Central choroidal thickness in children and adolescents with anxiety disorders: enhanced depth imaging optical coherence tomography findings

Ayyıldız, Didem; Ayyıldız, Taha

doi:10.18240/ijo.2020.10.11

Cited by 3 publications

(4 citation statements)

References 28 publications

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“…In a previous study, it was shown that the choroidal thickness in children and adolescents with anxiety disorder is thicker than in age-matched normal individuals. 16 Similarly, in a study conducted in adult patients with major depressive disorder, choroidal thickness measured by OCT was found to be higher in the acute phase of the disorder than control. 17 For understanding the vascular structure of the choroidal layer, Sonoda et al described a technique to measure LA, stromal area and TCA using a Niblack binarization method of the EDI-OCT images with I ̇mage J.…”

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 90%

“…15 In two previous studies, it was reported that choroidal thickness was increased in people with anxiety compared to controls. 16,17 To our knowledge, there is no study evaluating retinal and choroidal vascular structures in patients with type A personality and high level of anxiety. Our aim in this study is to compare the retinal and choroidal vascular structures of patients with type-A personality and high anxiety with normal subjects.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of retinal and choroidal vascular structures in patients with anxiety disorder

Acan,

Baykan,

Karahan

2024

European Journal of Ophthalmology

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Purpose To evaluate the retinal and choroidal vascular structures in patients with anxiety disorders. Methods Thirthy-four eyes of 34 patients who were diagnosed with any anxiety disorders were compared with 32 eyes of 32 age- and sex-matched controls. Central macular thickness (CMT), foveal vascular zone (FAZ) area, total retinal vascular densities of superficial and deep capillary plexus (VDSCP, VDDCP), outer retinal and choriocapillary layers (ORL, CCL) blood flow rates, central subfoveal choroidal thickness (SFCT) and choriodal vascularity index (CVI) were evaluated with optical coherence tomography angiography (OCT-A) and enhanced depth imaging optical coherence tomography (EDI-OCT). Results No statistical differences were found between the study and control groups in terms of CMT, FAZ area, VDSCP, VDDCP, ORL and CCL blood flow rates. The mean SFCT was 346.26 ± 64.26 µm in patients with anxiety disorder and was found to be statistically significantly thicker than the control group (319.56 ± 37.19 µm) ( p = 0.042). Besides, CVI was significantly lower in the study group (71.09 ± 2.64 vs 73.13 ± 3.31, p = 0.008). Conclusion In people with anxiety disorders, the SFCT was found to be thicker and CVI was found to be lower than normal subjects. Although anxiety and stress are important factors in central serous chorioretinopathy, multifactorial factors, including ocular factors, play a role in the pathophysiology of the disease. There is a need for prospective studies with larger series on the subject.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

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Evaluation of retinal and choroidal vascular structures in patients with anxiety disorder

Acan,

Baykan,

Karahan

2024

European Journal of Ophthalmology

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“…Recent evidence supports a link between psychiatric disorders and choroidal thickness, regardless of the presence of CSC or another ophthalmological diagnosis: Ayyildiz D and Ayyildiz T (2020) [36] reported a significant thickening of the central choroid in 41 children and adolescents with anxiety disorders compared with HC. Likewise, further evidence indicated that choroidal thickness is significantly increased in adult patients with primary insomnia [37], bruxism [38] and obsessive-compulsive disorder [39].…”

Section: Discussionmentioning

confidence: 95%

Sharing the Same Perspective. Mental Disorders and Central Serous Chorioretinopathy: A Systematic Review of Evidence from 2010 to 2020

et al. 2021

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Background: The relevance of the association between mental disorders and other conditions might have been underestimated due to its complexity. Central Serous Chorioretinopathy (CSC) is an ophthalmological disorder associated with many psychiatric factors. The aim of this systematic review is to evaluate the association between mental disorders and CSC. Methods: Articles about studies performed on humans on CSC published in peer-reviewed journals from 1 January 2010 to 31 December 2020 were included in the review. Results: We selected 21 research papers. Nine studies measured stress and anxious depressive symptoms, which are associated with CSC onset and recurrences, emerging as a state marker of the disease. Four out of the five studies focused on sleep disorders suggested a reliable association with CSC. Four studies evaluated other various psychiatric factors. The role of psychopharmacological medication has still not been elucidated (three studies). Conclusion: Multiple pieces of evidence highlights that CSC might arise in the context of systemic disease. This notion, together with the increasing evidence supporting a link between psychiatric disorders and choroidal thickness, suggests that CSC and mental disorders may share some etiopathogenetic pathways. Further research is needed to better investigate possible common etiopathogenetic pathways, especially vascular, immunological and endocrinological systems.

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Evaluation of retinal thickness measured by optical coherence tomography in patients with generalized anxiety disorder

Ozisik,

Kiraz

2023

Photodiagnosis and Photodynamic Therapy

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Central choroidal thickness in children and adolescents with anxiety disorders: enhanced depth imaging optical coherence tomography findings

Cited by 3 publications

References 28 publications

Evaluation of retinal and choroidal vascular structures in patients with anxiety disorder

Evaluation of retinal and choroidal vascular structures in patients with anxiety disorder

Sharing the Same Perspective. Mental Disorders and Central Serous Chorioretinopathy: A Systematic Review of Evidence from 2010 to 2020

Evaluation of retinal thickness measured by optical coherence tomography in patients with generalized anxiety disorder

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