Short Axial Length Is Related to Asymmetric Vortex Veins in Central Serous Chorioretinopathy

Purpose: To investigate the clinical and morphologic factors related to asymmetric dilated vortex veins in central serous chorioretinopathy (CSC). Design: Retrospective, comparative study. Participants: One hundred fifty-eight eyes of 158 patients with CSC. Methods: All patients with CSC underwent o...

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Autores principales:	Nobuhiro Terao, MD, PhD, Naoya Imanaga, MD, Sorako Wakugawa, MD, Shota Sawaguchi, MD, Tamaki Tamashiro, MD, Yukihide Yamauchi, MD, Hideki Koizumi, MD, PhD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Asymmetric dilated vortex vein Axial length Central serous chorioretinopathy Choroidal thickness Choroidal vascular hyperpermeability Pachychoroid Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/510e98780ea54f4484cd14ab392b93f5
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spelling	oai:doaj.org-article:510e98780ea54f4484cd14ab392b93f52021-11-22T04:33:15ZShort Axial Length Is Related to Asymmetric Vortex Veins in Central Serous Chorioretinopathy2666-914510.1016/j.xops.2021.100071https://doaj.org/article/510e98780ea54f4484cd14ab392b93f52021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666914521000695https://doaj.org/toc/2666-9145Purpose: To investigate the clinical and morphologic factors related to asymmetric dilated vortex veins in central serous chorioretinopathy (CSC). Design: Retrospective, comparative study. Participants: One hundred fifty-eight eyes of 158 patients with CSC. Methods: All patients with CSC underwent ophthalmic examination and multimodal imaging, including measurements of axial length (AL), fluorescein angiography, indocyanine green angiography, swept-source OCT, and anterior segment OCT. Using en face OCT images at the level of the outer choroid, the eyes were divided into 2 groups: eyes with symmetric vortex veins (symmetry group) and those with asymmetric vortex veins (asymmetry group). Main Outcome Measures: Clinical and morphologic factors related to asymmetric vortex veins in CSC. Results: Of the 158 eyes, 120 eyes (75.9%) were classified into the asymmetry group and 38 eyes (24.1%) were classified into the symmetry group. The asymmetry group showed significantly greater spherical equivalent (–0.32 ± 1.78 diopters [D] vs. –1.35 ± 2.64 D; P = 0.033), shorter AL (23.52 ± 0.86 mm vs. 24.10 ± 1.06 mm; P = 0.005), and greater subfoveal choroidal thickness (414.6 ± 105.3 μm vs. 360.4 ± 91.8 μm; P = 0.005) than the symmetry group. No significant differences existed between the 2 groups regarding age, sex, or all scleral thicknesses at the superior, temporal, inferior, and nasal points. In the multivariate analyses, shorter AL (odds ratio, 0.56; 95% confidence interval, 0.36–0.88; P = 0.011) was found to be significantly associated with the presence of asymmetric vortex veins. Conclusions: The asymmetric dilated vortex vein is a common finding in patients with CSC. Our results suggest that certain biometric factors, such as short AL, may be associated with asymmetric dilated vortex veins developing in patients with CSC.Nobuhiro Terao, MD, PhDNaoya Imanaga, MDSorako Wakugawa, MDShota Sawaguchi, MDTamaki Tamashiro, MDYukihide Yamauchi, MDHideki Koizumi, MD, PhDElsevierarticleAsymmetric dilated vortex veinAxial lengthCentral serous chorioretinopathyChoroidal thicknessChoroidal vascular hyperpermeabilityPachychoroidOphthalmologyRE1-994ENOphthalmology Science, Vol 1, Iss 4, Pp 100071- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Asymmetric dilated vortex vein Axial length Central serous chorioretinopathy Choroidal thickness Choroidal vascular hyperpermeability Pachychoroid Ophthalmology RE1-994
spellingShingle	Asymmetric dilated vortex vein Axial length Central serous chorioretinopathy Choroidal thickness Choroidal vascular hyperpermeability Pachychoroid Ophthalmology RE1-994 Nobuhiro Terao, MD, PhD Naoya Imanaga, MD Sorako Wakugawa, MD Shota Sawaguchi, MD Tamaki Tamashiro, MD Yukihide Yamauchi, MD Hideki Koizumi, MD, PhD Short Axial Length Is Related to Asymmetric Vortex Veins in Central Serous Chorioretinopathy
description	Purpose: To investigate the clinical and morphologic factors related to asymmetric dilated vortex veins in central serous chorioretinopathy (CSC). Design: Retrospective, comparative study. Participants: One hundred fifty-eight eyes of 158 patients with CSC. Methods: All patients with CSC underwent ophthalmic examination and multimodal imaging, including measurements of axial length (AL), fluorescein angiography, indocyanine green angiography, swept-source OCT, and anterior segment OCT. Using en face OCT images at the level of the outer choroid, the eyes were divided into 2 groups: eyes with symmetric vortex veins (symmetry group) and those with asymmetric vortex veins (asymmetry group). Main Outcome Measures: Clinical and morphologic factors related to asymmetric vortex veins in CSC. Results: Of the 158 eyes, 120 eyes (75.9%) were classified into the asymmetry group and 38 eyes (24.1%) were classified into the symmetry group. The asymmetry group showed significantly greater spherical equivalent (–0.32 ± 1.78 diopters [D] vs. –1.35 ± 2.64 D; P = 0.033), shorter AL (23.52 ± 0.86 mm vs. 24.10 ± 1.06 mm; P = 0.005), and greater subfoveal choroidal thickness (414.6 ± 105.3 μm vs. 360.4 ± 91.8 μm; P = 0.005) than the symmetry group. No significant differences existed between the 2 groups regarding age, sex, or all scleral thicknesses at the superior, temporal, inferior, and nasal points. In the multivariate analyses, shorter AL (odds ratio, 0.56; 95% confidence interval, 0.36–0.88; P = 0.011) was found to be significantly associated with the presence of asymmetric vortex veins. Conclusions: The asymmetric dilated vortex vein is a common finding in patients with CSC. Our results suggest that certain biometric factors, such as short AL, may be associated with asymmetric dilated vortex veins developing in patients with CSC.
format	article
author	Nobuhiro Terao, MD, PhD Naoya Imanaga, MD Sorako Wakugawa, MD Shota Sawaguchi, MD Tamaki Tamashiro, MD Yukihide Yamauchi, MD Hideki Koizumi, MD, PhD
author_facet	Nobuhiro Terao, MD, PhD Naoya Imanaga, MD Sorako Wakugawa, MD Shota Sawaguchi, MD Tamaki Tamashiro, MD Yukihide Yamauchi, MD Hideki Koizumi, MD, PhD
author_sort	Nobuhiro Terao, MD, PhD
title	Short Axial Length Is Related to Asymmetric Vortex Veins in Central Serous Chorioretinopathy
title_short	Short Axial Length Is Related to Asymmetric Vortex Veins in Central Serous Chorioretinopathy
title_full	Short Axial Length Is Related to Asymmetric Vortex Veins in Central Serous Chorioretinopathy
title_fullStr	Short Axial Length Is Related to Asymmetric Vortex Veins in Central Serous Chorioretinopathy
title_full_unstemmed	Short Axial Length Is Related to Asymmetric Vortex Veins in Central Serous Chorioretinopathy
title_sort	short axial length is related to asymmetric vortex veins in central serous chorioretinopathy
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/510e98780ea54f4484cd14ab392b93f5
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Short Axial Length Is Related to Asymmetric Vortex Veins in Central Serous Chorioretinopathy

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