Importance
To reveal choroidal morphological profiles under pachydrusen.
Background
Drusen in pachychoroid disorders show certain differences from conventional drusen and are recently named as “pachydrusen.” This study analysed the specific choroidal morphology under pachydrusen.
Design
This study is a cross‐sectional case series.
Participants
Enrolled were 136 eyes with pachydrusen from 134 patients.
Methods
The presence of pachydrusen in fundus area covered by a 12 × 9 mm2 optical coherence tomography (OCT) image was accessed in eyes with pachychoroid‐related diseases or their fellow eyes using colour fundus photography and swept source OCT. Choroidal morphology under the pachydrusen was analysed using OCT B‐scans and en face images.
Main Outcome Measures
Choroidal thicknesses and topographical correlation between pachydrusen and pachyvessels.
Results
A total of 225 pachydrusen in 136 eyes were analysed. The mean number of pachydrusen was 1.65 ± 1.07 per eye. Most pachydrusen were located para‐ or perifoveally (37 subfoveal, 86 parafoveal and 102 perifoveal). The proportion of Haller's layer to total choroidal thickness was higher at the area of the pachydrusen compared to the subfovea (0.881 ± 0.081 vs 0.765 ± 0.111, P < 0.001). In multimodal image analysis, 90.1% of pachydrusen identified using fundus photography and OCT B‐scan were located at the area of a dilated Haller vessel (pachyvessel) seen on en face images.
Conclusions and Relevance
Choroidal morphology under the pachydrusen showed increased Haller's layer thickness with an attenuated choriocapillaris layer, which is the hallmark of pachychoroid definition. Topographically, their locations correlated with the underlying pachyvessel.
GDC20(Ce 0.8 Gd 0.2 O 1.9) powder was synthesized from Ce and Gd nitrate solutions using ammonium carbonate((NH 4) 2 CO 3) as a precipitant. Attrition-milling of the powder, which had been calcined at 700 o C for 4 h, decreased an average particle size of 2.2 µm to 0.5 µm. The milled powder consisted of nano-sized spherical primary particles. Due to the excellent sinterability of the powder, sintering of the powder compacts for 4 h showed relative densities of 80% at 1000 o C and 96.5% at 1200 o C, respectively. Densification was found to almost complete at 1300 o C, resulting in a dense and homogeneous microstructure with a relative density of 99.5%. The grains of ~0.2 µm in size at 1200 o C grew to ~1 µm in size at 1300 o C as a result of a rapid grain growth.
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