Assessment of the retinal vasculature in healthy Chinese preschool children aged 4–6 years old using optical coherence tomography angiography

Abstract Purpose To establish normal parameters of macular and optic disc vasculature by optical coherence tomography angiography (OCTA) in healthy preschool children aged 4–6 years old in China. OCTA reflects retinal metabolism and development in children at these ages and could be used clinically...

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Autores principales: Lu Xiang, Yingming Zhou, Yanwei Chen, Siyu Jiang, Chunli Fei, Yangyang Wang, Yang Bai, Xuan Zhang, Kai Li, Xi Shen
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Publicado: BMC 2021
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spelling oai:doaj.org-article:67797cc52f144f4a9b9f58f5e9900b9a2021-12-05T12:26:38ZAssessment of the retinal vasculature in healthy Chinese preschool children aged 4–6 years old using optical coherence tomography angiography10.1186/s12886-021-02154-41471-2415https://doaj.org/article/67797cc52f144f4a9b9f58f5e9900b9a2021-12-01T00:00:00Zhttps://doi.org/10.1186/s12886-021-02154-4https://doaj.org/toc/1471-2415Abstract Purpose To establish normal parameters of macular and optic disc vasculature by optical coherence tomography angiography (OCTA) in healthy preschool children aged 4–6 years old in China. OCTA reflects retinal metabolism and development in children at these ages and could be used clinically and in future studies to aid diagnosis and prediction of retinal abnormalities and developmental stagnation. Methods In this cross-sectional study, we measured foveal, parafoveal, and perifoveal vessel density in the superficial capillary plexus (SCP); the deep capillary plexus (DCP), the foveal avascular zone (FAZ), and the radial capillary peripapillary (RPC) in the optic disc using investigational spectral-domain OCTA. The magnification effect of the FAZ area and microvasculature measurements was corrected by Littman and the modified Bennett formula. Results A total of 242 eyes (116 males and 126 females, 5.31 ± 0.73 years) were recruited for the analysis. The mean macular vessel density was 48.10 ± 2.92% and 48.74 ± 6.51% in the SCP and the DCP, respectively. The RPC vessel density was 47.17 ± 2.52%, 47.99 ± 4.48%, and 48.41 ± 3.07% in the whole image, inside disc, and peripapillary, respectively; and the mean FAZ area was 0.28 ± 0.11 mm2. A significant difference between male and female participants was found in the retinal vasculature (DCP, SCP, and RPC). None of these parameters were significantly different in age (P > 0.05), except that DCP slightly increased with aging. The right and left eyes had good consistency in the parameters of the macula and optic disc. Conclusions Our study establishes the macular and optic disc OCTA reference values in 4- to 6-year-old healthy preschool children. They may be used in longitudinal OCTA studies and clinical applications.Lu XiangYingming ZhouYanwei ChenSiyu JiangChunli FeiYangyang WangYang BaiXuan ZhangKai LiXi ShenBMCarticleHealthy preschool children1Optical coherence tomography angiography2Vessel density3Macula4Optic disc5OphthalmologyRE1-994ENBMC Ophthalmology, Vol 21, Iss 1, Pp 1-13 (2021)
institution DOAJ
collection DOAJ
language EN
topic Healthy preschool children1
Optical coherence tomography angiography2
Vessel density3
Macula4
Optic disc5
Ophthalmology
RE1-994
spellingShingle Healthy preschool children1
Optical coherence tomography angiography2
Vessel density3
Macula4
Optic disc5
Ophthalmology
RE1-994
Lu Xiang
Yingming Zhou
Yanwei Chen
Siyu Jiang
Chunli Fei
Yangyang Wang
Yang Bai
Xuan Zhang
Kai Li
Xi Shen
Assessment of the retinal vasculature in healthy Chinese preschool children aged 4–6 years old using optical coherence tomography angiography
description Abstract Purpose To establish normal parameters of macular and optic disc vasculature by optical coherence tomography angiography (OCTA) in healthy preschool children aged 4–6 years old in China. OCTA reflects retinal metabolism and development in children at these ages and could be used clinically and in future studies to aid diagnosis and prediction of retinal abnormalities and developmental stagnation. Methods In this cross-sectional study, we measured foveal, parafoveal, and perifoveal vessel density in the superficial capillary plexus (SCP); the deep capillary plexus (DCP), the foveal avascular zone (FAZ), and the radial capillary peripapillary (RPC) in the optic disc using investigational spectral-domain OCTA. The magnification effect of the FAZ area and microvasculature measurements was corrected by Littman and the modified Bennett formula. Results A total of 242 eyes (116 males and 126 females, 5.31 ± 0.73 years) were recruited for the analysis. The mean macular vessel density was 48.10 ± 2.92% and 48.74 ± 6.51% in the SCP and the DCP, respectively. The RPC vessel density was 47.17 ± 2.52%, 47.99 ± 4.48%, and 48.41 ± 3.07% in the whole image, inside disc, and peripapillary, respectively; and the mean FAZ area was 0.28 ± 0.11 mm2. A significant difference between male and female participants was found in the retinal vasculature (DCP, SCP, and RPC). None of these parameters were significantly different in age (P > 0.05), except that DCP slightly increased with aging. The right and left eyes had good consistency in the parameters of the macula and optic disc. Conclusions Our study establishes the macular and optic disc OCTA reference values in 4- to 6-year-old healthy preschool children. They may be used in longitudinal OCTA studies and clinical applications.
format article
author Lu Xiang
Yingming Zhou
Yanwei Chen
Siyu Jiang
Chunli Fei
Yangyang Wang
Yang Bai
Xuan Zhang
Kai Li
Xi Shen
author_facet Lu Xiang
Yingming Zhou
Yanwei Chen
Siyu Jiang
Chunli Fei
Yangyang Wang
Yang Bai
Xuan Zhang
Kai Li
Xi Shen
author_sort Lu Xiang
title Assessment of the retinal vasculature in healthy Chinese preschool children aged 4–6 years old using optical coherence tomography angiography
title_short Assessment of the retinal vasculature in healthy Chinese preschool children aged 4–6 years old using optical coherence tomography angiography
title_full Assessment of the retinal vasculature in healthy Chinese preschool children aged 4–6 years old using optical coherence tomography angiography
title_fullStr Assessment of the retinal vasculature in healthy Chinese preschool children aged 4–6 years old using optical coherence tomography angiography
title_full_unstemmed Assessment of the retinal vasculature in healthy Chinese preschool children aged 4–6 years old using optical coherence tomography angiography
title_sort assessment of the retinal vasculature in healthy chinese preschool children aged 4–6 years old using optical coherence tomography angiography
publisher BMC
publishDate 2021
url https://doaj.org/article/67797cc52f144f4a9b9f58f5e9900b9a
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