Altered ocular microvasculature in patients with systemic sclerosis and very early disease of systemic sclerosis using optical coherence tomography angiography

Abstract The vascular hypothesis of systemic sclerosis (SSc) would predict microvascular alterations should also affect anatomical regions like ocular microvasculature. The objective of this study was to evaluate retinal and choriocapillary vessel density (VD) in patients with definite SSc and very...

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Main Authors: Nataša Mihailovic, Larissa Lahme, Sonja Braasch, Friederike Rosenberger, Nicole Eter, Jan Ehrchen, Maged Alnawaiseh
Format: Article
Language:English
Published: Nature Portfolio 2022-06-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-14377-6
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author Nataša Mihailovic
Larissa Lahme
Sonja Braasch
Friederike Rosenberger
Nicole Eter
Jan Ehrchen
Maged Alnawaiseh
author_facet Nataša Mihailovic
Larissa Lahme
Sonja Braasch
Friederike Rosenberger
Nicole Eter
Jan Ehrchen
Maged Alnawaiseh
author_sort Nataša Mihailovic
collection DOAJ
description Abstract The vascular hypothesis of systemic sclerosis (SSc) would predict microvascular alterations should also affect anatomical regions like ocular microvasculature. The objective of this study was to evaluate retinal and choriocapillary vessel density (VD) in patients with definite SSc and very early disease of systemic sclerosis (VEDOSS) using optical coherence tomography angiography (OCTA). 22 eyes of 22 patients and 22 eyes of 22 healthy subjects were included in this study. Patients were classified into patients with definite SSc and patients with VEDOSS. VD data of the superficial OCT angiogram (OCTA-SCP), deep OCT angiogram (OCTA-DCP) and choriocapillaris (OCTA-CC) were analysed. VD in the OCTA-SCP and OCTA-CC was lower in patients with SSc (p < 0.05). In VEDOSS patients, VD in the OCTA-CC was still reduced compared to controls (p < 0.05). Correlation analysis revealed a positive correlation between nailfold capillaroscopy and VD of OCTA-CC (Spearman correlation coefficient (rSp) 0.456, p < 0.05) and a negative correlation between skin score and VD of OCTA-SCP (p < 0.05). Ocular perfusion seems to be impaired in patients with SSc and even VEDOSS. VD correlated with disease severity. OCTA could be a new useful diagnostic and predictive parameter for monitoring patients with different stages of the disease.
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spelling doaj.art-c61e3fb78db048c5af8165c0623756792022-12-22T02:41:21ZengNature PortfolioScientific Reports2045-23222022-06-011211710.1038/s41598-022-14377-6Altered ocular microvasculature in patients with systemic sclerosis and very early disease of systemic sclerosis using optical coherence tomography angiographyNataša Mihailovic0Larissa Lahme1Sonja Braasch2Friederike Rosenberger3Nicole Eter4Jan Ehrchen5Maged Alnawaiseh6Department of Ophthalmology, University of Muenster Medical CenterDepartment of Ophthalmology, University of Muenster Medical CenterDepartment of Dermatology, University of MuensterDepartment of Ophthalmology, University of Muenster Medical CenterDepartment of Ophthalmology, University of Muenster Medical CenterDepartment of Dermatology, University of MuensterDepartment of Ophthalmology, University of Muenster Medical CenterAbstract The vascular hypothesis of systemic sclerosis (SSc) would predict microvascular alterations should also affect anatomical regions like ocular microvasculature. The objective of this study was to evaluate retinal and choriocapillary vessel density (VD) in patients with definite SSc and very early disease of systemic sclerosis (VEDOSS) using optical coherence tomography angiography (OCTA). 22 eyes of 22 patients and 22 eyes of 22 healthy subjects were included in this study. Patients were classified into patients with definite SSc and patients with VEDOSS. VD data of the superficial OCT angiogram (OCTA-SCP), deep OCT angiogram (OCTA-DCP) and choriocapillaris (OCTA-CC) were analysed. VD in the OCTA-SCP and OCTA-CC was lower in patients with SSc (p < 0.05). In VEDOSS patients, VD in the OCTA-CC was still reduced compared to controls (p < 0.05). Correlation analysis revealed a positive correlation between nailfold capillaroscopy and VD of OCTA-CC (Spearman correlation coefficient (rSp) 0.456, p < 0.05) and a negative correlation between skin score and VD of OCTA-SCP (p < 0.05). Ocular perfusion seems to be impaired in patients with SSc and even VEDOSS. VD correlated with disease severity. OCTA could be a new useful diagnostic and predictive parameter for monitoring patients with different stages of the disease.https://doi.org/10.1038/s41598-022-14377-6
spellingShingle Nataša Mihailovic
Larissa Lahme
Sonja Braasch
Friederike Rosenberger
Nicole Eter
Jan Ehrchen
Maged Alnawaiseh
Altered ocular microvasculature in patients with systemic sclerosis and very early disease of systemic sclerosis using optical coherence tomography angiography
Scientific Reports
title Altered ocular microvasculature in patients with systemic sclerosis and very early disease of systemic sclerosis using optical coherence tomography angiography
title_full Altered ocular microvasculature in patients with systemic sclerosis and very early disease of systemic sclerosis using optical coherence tomography angiography
title_fullStr Altered ocular microvasculature in patients with systemic sclerosis and very early disease of systemic sclerosis using optical coherence tomography angiography
title_full_unstemmed Altered ocular microvasculature in patients with systemic sclerosis and very early disease of systemic sclerosis using optical coherence tomography angiography
title_short Altered ocular microvasculature in patients with systemic sclerosis and very early disease of systemic sclerosis using optical coherence tomography angiography
title_sort altered ocular microvasculature in patients with systemic sclerosis and very early disease of systemic sclerosis using optical coherence tomography angiography
url https://doi.org/10.1038/s41598-022-14377-6
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