Structure versus function: Correlation between outer retinal and choroidal thicknesses measured by swept-source OCT with multifocal electroretinography and visual acuity

被引:4
作者
Flores-Moreno I. [1 ,2 ]
Arias-Barquet L. [1 ]
Rubio-Caso M.J. [1 ]
Muñoz-Blanco A. [1 ]
Vidal-Martí M. [1 ]
Catala-Mora J. [1 ]
Ruiz-Moreno J.M. [3 ]
Duker J.S. [4 ]
Caminal J.M. [1 ]
机构
[1] Department of Ophthalmology, Bellvitge University Hospital, L'Hospitalet de Llobregat, Feixa Llarga, s/n, Barcelona
[2] Department of Ophthalmology, Clínico San Carlos University Hospital, Madrid
[3] Department of Ophthalmology, Castilla La Mancha University, Albacete
[4] New England Eye Center, Tufts Medical Center, Boston, MA
关键词
Choroidal thickness; Multifocal electroretinography; OCT; Swept-source; Visual acuity;
D O I
10.1186/s40942-017-0082-y
中图分类号
学科分类号
摘要
Background: To correlate retina-choroidal anatomy as assessed via swept-source OCT (SS-OCT) with retinal function as determined by best-corrected visual acuity (BCVA) and multifocal electroretinogram (mfERG). Methods: Thirty-three eyes from 33 patients including 16 with neovascular AMD (nvAMD) and 17 controls were included. Patients were included in the present study after a complete ophthalmologic examination, including BCVA, slit-lamp study, intraocular pressure measurement, dilated fundus examination after tropicamide instillation, SD-OCT, SS-OCT, fundus photographs and mfERG. Age, sex, BCVA, number of anti-VEGF intravitreal injections in the nvAMD group, were recollected. Outer retinal and choroidal thickness were determined at the fovea and 500 μm temporal, superior, nasal and inferior. First-order response from mfERG was collected. P1 amplitude was recorded in R1, R2 and the average of R1 + R2. The measurements recollected from the SS-OCT, mfERG and BCVA were compared. Results: Better BCVA was found with thicker outer retina foveal thickness (r = 0.349; P = 0.047), with thicker subfoveal choroidal thickness (r = 0.443; P = 0.010), and with higher amplitude in P1 at R1 (r = 0.346; P = 0.037). Outer retina foveal thickness did not correlate with P1 amplitude at R1 (r = 0.072; P = 0.692), R2 (r = 0.265; P = 0.137) either with the average P1 amplitude at R1 + R2 (r = 0.253; P = 0.156). A thicker subfoveal choroidal thickness was related with higher amplitude in P1 at R1 (r = 0.383; P = 0.028), R2 (r = 0.409; P = 0.018) and the average of R1 + R2 (r = 0.419; P = 0.015). Conclusions: Choroidal thickness demonstrated a positive correlation with retinal function in the sample studied, so a thicker choroid is related to a better retinal function measured with mfERG and BCVA.. © The Author(s) 2017.
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