PMID- 31595798 OWN - NLM STAT- MEDLINE DCOM- 20210709 LR - 20210709 IS - 1460-2202 (Electronic) IS - 0271-3683 (Linking) VI - 45 IP - 5 DP - 2020 May TI - Reduced Retinal Microvascular Density Related to Activity Status and Serum Antibodies in Patients with Graves' Ophthalmopathy. PG - 576-584 LID - 10.1080/02713683.2019.1675177 [doi] AB - Objective: To investigate changes in retinal capillary density (RCD) that occur in Graves' ophthalmopathy (GO) and explore their association with the clinical manifestations for GO.Material and Methods: A total of 125 participants (93 GO patients and 32 normal subjects) were enrolled. All participants underwent ophthalmology and endocrinology examinations. Retinal microvasculature was imaged by spectral domain optical coherence tomographic angiography (OCT-A). The RCDs in the superficial and deep retinal capillary plexuses (SRCP and DRCP) were quantified by the custom software from the OCT-A images, which were divided into total annular zones (TAZ) and four quadrants. Multiple linear regression analysis was used to explore the associations between RCD and the relevant factors.Results: Significant reduction was seen in the TAZ zone in SRCP and DRCP of GO group (P < .05) when compared to the healthy subjects; significant differences remained after adjustment of vascular relevant factors. According to the univariate analysis, the relevant factors of higher IOP, larger proptosis, higher clinical activity scoring (CAS), thyroid stimulating hormone-receptor autoantibodies (TRAb), and (131)I therapy were significantly associated with decreased RCDs in GO patients (P < .05). Multivariate linear regression analysis showed that CAS and TRAb were the most important relevant factors for decreased RCDs.Conclusions: The RCD of GO patients was significantly decreased compared to the healthy controls. The activity status and serum antibodies associated with GO were the relevant factors for reduced RCD. FAU - Wu, Yufei AU - Wu Y AD - School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang, China. AD - Department of Ophthalmology, Yinzhou Hospital Affiliated to Medical School of Ningbo University, The Eye Hospital of Wenzhou Medical University (Ningbo Branch), Ningbo, Zhejiang, China. FAU - Tu, Yunhai AU - Tu Y AD - School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang, China. FAU - Bao, Lulu AU - Bao L AD - School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang, China. FAU - Wu, Chaoming AU - Wu C AD - The Second Affiliated Hospital & Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China. FAU - Zheng, Jingwei AU - Zheng J AUID- ORCID: 0000-0002-2594-5014 AD - School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang, China. FAU - Wang, Jianhua AU - Wang J AD - Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA. AD - Electrical and Computer Engineering, University of Miami, Miami, FL, USA. FAU - Lu, Fan AU - Lu F AD - School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang, China. FAU - Shen, Meixiao AU - Shen M AD - School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang, China. FAU - Chen, Qi AU - Chen Q AD - School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang, China. LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20191009 PL - England TA - Curr Eye Res JT - Current eye research JID - 8104312 RN - 0 (Autoantibodies) RN - 0 (Receptors, Thyrotropin) SB - IM MH - Adult MH - Autoantibodies/*blood MH - Capillaries/diagnostic imaging/pathology MH - Exophthalmos/pathology MH - Female MH - Fluorescein Angiography MH - Graves Ophthalmopathy/*blood/diagnosis/physiopathology MH - Humans MH - Intraocular Pressure MH - Male MH - *Microvascular Density MH - Middle Aged MH - Receptors, Thyrotropin/*immunology MH - Retinal Vessels/diagnostic imaging/*pathology MH - Tomography, Optical Coherence MH - Visual Acuity/physiology OTO - NOTNLM OT - Graves' ophthalmopathy OT - Retina OT - density OT - microvasculature OT - optical coherence tomography angiography EDAT- 2019/10/10 06:00 MHDA- 2021/07/10 06:00 CRDT- 2019/10/10 06:00 PHST- 2019/10/10 06:00 [pubmed] PHST- 2021/07/10 06:00 [medline] PHST- 2019/10/10 06:00 [entrez] AID - 10.1080/02713683.2019.1675177 [doi] PST - ppublish SO - Curr Eye Res. 2020 May;45(5):576-584. doi: 10.1080/02713683.2019.1675177. Epub 2019 Oct 9.