NDLI: Correlation between subfoveal choroidal thickness and the severity or progression of nonexudative age-related macular degeneration.

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Correlation between subfoveal choroidal thickness and the severity or progression of nonexudative age-related macular degeneration.

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Correlation between subfoveal choroidal thickness and the severity or progression of nonexudative age-related macular degeneration.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Lee, Dong Hoon Lee, Joo Yong Lee, Jin Young Yoon, Young Hee
Description	Author Affiliation: Lee JY ( Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.)
Abstract	PURPOSE: To investigate the correlation between subfoveal choroidal thickness (SFChT) and the severity or progression of nonexudative AMD. METHODS: One hundred seventy-six eyes of 114 patients with nonexudative AMD were included in this study. These eyes were divided into stages I through IV, based on the Age-Related Eye Disease Study (AREDS) classification of fundus findings. Using enhanced depth imaging from spectralis domain optical coherence tomography (SD-OCT), the central retinal thickness (CRT), SFChT, and parafoveal choroidal thickness (PFChT) were measured. The area of geographic atrophy (GA) was measured from fundus autofluorescence (FAF) images, and the progression of GA was calculated using RegionFinder software. RESULTS: The age-adjusted SFChT levels were lower at later stages of nonexudative AMD. These measurements were as follows: 266.68 ± 12.60 (stage I: 28 eyes), 263.34 ± 9.87 (stage II: 48 eyes), 200.55 ± 8.83 (stage III: 71 eyes), and 188.34 ± 13.72 (stage IV: 29 eyes) (P = 0.0028). The age-adjusted SFChT was also negatively correlated with the best corrected visual acuity (BCVA) (estimate, -0.001; P = 0.0006). Among 16 eyes with GA at baseline, SFChT showed a negative correlation with the baseline area of GA (r = 0.5521, P = 0.0133). In addition, GA progressed more rapidly during the mean follow up of 22.19 ± 9.08 months when the SFChT was lower at baseline (r = 0.5658, P = 0.0112). CONCLUSIONS: Subfoveal choroidal thickness is closely related to the BCVA, the severity of nonexudative AMD, as well as the rate of GA progression. Subfoveal choroidal thickness may be a predictor of disease progression in GA cases.
ISSN	01460404
e-ISSN	15525783
Journal	Investigative Opthalmology & Visual Science
Issue Number	12
Volume Number	54
Language	English
Publisher	Association for Research in Vision and Ophthalmology
Publisher Date	2013-11-21
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Choroid Pathology Fovea Centralis Geographic Atrophy Diagnosis Tomography, Optical Coherence Visual Acuity Disease Progression Fluorescein Angiography Fundus Oculi Ophthalmoscopy Prognosis Retrospective Studies Severity Of Illness Index Comparative Study Discipline Ophthalmology
Content Type	Text
Resource Type	Article
Subject	Ophthalmology Sensory Systems Cellular and Molecular Neuroscience

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