Hypertensive Choroidopathy

Bourke, Karyn; Patel, Milan; Prisant, L. Michael; Marcus, Dennis M.

doi:10.1111/j.1524-6175.2004.3749.x

Cited by 56 publications

(46 citation statements)

References 4 publications

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“…The major blood supply to the retina is the choroid, especially in darkness, where 90% of the oxygen comes from choroidal circulation [23]. In the literature, Bourke et al defined the correlation between untreated systemic hypertension and choroidopathy [24], Regatieri et al defined CT in diabetic retinopathy and suggested that CT was associated with retinal tissue hypoxia [25], and Steigerwalt et al and Sızmaz et al reported a decrease in CT in patients who smoked cigarettes, due to the increase in vascular resistance of the vessels [26,27]. According to the before-mentioned studies, migraine is known to be a neurovascular disease, and is known to reduce the blood flow at the level of the central retinal artery and posterior ciliary artery; the thinning of the choroid layer is an expected clinical outcome in migraine patients.…”

Section: Discussionmentioning

confidence: 99%

Retinal nerve fibre layer, ganglion cell layer and choroid thinning in migraine with aura

et al. 2014

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BackgroundThe aim of this study was to investigate the thickness of the retinal nerve fiber layer (RNFL), the ganglion cell layer (GCL), and choroid thickness (CT) in patients who have migraines, with and without aura, using spectral optical coherence tomography (OCT).MethodsForty-five patients who had migraines without aura (Group 1), 45 patients who had migraines with aura (Group 2), and 30 healthy participants (control group) were included in the study. Spectral OCT was used to measure the RNFL, GCL and CT values for all patients.ResultsThe mean age of Group 1, Group 2, and the control group was 34.6 ± 4.3, 32.8 ± 4.9, and 31.8 ± 4.6 years, respectively. The mean attack frequency was 3.6/month in Group 1 and 3.7/month in Group 2. The mean age among the groups (p = 0.27) and number of attacks in migraine patients (p = 0.73) were not significantly different. There was significant thinning in the RNFL and GCL in Group 2 (p < 0.05, p < 0.001 respectively), while there were no significant differences in RNFL and GCL measurements between Group 1 and the control group (p > 0.05). All groups were significantly different from one another with respect to CT, with the most thinning observed in Group 2 (p < 0.001). When all migraine patients (without grouping) were compared with the control group, there were significant differences on all parameters: RNFL thickness, GCC thickness and CT (p < 0.05).ConclusionsRNFL and GCL were significantly thinner in the migraine patients with aura as compared with both the migraine patients without aura and the control subjects. In migraine, both with aura and without aura, patients’ choroid thinning should be considered when evaluating ophthalmological findings.

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Section: Discussionmentioning

confidence: 99%

Retinal nerve fibre layer, ganglion cell layer and choroid thinning in migraine with aura

et al. 2014

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“…Bourke et al reported a correlation between untreated systemic hypertension and choroidopathy (29) . The reduction of CT has been reported in a study with smokers, which was thought to be due to increased resistance in the retinal vasculature (30) .…”

Section: Discussionmentioning

confidence: 99%

Retinal nerve fiber layer, ganglion cell complex, and choroidal thicknesses in migraine

Colak¹,

Kantarcı²,

Tatar³

et al. 2016

Arquivos Brasileiros De Oftalmologia

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Espessuras da camada de fibras nervosas retinianas, complexo de células ganglionares e coroide na enxaqueca ABSTRACTPurpose: To evaluate the thicknesses of the peripapillary retinal nerve fiber layer (RNFL), ganglion cell complex (GCL), and choroid layer using spectral domain optical coherence tomography (SD-OCT) for investigating the effects of vascular changes on the eye and optic nerve in patients who have migraine with aura. Methods: Forty-five patients who had migraine with aura (migraine group) and 45 healthy individuals (control group) were enrolled in the study. Age, gender, duration after migraine diagnosis, intraocular pressure, and axial length measurements were recorded in each case. RNFL, GCL, and choroid layer thicknesses were measured using SD-OCT in all participants. Results: The mean age was 36.1 ± 6.7 (20-45) years in the migraine group and 35.7 ± 8.6 (19-45) years in the control group. There was no significant difference in the RNFL thicknesses of the temporal and nasal quadrants (p>0.05). The RNFL thicknesses of the superior and inferior quadrants were significantly lower in the migraine group compared with those in the control group (p=0.001, p<0.01, respectively). Measurements for the superior and inferior GCL were not significantly different between the groups (p>0.05). Subfoveal, temporal, and nasal choroidal thickness measurements at 500 µm, 1000 µm, and 1500 µm were significantly lower in the migraine group than in the control group (p=0.001; p<0.01, respectively). Conclusions:Compared with the controls, the RNFL and choroid layer were determined to be thinner in patients who had chronic migraine with aura. de 36,1 ± 6,7 (20-45) anos no grupo enxaqueca e 35,7 ± 8,6 (19-45) Keywords

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“…The treatment of PRES is based in the management of the triggering factor, and the reversibility of the neurological changes mainly depends on the rapid treatment of brain edema. Accelerated hypertension in pre-eclampsia has been commonly associated with retinopathy, optic neuropathy and choroidopathy [20,21]. Our patient developed bilateral choroidal detachment and macular edema, the finding which has not yet been reported in association with PRES or accelerated hypertension.…”

Section: Discussionmentioning

confidence: 53%

Sudden Bilateral Choroidal Detachment in a Patient with Posterior Reversible Encephalopathy Syndrome

Pavičić-Astaloš

Vatavuk

Benčić

et al. 2014

Open Access Maced J Med Sci

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BACKGROUND: Pre-eclampsia is one of the most important causes of a rare cliniconeuroradiological entity called posterior reversible encephalopathy syndrome. The syndrome is characterized by headacke, visual disturbances, seizures, altered mental status and radiological findings of edema in the white matter of the brain areas perfused by the posterior brain circulation.CASE REPORT: Here we present a patient with sudden bilateral visual loss and deafness in early postnatal period without any other neurological deficits, but with affiliated ophthalmological pathology. The correct diagnosis was made 3 days after the Cesarean section.The patient was diagnosed with posterior reversible encephalopathy syndrome and bilateral choroidal detachment.CONCLUSION: Vascular changes in posterior reversible encephalopathy syndrome can cause visual disturbances not only by brain edema, but combined brain and ocular pathology

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Hypertensive Choroidopathy

Cited by 56 publications

References 4 publications

Retinal nerve fibre layer, ganglion cell layer and choroid thinning in migraine with aura

Retinal nerve fibre layer, ganglion cell layer and choroid thinning in migraine with aura

Retinal nerve fiber layer, ganglion cell complex, and choroidal thicknesses in migraine

Sudden Bilateral Choroidal Detachment in a Patient with Posterior Reversible Encephalopathy Syndrome

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