“…Chronic hypoxia and hypercapnia in COPD patients may affect choroidal and retinal blood flow. There are color Doppler ultrasonography studies showing that retrobulbar hemodynamics was impaired, retrobulbar blood flow was reduced, and resistance to blood flow was increased in both retinal and choroidal circulation in COPD patients 22–24 . In parallel with these studies, our study's OCTA results indicated a significant decrease in VD values of SCP and DCP, optic disc, and peripapillary region, especially in the temporal side, and a significant widening in FAZ in the COPD group.…”
Objectives
This study aimed to evaluate the retinal vasculature of the macula and optic disc in patients with chronic obstructive pulmonary disease (COPD) by optical coherence tomography angiography (OCTA).
Methods
The right eyes of 70 COPD patients and 71 healthy individuals were evaluated. These patients had moderate airflow limitation and mean PO2 of 60 mmHg, and their average age was less than 60 years. Superficial and deep capillary plexus vascular densities, foveal avascular zone (FAZ) width, and optic disc parameters were measured with OCTA. In addition, the correlation between the PO2 level in COPD patients and superficial, deep, and peripapillary vascular densities and FAZ was examined in the study.
Results
The COPD group had a significant decrease in the vascular density in the superficial (fovea [p = 0.019]; parafovea [p = 0.013]; and perifovea [p = 0.001]) and deep capillary plexus (fovea [p = 0.028]; parafovea [p = 0.005]; and perifovea [p = 0.002]). Also, the enlargement of the FAZ (p = 0.002) and a decrease in the peripapillary vascular density (p = 0.006) were observed in the COPD group. There was a positive correlation between PO2 level and superficial, deep, and peripapillary vascular densities in COPD patients and a negative correlation with FAZ (r = 0.559–0.900).
Conclusion
Hypercapnia, respiratory acidosis, and chronic hypoxia associated with COPD may affect the macula and optic nerve, resulting in a serious decrease in vascular density, and OCTA can be a very important tool in the follow‐up and treatment of these patients.
“…Chronic hypoxia and hypercapnia in COPD patients may affect choroidal and retinal blood flow. There are color Doppler ultrasonography studies showing that retrobulbar hemodynamics was impaired, retrobulbar blood flow was reduced, and resistance to blood flow was increased in both retinal and choroidal circulation in COPD patients 22–24 . In parallel with these studies, our study's OCTA results indicated a significant decrease in VD values of SCP and DCP, optic disc, and peripapillary region, especially in the temporal side, and a significant widening in FAZ in the COPD group.…”
Objectives
This study aimed to evaluate the retinal vasculature of the macula and optic disc in patients with chronic obstructive pulmonary disease (COPD) by optical coherence tomography angiography (OCTA).
Methods
The right eyes of 70 COPD patients and 71 healthy individuals were evaluated. These patients had moderate airflow limitation and mean PO2 of 60 mmHg, and their average age was less than 60 years. Superficial and deep capillary plexus vascular densities, foveal avascular zone (FAZ) width, and optic disc parameters were measured with OCTA. In addition, the correlation between the PO2 level in COPD patients and superficial, deep, and peripapillary vascular densities and FAZ was examined in the study.
Results
The COPD group had a significant decrease in the vascular density in the superficial (fovea [p = 0.019]; parafovea [p = 0.013]; and perifovea [p = 0.001]) and deep capillary plexus (fovea [p = 0.028]; parafovea [p = 0.005]; and perifovea [p = 0.002]). Also, the enlargement of the FAZ (p = 0.002) and a decrease in the peripapillary vascular density (p = 0.006) were observed in the COPD group. There was a positive correlation between PO2 level and superficial, deep, and peripapillary vascular densities in COPD patients and a negative correlation with FAZ (r = 0.559–0.900).
Conclusion
Hypercapnia, respiratory acidosis, and chronic hypoxia associated with COPD may affect the macula and optic nerve, resulting in a serious decrease in vascular density, and OCTA can be a very important tool in the follow‐up and treatment of these patients.
“…Moreover, the EDVs of the arteries did not differ significantly between patients with COPD and control group (Ozer et al 2006). Yakut et al (2015) observed similar findings in 37 patients with COPD, 37 patients with asthma and 41 healthy controls. Resistive index (RI) values of the CRA, temporal PCA and nasal PCA were significantly higher in patients with COPD compared to controls.…”
Section: Coloursupporting
confidence: 65%
“…Yakut et al. () observed similar findings in 37 patients with COPD, 37 patients with asthma and 41 healthy controls. Resistive index (RI) values of the CRA, temporal PCA and nasal PCA were significantly higher in patients with COPD compared to controls.…”
Section: Methodsmentioning
confidence: 68%
“…In addition, PSV and EDV were significantly higher. No differences were found between patients with COPD and patients with asthma (Yakut et al 2015).…”
Section: Colourmentioning
confidence: 78%
“…Changes in PSV, EDV and RI are associated with various vascular disorders, and have predictive value for coronary artery diseases (Tranquart et al 2003;Maruyoshi et al 2010). Three studies used colour Doppler ultrasonography with patients with COPD, showing an increased PSV, EDV, and RI values of the ophthalmic artery (OA), central retinal artery (CRA) and posterior ciliary artery (PCA) in patients with COPD compared to non-COPD control subjects (Ozer et al 2006;Celik et al 2014;Yakut et al 2015). Ozer et al (2006) determined RI, pulsatility index (PI), PSV and EDV in the OA, CRA and PCA in 45 male patients with COPD and 17 male controls.…”
Chronic obstructive pulmonary disease (COPD) is a complex disease with many patients suffering from cardiovascular comorbidity. However, cardiovascular diseases remain often undiagnosed in COPD. Assessment of the retinal microvasculature can provide value in cardiovascular profiling of these patients. Retinal microvascular assessment carried out via a noninvasive eye exam represents an easy to use tool when examining patients with COPD. The purpose of this review was to provide an overview of studies assessing structural and functional changes in the retinal microvasculature of patients with COPD. Findings demonstrated that structural and functional microvascular changes were more common and severe in COPD patients as compared to non-COPD controls, although few retinal investigations have been performed in patients with COPD. As cardiovascular comorbidities are highly prevalent in COPD, we advocate more research to investigate the value of an eye exam for microvascular phenotyping of COPD patients.
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