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Evaluation of Peripapillary Microcirculation in Patients with Acromegaly

Overview
Journal Beyoglu Eye J
Publisher Kare Publishing
Specialty Ophthalmology
Date 2022 Jan 21
PMID 35059575
Authors
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Abstract

Objectives: The aim of this study was to evaluate the radial peripapillary capillary (RPC) and the optic nerve head (ONH) perfusion of patients with acromegaly using optical coherence tomography angiography (OCTA).

Methods: Twenty-four eyes of 24 acromegaly patients comprised the study group and 24 eyes of 24 healthy individuals were used as a control group. The ONH and RPC vascular density (VD) was measured for each patient using OCTA. The insulin-like growth factor 1 (IGF-1) levels were also recorded and compared.

Results: The VD of the inferior nasal ONH and nasal RPC was significantly lower in the acromegaly group than in the control group (p=0.047 and p=0.001, respectively). There was a significant negative correlation between the VD of the superior nasal ONH and the IGF-1 level (r=-0.283, p=0.038).

Conclusion: The ONH and RPC VD values measured using OCTA were segmentally different in the acromegaly group compared with those of the control group. This method of non-invasive quantitative analysis of retinal perfusion using OCTA may be useful for future studies involving patients with acromegaly.

References
1.
Jia Y, Tan O, Tokayer J, Potsaid B, Wang Y, Liu J . Split-spectrum amplitude-decorrelation angiography with optical coherence tomography. Opt Express. 2012; 20(4):4710-25. PMC: 3381646. DOI: 10.1364/OE.20.004710. View

2.
Hellstrom A, Svensson E, Carlsson B, Niklasson A, Albertsson-Wikland K . Reduced retinal vascularization in children with growth hormone deficiency. J Clin Endocrinol Metab. 1999; 84(2):795-8. DOI: 10.1210/jcem.84.2.5484. View

3.
Harvey S, Martinez-Moreno C . Growth hormone and ocular dysfunction: Endocrine, paracrine or autocrine etiologies?. Growth Horm IGF Res. 2016; 29:28-32. DOI: 10.1016/j.ghir.2016.03.004. View

4.
McIlwaine G, Carrim Z, Lueck C, Chrisp T . A mechanical theory to account for bitemporal hemianopia from chiasmal compression. J Neuroophthalmol. 2005; 25(1):40-3. DOI: 10.1097/00041327-200503000-00011. View

5.
Krsek M, Prazny M, Marek J, Skrha J, Justova V, Lacinova Z . The relationship between serum levels of insulin-like growth factor-I and its binding proteins and microvascular function in acromegalic patients. Growth Horm IGF Res. 2002; 12(1):54-9. DOI: 10.1054/ghir.2002.0258. View