolas Xavier Kibele1Michelle Prasuhn2Vinodh Kakkassery3Mario Damiano Toro4Mahdy Ranjbar5Salvatore Grisanti6Matthias Becker7Felix Rommel8Department of Ophthalmology, Stadtspital Waid und Triemli Zürich, 8063 Zürich, SwitzerlandDepartment of Ophthalmology, Stadtspital Waid und Triemli Zürich, 8063 Zürich, SwitzerlandDepartment of Ophthalmology, University of Lübeck, 23538 Lübeck, GermanyDepartment of Ophthalmology, University of Lübeck, 23538 Lübeck, GermanyDepartment of Ophthalmology, University Hospital Zurich, University of Zurich, 8091 Zurich, SwitzerlandDepartment of Ophthalmology, University of Lübeck, 23538 Lübeck, GermanyDepartment of Ophthalmology, University of Lübeck, 23538 Lübeck, GermanyDepartment of Ophthalmology, Stadtspital Waid und Triemli Zürich, 8063 Zürich, SwitzerlandDepartment of Ophthalmology, University of Lübeck, 23538 Lübeck, GermanyOptical coherence tomography angiography (OCTA) is a non-invasive tool for imaging and quantifying the retinal and choroidal perfusion state in vivo. This study aimed to evaluate the acute effects of isometric and dynamic exercise on retinal and choroidal sublayer perfusion using OCTA. A pilot study was conducted on young, healthy participants, each of whom performed a specific isometric exercise on the first day and a dynamic exercise the day after. At baseline and immediately after the exercise, heart rate (HR), mean arterial pressure (MAP), superficial capillary plexus perfusion (SCPP), deep capillary plexus perfusion (DCPP), choriocapillaris perfusion (CCP), Sattlers’s layer perfusion (SLP), and Haller’s layer perfusion (HLP) were recorded. A total of 34 eyes of 34 subjects with a mean age of 32.35 ± 7.87 years were included. HR as well as MAP increased significantly after both types of exercise. Both SCPP and DCPP did not show any significant alteration due to isometric or dynamic exercise. After performing dynamic exercise, CCP, SLP, as well as HLP significantly increased. Changes in MAP correlated significantly with changes in HLP after the dynamic activity. OCTA-based analysis in healthy adults following physical activity demonstrated a constant retinal perfusion, supporting the theory of autoregulatory mechanisms. Dynamic exercise, as opposed to isometric activity, significantly changed choroidal perfusion. OCTA imaging may represent a novel and sensitive tool to expand the diagnostic spectrum in the field of sports medicine.https://www.mdpi.com/2075-4418/11/5/808isometric activitydynamic activityoptical coherence tomography angiographyretinal perfusionchoroidal perfusionsports medicine
spellingShingle Max Philipp Brinkmann
Nikolas Xavier Kibele
Michelle Prasuhn
Vinodh Kakkassery
Mario Damiano Toro
Mahdy Ranjbar
Salvatore Grisanti
Matthias Becker
Felix Rommel
Evaluating Retinal and Choroidal Perfusion Changes after Isometric and Dynamic Activity Using Optical Coherence Tomography Angiography
Diagnostics
isometric activity
dynamic activity
optical coherence tomography angiography
retinal perfusion
choroidal perfusion
sports medicine
title Evaluating Retinal and Choroidal Perfusion Changes after Isometric and Dynamic Activity Using Optical Coherence Tomography Angiography
title_full Evaluating Retinal and Choroidal Perfusion Changes after Isometric and Dynamic Activity Using Optical Coherence Tomography Angiography
title_fullStr Evaluating Retinal and Choroidal Perfusion Changes after Isometric and Dynamic Activity Using Optical Coherence Tomography Angiography
title_full_unstemmed Evaluating Retinal and Choroidal Perfusion Changes after Isometric and Dynamic Activity Using Optical Coherence Tomography Angiography
title_short Evaluating Retinal and Choroidal Perfusion Changes after Isometric and Dynamic Activity Using Optical Coherence Tomography Angiography
title_sort evaluating retinal and choroidal perfusion changes after isometric and dynamic activity using optical coherence tomography angiography
topic isometric activity
dynamic activity
optical coherence tomography angiography
retinal perfusion
choroidal perfusion
sports medicine
url https://www.mdpi.com/2075-4418/11/5/808
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