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Macular capillary system and ganglion cell-layer complex of the amblyopic eye with optical cohorence tomography angiography and optical cohorence tomography

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Abstract

Purpose

To investigate the macular capillary system and ganglion cell-layer complex of the amblyopic eye with OCTA and OCT in comparison with fellow non-amblyopic eyes and a healthy control group and to examine their relationship with the severity of amblyopia.

Methods

This prospective, cross-sectional comparative study enrolled 25 amblyopic patients and 25 healthy controls. All patients and controls underwent OCTA and OCT imagining. Macular vessel densities of the Superficial Capillary Plexus (SCP) and Deep Capillary Plexus (DCP) and retinal thickness were measured by OCTA and ganglion cell layer (GCL) by OCT.

Results

SCP density at the fovea and parafovea was significantly lower in amblyopic eyes than in fellow eyes and control group. DCP density at the fovea was significantly lower in amblyopic eyes than fellow eyes and control group. Mean GCL thickness on OCT was 0.73 ± 0.07 μm in amblyopic eyes, 0.75 ± 0.06 μm in fellow eyes and 0.77 ± 0.06 μm in the control group. GCL volume was significantly lower in amblyopic eyes than the fellow eyes. The SCP and DCP and GCL thickness were not affected by the severity of amblyopia.

Conclusion

Macular vessel densities of the SCP and DCP of eyes with amblyopia is lower compared to the fellow non-amblyopic eyes and the control group. The thickness of GCL was lower in amblyopic eyes than fellow eyes while the severity of amblyopia did not have any impact on these structures. Microvascular retinal structures may have been affected in the course of amblyopia development.

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References

  1. Simons K (2005) Amblyopia characterization, treatment and prophylaxis. Surv Ophthalmol 50:123–166

    Article  Google Scholar 

  2. Chen W, Lou J, Thorn F, Wang Y, Mao J, Wang Q, Yu X (2019) Retinal Microvasculature in amblyopic children and the quantitative relationship between retinal perfusion and thickness. Invest Ophthalmol Vis Sci 60:1185–1191

    Article  Google Scholar 

  3. Aygıt FD, Yılmaz I, Ozkaya A, Alkın Z, Gokyigit B, Yazıcı AT, Demirok A (2015) Choroidal thickness of children’s eyes with anisometropic and strabismic amblyopia. JAAPOS 19:237–241

    Google Scholar 

  4. Li J, Ji P, Yu M (2015) Meta-analysis of retinal changes in unilateral amblyopia using optical coherence tomography. Eur J Ophthalmol 25:400–409

    Article  Google Scholar 

  5. Altıntaş Ö, Gümüştaş S, Cinik R, Anık Y, Özkan B, Karabaş L (2017) Correlation of the measurements of optical coherence tomography and diffuse tension imaging of optic pathways in amblyopia. Int Ophthalmol 37:85–93

    Article  Google Scholar 

  6. Yassin SA, Al-Tamimi ER, Al-Hassan S (2015) Macular and retinal nerve fiber thickness in recovered and persistent amblyopia. Int Ophthalmol 35:833–842

    Article  Google Scholar 

  7. American Academy of Ophthalmology Pediatric Ophthalmology/Strabismus Panel (2012) Preferred practise pattern guidelines amblyopia. American Academy of Ophthalmology, San Francisco

    Google Scholar 

  8. Lonngi M, Velez FG, Tsui I, Davila P, Rahimi M, Chan C, Sarraf D, Demer J, Pineles S (2017) Spectral-domain optical coherence tomographic angiography in children with amblyopia. JAMA Ophtalmol 135:1086–1091

    Article  Google Scholar 

  9. Yılmaz I, Ocak OB, Yılmaz BS, Gokyigit B, Taskapili M (2017) Comparison of quantitative measurement of foveal avascular zone and macular vessel density in eyes of children with amblyopia and healthy controls: an optical coherence tomography angiography study. J AAPOS 21:224–228

