Quantitative analysis and clinical application of iris circulation in ischemic retinal disease

Abstract Background To evaluate quantitative changes in iris blood circulation in patients with ischemic risk. Methods This observational case-control study included 79 patients with diabetic retinopathy (DR) and retinal vein occlusion (RVO). The RVO group included 21 patients; the monocular prolife...

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Autores principales: Yanwen Jia, Wenwen Xue, Xiaowei Tong, Yulan Wang, Lipu Cui, Haidong Zou
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Publicado: BMC 2021
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spelling oai:doaj.org-article:8269e0973a0a4e9c9be13f6d4b3f479e2021-11-21T12:42:55ZQuantitative analysis and clinical application of iris circulation in ischemic retinal disease10.1186/s12886-021-02165-11471-2415https://doaj.org/article/8269e0973a0a4e9c9be13f6d4b3f479e2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12886-021-02165-1https://doaj.org/toc/1471-2415Abstract Background To evaluate quantitative changes in iris blood circulation in patients with ischemic risk. Methods This observational case-control study included 79 patients with diabetic retinopathy (DR) and retinal vein occlusion (RVO). The RVO group included 21 patients; the monocular proliferative diabetic retinopathy (PDR) group included 19 patients; the nondiabetic retinopathy (NDR) group included 18 patients; and the healthy control group included 21 healthy controls. In the RVO group, we analyzed RVO affected eyes, RVO contralateral eyes, and healthy control eyes. We also compared eyes with PDR and contralateral eyes without PDR, patients with diabetes mellitus (DM) without DR, and healthy control eyes. The microvascular networks of the iris and retina were analyzed using optical coherence tomography angiography. The analysis included vessel area density (VAD) and vessel skeleton density (VSD) of iris and retina. Results In the RVO group, the VAD and VSD of iris in the affected eye were higher than those in contralateral and healthy control eyes, and the VAD and VSD of contralateral eyes were higher than those of healthy control eyes. The retinal blood flow of the RVO eyes was less than that of the contralateral and healthy control eyes, but there were no difference between the contralateral eyes and healthy control eyes. The VAD and VSD of iris in PDR were larger than nonproliferative diabetic retinopathy (NPDR) and the NPDR were larger than NDR. There were no differences between NDR and healthy control eyes. Also, there were no differences among the four groups with respect to retinal blood flow. Conclusions Compared with the retina, iris blood circulation quantitative analysis data seem to be more sensitive to ischemia and may be used as a new predictor of ischemic disease, even if further research is needed to better understand the clinical value and importance of this analysis. Trial registration The trial is registered with the clinical trial registration number nct03631108 .Yanwen JiaWenwen XueXiaowei TongYulan WangLipu CuiHaidong ZouBMCarticleIris vesselIschemic diseaseOptical coherence tomography angiographyRetinal vein occlusionDiabetic retinopathyOphthalmologyRE1-994ENBMC Ophthalmology, Vol 21, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Iris vessel
Ischemic disease
Optical coherence tomography angiography
Retinal vein occlusion
Diabetic retinopathy
Ophthalmology
RE1-994
spellingShingle Iris vessel
Ischemic disease
Optical coherence tomography angiography
Retinal vein occlusion
Diabetic retinopathy
Ophthalmology
RE1-994
Yanwen Jia
Wenwen Xue
Xiaowei Tong
Yulan Wang
Lipu Cui
Haidong Zou
Quantitative analysis and clinical application of iris circulation in ischemic retinal disease
description Abstract Background To evaluate quantitative changes in iris blood circulation in patients with ischemic risk. Methods This observational case-control study included 79 patients with diabetic retinopathy (DR) and retinal vein occlusion (RVO). The RVO group included 21 patients; the monocular proliferative diabetic retinopathy (PDR) group included 19 patients; the nondiabetic retinopathy (NDR) group included 18 patients; and the healthy control group included 21 healthy controls. In the RVO group, we analyzed RVO affected eyes, RVO contralateral eyes, and healthy control eyes. We also compared eyes with PDR and contralateral eyes without PDR, patients with diabetes mellitus (DM) without DR, and healthy control eyes. The microvascular networks of the iris and retina were analyzed using optical coherence tomography angiography. The analysis included vessel area density (VAD) and vessel skeleton density (VSD) of iris and retina. Results In the RVO group, the VAD and VSD of iris in the affected eye were higher than those in contralateral and healthy control eyes, and the VAD and VSD of contralateral eyes were higher than those of healthy control eyes. The retinal blood flow of the RVO eyes was less than that of the contralateral and healthy control eyes, but there were no difference between the contralateral eyes and healthy control eyes. The VAD and VSD of iris in PDR were larger than nonproliferative diabetic retinopathy (NPDR) and the NPDR were larger than NDR. There were no differences between NDR and healthy control eyes. Also, there were no differences among the four groups with respect to retinal blood flow. Conclusions Compared with the retina, iris blood circulation quantitative analysis data seem to be more sensitive to ischemia and may be used as a new predictor of ischemic disease, even if further research is needed to better understand the clinical value and importance of this analysis. Trial registration The trial is registered with the clinical trial registration number nct03631108 .
format article
author Yanwen Jia
Wenwen Xue
Xiaowei Tong
Yulan Wang
Lipu Cui
Haidong Zou
author_facet Yanwen Jia
Wenwen Xue
Xiaowei Tong
Yulan Wang
Lipu Cui
Haidong Zou
author_sort Yanwen Jia
title Quantitative analysis and clinical application of iris circulation in ischemic retinal disease
title_short Quantitative analysis and clinical application of iris circulation in ischemic retinal disease
title_full Quantitative analysis and clinical application of iris circulation in ischemic retinal disease
title_fullStr Quantitative analysis and clinical application of iris circulation in ischemic retinal disease
title_full_unstemmed Quantitative analysis and clinical application of iris circulation in ischemic retinal disease
title_sort quantitative analysis and clinical application of iris circulation in ischemic retinal disease
publisher BMC
publishDate 2021
url https://doaj.org/article/8269e0973a0a4e9c9be13f6d4b3f479e
work_keys_str_mv AT yanwenjia quantitativeanalysisandclinicalapplicationofiriscirculationinischemicretinaldisease
AT wenwenxue quantitativeanalysisandclinicalapplicationofiriscirculationinischemicretinaldisease
AT xiaoweitong quantitativeanalysisandclinicalapplicationofiriscirculationinischemicretinaldisease
AT yulanwang quantitativeanalysisandclinicalapplicationofiriscirculationinischemicretinaldisease
AT lipucui quantitativeanalysisandclinicalapplicationofiriscirculationinischemicretinaldisease
AT haidongzou quantitativeanalysisandclinicalapplicationofiriscirculationinischemicretinaldisease
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