Quantitative analysis of choroidal morphology in preeclampsia during pregnancy according to retinal change

Abstract We sought to investigate changes in choroidal hemodynamics in preeclampsia according to presence of retinal change by quantitatively assessing choroidal vessels using optical coherence tomography (OCT). This retrospective study included 106 eyes (of 53 patients) with preeclampsia, including...

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Main Authors: In Kee Kim, Jae Eun Shin, Min Jeong Kim, Ho Ra, Jiwon Baek
Format: Article
Language:English
Published: Nature Portfolio 2023-08-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-40144-2
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author In Kee Kim
Jae Eun Shin
Min Jeong Kim
Ho Ra
Jiwon Baek
author_facet In Kee Kim
Jae Eun Shin
Min Jeong Kim
Ho Ra
Jiwon Baek
author_sort In Kee Kim
collection DOAJ
description Abstract We sought to investigate changes in choroidal hemodynamics in preeclampsia according to presence of retinal change by quantitatively assessing choroidal vessels using optical coherence tomography (OCT). This retrospective study included 106 eyes (of 53 patients) with preeclampsia, including 70 eyes without retinal change in patients with preeclampsia (Group A), 22 eyes with retinal change in patients with preeclampsia (Group B), and 14 eyes of normal pregnant women (controls). Subfoveal choroidal thickness (SFCT) was measured on OCT B-scan images, and choroidal vessel densities (CVDs) were calculated using binarized OCT B-scan and en face images. Their values were then correlated with clinical parameters associated with preeclampsia. SFCT was greater in Group B compared to Group A or controls (354.32 ± 65.13 vs. 288 ± 55.68 or 277.21 ± 50.08, both P < 0.001). CVD on B-scan images was greater in Group B compared to Group A or controls (76.4 ± 4.9 vs. 73.7 ± 5.3 or 71.5 ± 5.1; both P ≤ 0.046). CVD on en face images was also greater in Group B compared to Group A or controls (64.7 ± 0.8 vs. 63.6 ± 1.5 or 63.3 ± 1.3; both P ≤ 0.001). SFCT and CVD positively correlated with each other (P ≤ 0.009) and were greater in patients with blurred vision and vaginal bleeding (P ≤ 0.020 for blurred vision and P ≤ 0.024 for vaginal bleeding). SFCT and CVDs were higher in preeclampsia patients with retinal change compared to those without retinal change or controls. Both SFCT and CVD showed association with blurred vision and vaginal bleeding.
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spelling doaj.art-d153d72bdd154a81af39f3c9fc76388a2023-11-20T09:13:08ZengNature PortfolioScientific Reports2045-23222023-08-011311810.1038/s41598-023-40144-2Quantitative analysis of choroidal morphology in preeclampsia during pregnancy according to retinal changeIn Kee Kim0Jae Eun Shin1Min Jeong Kim2Ho Ra3Jiwon Baek4Department of Ophthalmology, College of Medicine, Bucheon St. Mary’s Hospital, The Catholic University of KoreaDepartment of Obstetrics and Gynecology, College of Medicine, Bucheon St. Mary’s Hospital, The Catholic University of KoreaDepartment of Obstetrics and Gynecology, College of Medicine, Bucheon St. Mary’s Hospital, The Catholic University of KoreaDepartment of Ophthalmology, College of Medicine, Bucheon St. Mary’s Hospital, The Catholic University of KoreaDepartment of Ophthalmology, College of Medicine, Bucheon St. Mary’s Hospital, The Catholic University of KoreaAbstract We sought to investigate changes in choroidal hemodynamics in preeclampsia according to presence of retinal change by quantitatively assessing choroidal vessels using optical coherence tomography (OCT). This retrospective study included 106 eyes (of 53 patients) with preeclampsia, including 70 eyes without retinal change in patients with preeclampsia (Group A), 22 eyes with retinal change in patients with preeclampsia (Group B), and 14 eyes of normal pregnant women (controls). Subfoveal choroidal thickness (SFCT) was measured on OCT B-scan images, and choroidal vessel densities (CVDs) were calculated using binarized OCT B-scan and en face images. Their values were then correlated with clinical parameters associated with preeclampsia. SFCT was greater in Group B compared to Group A or controls (354.32 ± 65.13 vs. 288 ± 55.68 or 277.21 ± 50.08, both P < 0.001). CVD on B-scan images was greater in Group B compared to Group A or controls (76.4 ± 4.9 vs. 73.7 ± 5.3 or 71.5 ± 5.1; both P ≤ 0.046). CVD on en face images was also greater in Group B compared to Group A or controls (64.7 ± 0.8 vs. 63.6 ± 1.5 or 63.3 ± 1.3; both P ≤ 0.001). SFCT and CVD positively correlated with each other (P ≤ 0.009) and were greater in patients with blurred vision and vaginal bleeding (P ≤ 0.020 for blurred vision and P ≤ 0.024 for vaginal bleeding). SFCT and CVDs were higher in preeclampsia patients with retinal change compared to those without retinal change or controls. Both SFCT and CVD showed association with blurred vision and vaginal bleeding.https://doi.org/10.1038/s41598-023-40144-2
spellingShingle In Kee Kim
Jae Eun Shin
Min Jeong Kim
Ho Ra
Jiwon Baek
Quantitative analysis of choroidal morphology in preeclampsia during pregnancy according to retinal change
Scientific Reports
title Quantitative analysis of choroidal morphology in preeclampsia during pregnancy according to retinal change
title_full Quantitative analysis of choroidal morphology in preeclampsia during pregnancy according to retinal change
title_fullStr Quantitative analysis of choroidal morphology in preeclampsia during pregnancy according to retinal change
title_full_unstemmed Quantitative analysis of choroidal morphology in preeclampsia during pregnancy according to retinal change
title_short Quantitative analysis of choroidal morphology in preeclampsia during pregnancy according to retinal change
title_sort quantitative analysis of choroidal morphology in preeclampsia during pregnancy according to retinal change
url https://doi.org/10.1038/s41598-023-40144-2
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