    Article  Google Scholar 

  10. Doguizi S, Yılmazoglu M, Kızıltoprak H, Şekeroglu MA, Yılmazbaş P (2019) Quantitative analysis of retinal microcirculation in children with hyperopic anisometropic amblyopia. An optical coherence tomography angiography study. J AAPOS 1:e1–e5

    Google Scholar 

  11. Guo L, Tao J, Xu F, Yang Z, Ma X, Hua R (2016) In vivo optical imagining of amblyopia: digital subtraction autofluorescence and split-spectrum amplitude-decorrelation angiography. Lasers Sure Med 48:660–667

    Article  Google Scholar 

  12. Nemiroff J, Phasukkijwatana N, Sarraf D (2016) Optical coherence tomography angiography of deep capillary ischemia. Dev Ophthalmol 56:139–145

    Article  Google Scholar 

  13. Nemiroff J, Kuehlewein L, Rahimy E et al (2016) Assessing deep retinal capillary ischemia in paracentral acute middle maculopathy by optical coherence tomography angiography. Am J Ophthalmol 162:121–132

    Article  Google Scholar 

  14. Dupas B, Minvielle W, Bonnin S et al (2018) Association between vessel density and visual acuity in patients with diabetic retinopathy and poorly controlled type 1 diabetes. JAMA Ophthalmol 136:721–728

    Article  Google Scholar 

  15. Karabulut M, Karabulut S, Sül S, Karalezli A (2019) Microvascular changes in amblyopic eyes detected by optical coherence tomography angiography. J AAPOS 1:1–4

    Google Scholar 

  16. Lempert P (2000) Optic nerve hypoplasia and small eyes in presumed amblyopia. J AAPOS 4(5):258–266

    Article  CAS  Google Scholar 

  17. Von Norden GL, Crawford ML, Middleditch PR (1977) Effect of lid suture on retinal ganglion cells in Macacamulatta. Brain Res 122(3):437–444

    Article  Google Scholar 

  18. Rasch E, Swift H, Reisen AH, Chow KL (1961) Altered structure and composition of retinal cells in darkreared mammals. Exp Cell Res 25:348–363

    Article  CAS  Google Scholar 

  19. Fifkova E (1972) Effect of visual deprivation and light on synapses of the inner plexiform layer. Exp Neurol 35(3):458–469

    Article  CAS  Google Scholar 

  20. Weiskrantz L (1958) Sensory deprivation and the cat’s optic nervous system. Nature 181(4615):1047–1050

    Article  CAS  Google Scholar 

  21. Fırat PG, Ozsoy E, Demirel S, Cumurcu T, Gunduz A (2013) Evaluation of peripapillary retinal nerve fiber layer, macula and ganglion cell thickness in amblyopia using spectral optical coherence tomography. Int J Ophthalmol 6(1):90–94

    PubMed  PubMed Central  Google Scholar 

  22. Tugcu B, Araz-Ersan B, Kilic M, Et Erdoğan, Yigit U, Karamursel S (2013) The morpho-functional evaluation of retina in amblyopia. Curr Eye Res 38(7):802–809

    Article  Google Scholar 

  23. Park KA, Park DY, Oh SY (2011) Analysis of spectral-domain optical coherence tomography measurements in amblyopia: a pilot study. Br J Ophthalmol 95(12):1700–1706

    Article  Google Scholar 

  24. Can GD (2020) Quantitative analysis of macular and peripapillary microvasculature in adults with anisometropic amblyopia. Int Ophthalmol 40:1765–1772

    Article  Google Scholar 

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Correspondence to F. G. Yilmaz Cinar.

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Yilmaz Cinar, F.G., Ozkan, G. Macular capillary system and ganglion cell-layer complex of the amblyopic eye with optical cohorence tomography angiography and optical cohorence tomography. Int Ophthalmol 41, 675–686 (2021). https://doi.org/10.1007/s10792-020-01624-w

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  • DOI: https://doi.org/10.1007/s10792-020-01624-w

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