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Evaluation of the effect of obstructive sleep apnea syndrome on retinal microvascularity by optical coherence tomography angiography
Institution:1. Department Ophthalmology, Dicle University Medical Faculty, Diyarbakır 21280, Turkey;2. Department of Chest Diseases and Tuberculosis, Faculty of Medicine, Dicle University, Diyarbakir, Turkey;1. Eye Unit, Department of Medicine, Surgery and Dentistry, \"Scuola Medica Salernitana\", University of Salerno, Baronissi, Italy;1. School of Dentistry, The University of Queensland, Herston, Queensland, Australia;2. School of Dentistry and Oral Health, Griffith University, Southport, Queensland, Australia;1. Department of Neurosurgery, Medical University Vienna, Austria;2. Department of Neurology, Division of Neuropathology and Neurochemistry, Medical University Vienna, Austria;3. Department of Oral and Maxillofacial Surgery, Medical University Vienna, Austria;4. Institute of Cancer Research, Medical University Vienna, Austria;5. Comprehensive Cancer Center - Central Nervous System Tumours Unit, Medical University Vienna, Austria;1. Department of Restorative Dental Science – Endodontic Division, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia;1. Department of Dentistry-Oral Health Institute, Hamad Medical Corporation, Doha, Qatar;2. College of Dental Medicine, Qatar University, Doha, Qatar;3. Faculty of Engineering and Natural Sciences, International University of Sarajevo, Sarajevo, Bosnia and Herzegovina;4. Dental Health Department, College of Applied Medical sciences, King Saud University, Saudi Arabia;5. Applied Medical Science Department, CC, King Saud University, P.O Box 10219, Riyadh 11433, Saudi Arabia
Abstract:PurposeUsing optical coherence tomography angiography (OCTA), we sought to determine whether there are retinal microvascular changes in patients with obstructive sleep apnea syndrome (OSAS).MethodThe study included 56 patients diagnosed with OSAS by polysomnography 21 patients with mild OSAS (group 1), 14 with moderate OSAS (group 2) and 21 with severe OSAS (group 3)], and 26 healthy individuals as a control group (group 4). The vascular densities of the superficial capillary plexus and deep capillary plexus of the retinal segmentations, together with the foveal avascular zone (FAZ) width, were measured for all participants, using OCTA.ResultCompared with the control group, vascular densitiy in whole image of superficial capillary plexus were found to be significantly lower in group 2. In addition, vascular densitiy in fovea region of superficial capillary plexus was significantly lower in group 1 than the control group. In deep capillary plexus, vascular densitiy of whole image, superior hemi and nasal regions were found to be significantly lower in group 2 and group 3 compared with the control group. Parafoveal region in group 3 had significantly lower vascular densities than the controls. A significantly larger FAZ was also found in group 1 and group 3 in the deep capillary plexus, compared with the controls.ConclusionWe detected smaller vascular densities in both the superficial capillary plexus and deep capillary plexus and a larger deep capillary plexus FAZ in OSAS patients. Therefore, OCTA may be useful as a non-invasive method to understand the systemic effects of OSAS.
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