Analysis of choroidal thickness in juvenile systemic lupus erythematosus and its correlation with laboratory tests

Abstract Background The aim of this study is to investigate the alterations of choroidal thickness (CT) in juvenile systemic lupus erythematosus (JSLE) using enhanced depth imaging optical coherence tomography (EDI-OCT). We also aimed to assess whether CT parameters correlated with systemic health s...

Full description

Bibliographic Details
Main Authors: Li Ru, Jinping Xu, Zhongjing Lin, Lanfang Cao, Lin Zhang
Format: Article
Language:English
Published: BMC 2023-04-01
Series:BMC Ophthalmology
Subjects:
Online Access:https://doi.org/10.1186/s12886-023-02906-4
_version_ 1797846053730385920
author Li Ru
Jinping Xu
Zhongjing Lin
Lanfang Cao
Lin Zhang
author_facet Li Ru
Jinping Xu
Zhongjing Lin
Lanfang Cao
Lin Zhang
author_sort Li Ru
collection DOAJ
description Abstract Background The aim of this study is to investigate the alterations of choroidal thickness (CT) in juvenile systemic lupus erythematosus (JSLE) using enhanced depth imaging optical coherence tomography (EDI-OCT). We also aimed to assess whether CT parameters correlated with systemic health status in JSLE patients. Methods JSLE patients and age- and sex-matched healthy subjects were recruited. A detailed ophthalmological examination was applied to all participants. CT measurements were acquired in the macular region using EDI-OCT. Moreover, a spectrum of laboratory tests was examined to evaluate the systemic conditions, and the Th1/Th2/Th17/Treg cytokine profiles in the peripheral blood were also analyzed in JSLE group. Results A total of 45 JSLE patients with no visual impairment and 50 healthy individuals were enrolled in the study. CT values in the macular region were decreased in JSLE patients when compared with healthy controls, even adjusting for age, axial length and refraction. There were no significant correlations between CT and cumulative dose of hydroxychloroquine or duration of hydroxychloroquine use (all P > 0.05). The average macular, temporal and subfoveal CT in JSLE group was negatively correlated with IL-6 and IL-10 (all P < 0.05), but had no significant correlations with other laboratory results (all P > 0.05). Conclusions JSLE patients without ocular involvement may have significant variations in choroidal thickness at the macular area. Choroidal alterations might be associated with the systemic cytokine profiles in JSLE.
first_indexed 2024-04-09T17:49:53Z
format Article
id doaj.art-f81e6c1a21a54e1eb16c9d9a430125dc
institution Directory Open Access Journal
issn 1471-2415
language English
last_indexed 2024-04-09T17:49:53Z
publishDate 2023-04-01
publisher BMC
record_format Article
series BMC Ophthalmology
spelling doaj.art-f81e6c1a21a54e1eb16c9d9a430125dc2023-04-16T11:09:37ZengBMCBMC Ophthalmology1471-24152023-04-0123111010.1186/s12886-023-02906-4Analysis of choroidal thickness in juvenile systemic lupus erythematosus and its correlation with laboratory testsLi Ru0Jinping Xu1Zhongjing Lin2Lanfang Cao3Lin Zhang4Department of Ophthalmology, Renji Hospital, School of Medicine, Shanghai Jiaotong UniversityDepartment of Pediatrics, Renji Hospital, School of Medicine, Shanghai Jiaotong UniversityDepartment of Ophthalmology, Renji Hospital, School of Medicine, Shanghai Jiaotong UniversityDepartment of Pediatrics, Renji Hospital, School of Medicine, Shanghai Jiaotong UniversityDepartment of Ophthalmology, Renji Hospital, School of Medicine, Shanghai Jiaotong UniversityAbstract Background The aim of this study is to investigate the alterations of choroidal thickness (CT) in juvenile systemic lupus erythematosus (JSLE) using enhanced depth imaging optical coherence tomography (EDI-OCT). We also aimed to assess whether CT parameters correlated with systemic health status in JSLE patients. Methods JSLE patients and age- and sex-matched healthy subjects were recruited. A detailed ophthalmological examination was applied to all participants. CT measurements were acquired in the macular region using EDI-OCT. Moreover, a spectrum of laboratory tests was examined to evaluate the systemic conditions, and the Th1/Th2/Th17/Treg cytokine profiles in the peripheral blood were also analyzed in JSLE group. Results A total of 45 JSLE patients with no visual impairment and 50 healthy individuals were enrolled in the study. CT values in the macular region were decreased in JSLE patients when compared with healthy controls, even adjusting for age, axial length and refraction. There were no significant correlations between CT and cumulative dose of hydroxychloroquine or duration of hydroxychloroquine use (all P > 0.05). The average macular, temporal and subfoveal CT in JSLE group was negatively correlated with IL-6 and IL-10 (all P < 0.05), but had no significant correlations with other laboratory results (all P > 0.05). Conclusions JSLE patients without ocular involvement may have significant variations in choroidal thickness at the macular area. Choroidal alterations might be associated with the systemic cytokine profiles in JSLE.https://doi.org/10.1186/s12886-023-02906-4Choroidal thicknessSystemic lupus erythematosusOptical coherence tomographyCytokine
spellingShingle Li Ru
Jinping Xu
Zhongjing Lin
Lanfang Cao
Lin Zhang
Analysis of choroidal thickness in juvenile systemic lupus erythematosus and its correlation with laboratory tests
BMC Ophthalmology
Choroidal thickness
Systemic lupus erythematosus
Optical coherence tomography
Cytokine
title Analysis of choroidal thickness in juvenile systemic lupus erythematosus and its correlation with laboratory tests
title_full Analysis of choroidal thickness in juvenile systemic lupus erythematosus and its correlation with laboratory tests
title_fullStr Analysis of choroidal thickness in juvenile systemic lupus erythematosus and its correlation with laboratory tests
title_full_unstemmed Analysis of choroidal thickness in juvenile systemic lupus erythematosus and its correlation with laboratory tests
title_short Analysis of choroidal thickness in juvenile systemic lupus erythematosus and its correlation with laboratory tests
title_sort analysis of choroidal thickness in juvenile systemic lupus erythematosus and its correlation with laboratory tests
topic Choroidal thickness
Systemic lupus erythematosus
Optical coherence tomography
Cytokine
url https://doi.org/10.1186/s12886-023-02906-4
work_keys_str_mv AT liru analysisofchoroidalthicknessinjuvenilesystemiclupuserythematosusanditscorrelationwithlaboratorytests
AT jinpingxu analysisofchoroidalthicknessinjuvenilesystemiclupuserythematosusanditscorrelationwithlaboratorytests
AT zhongjinglin analysisofchoroidalthicknessinjuvenilesystemiclupuserythematosusanditscorrelationwithlaboratorytests
AT lanfangcao analysisofchoroidalthicknessinjuvenilesystemiclupuserythematosusanditscorrelationwithlaboratorytests
AT linzhang analysisofchoroidalthicknessinjuvenilesystemiclupuserythematosusanditscorrelationwithlaboratorytests