Evaluation of orbital arteries with colour Doppler ultrasonography in patients with psoriasis

Akkurt, Zeynep Meltem; Gümüş, Hatice; Aktürk, Aysun Şikar; Uçmak, Derya; Türkçü, Fatih Mehmet; Özkurt, Zeynep; Durmaz, Mehmet Sedat; Bilici, Aslan

doi:10.1111/ced.12625

Cited by 13 publications

(14 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Choroidal thickness, PASI score and disease duration were not correlated 22 . Akkurt et al reported that thickness and duration were correlated in psoriasis patients 15 . In our study, no correlation was reported between choroidal thickness and the duration of the disease.…”

Section: Discussioncontrasting

confidence: 65%

Retinal nerve fibre layer thickness and choroidal thickness: An evaluation in psoriasis patients

Aksoy

Satici

2020

Int J Clin Pract

View full text Add to dashboard Cite

Background/Objectives To conduct a comparative study of retinal nerve fibre layer (RNFL) thickness and choroidal thickness of psoriasis patients and healthy volunteers. Methods This study included 35 severe psoriasis patients, 35 mild psoriasis patients and 35 healthy individuals. RNFL and choroidal thickness analysis were performed by spectral field optical coherence tomography (SD‐OCT). Only patients with psoriasis vulgaris who have not used systemic therapy for the last 3 months were included in the study. Results In the severe psoriasis group, the RSLT thickness was found to be statistically significantly thinner and the choroid thickness was thicker than the mild psoriasis and control group (P < .001). There was no significant difference in terms of RNLF and choroid thickness compared to mild psoriasis and the control group (P > .05). The correlation between length of the disease duration, RNFL and choroidal thickness was not significant (P > 0,05). Conclusion The increase in choroidal thickness was found to be significant, while with respect to RNFL thickness, a decrease was evident, a possible indicator of damage to microvascular structures in the choroid and ganglion cells, especially in patients with severe psoriasis. Therefore, choroidal and RSLT thickness measurement with OCT device can assist in the detection of damage to psoriasis.

show abstract

Section: Discussioncontrasting

confidence: 65%

Retinal nerve fibre layer thickness and choroidal thickness: An evaluation in psoriasis patients

Aksoy

Satici

2020

Int J Clin Pract

View full text Add to dashboard Cite

show abstract

“…The ophthalmic artery (OA) was identified immediately downstream from its crossing with the optic nerve. 9 The acoustic output of the ultrasound systems was adjusted to the requirements of the orbit ultrasonography according to the ALARA (‘as low as reasonably achievable’) principle to prevent harming the lens and retina. 13…”

Section: Methodsmentioning

confidence: 99%

“…The same observer (GRA) assessed the results of the OCDUS examinations, in accordance with previously published documents, 9,11 which were performed using a Xario Diagnostic Ultrasound System (SSA-660A, software version 4.0; Toshiba Medical Systems, Tochigi, Japan) with a linear 7.5-MHz transducer, with patients lying in the supine position with their head at a 30-degree angle. A layer of acoustic gel was applied to the closed eyelids, after which the transducer was placed on the upper eyelid, with the examiner's hand resting on the orbital margin to minimise pressure on the globe.…”

Section: Orbital Duplex Ultrasound Examinationmentioning

confidence: 99%

Usefulness of orbital colour Doppler ultrasound in vascular-related monocular vision loss

et al. 2021

View full text Add to dashboard Cite

Acute, painless, monocular vision loss (APMVL) usually has a vascular aetiology. We conducted a prospective observational study from 2011 to 2018 to analyse the added value of colour Doppler imaging to assess orbital vessel blood flow in the diagnosis of APMVL. The study included 67 patients (39 [58.2%] men; mean age, 65.9 years [SD 13.7]) with APMVL evaluated at the Neurosonology Laboratory within the first 5 days of symptom onset, who were classified as having either transient or persistent monocular blindness. The blood flow in the ophthalmic and central retinal arteries was assessed using colour Doppler ultrasound with a linear 7.5-MHz transducer. Thirty-three (49.3%) patients presented transient monocular blindness, with reduced blood flow in either the ophthalmic or central retinal artery. The group with persistent vision loss included 24 cases of central retinal artery occlusion (CRAO) and 10 cases of ischaemic optic neuropathy (35.8% and 14.9%, respectively, of the total sample). These patients were older and had a higher prevalence of hypertension and mild carotid atherosclerosis. Orbital colour Doppler ultrasound (OCDUS) clarified the mechanism/cause of the ischaemia in 11 (16.4%) patients and showed abnormal flow in 46 (68.7%) patients, confirming the vascular origin in 19 (57.6%) of the transient monocular blindness cases. Lower peak systolic velocity was observed in patients with CRAO ( p < 0.001), and a velocity < 10 cm/s in the central retinal artery was independently associated with the diagnosis of CRAO. OCDUS can be helpful in confirming the vascular cause and identifying the aetiology of APMVL.

show abstract

“…Eye involvement may also be seen in psoriasis, in which a physiopathological process similar to LP in terms of chronic inflammation is observed [8]. Especially inflammatory ocular changes and ocular surface diseases have been reported to occur in psoriasis [9].…”

Section: Introductionmentioning

confidence: 99%

“…However, the posterior segment structures may also be affected in diseases with a chronic inflammatory course, and evaluations should include the posterior segment structures of the eye [12]. Current studies have demonstrated that psoriasis may affect the posterior segment structures of the eye [8, 13]. To our knowledge, no study has evaluated the posterior structures of the eye in LP.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of ocular findings in patients with lichen planus

Özlü¹,

Teberik²

2019

pdia

View full text Add to dashboard Cite

Introduction Lichen planus (LP) is a chronic, inflammatory disease of unknown etiology. Aim To evaluate the tear functions and the retinal and choroidal thickness (CT) in patients with LP. Material and methods In total, 33 patients and 30 healthy controls were enrolled. All participants were evaluated using the Ocular Surface Disease Index (OSDI) questionnaire, Schirmer 1 test (with anesthesia), tear break-up time (TBUT) test, intraocular pressure (IOP), axial length (AL), and central corneal thickness (CCT). The measurements of retinal thickness (RT) and CT were obtained by spectral domain optical coherence tomography. Results No significant difference was observed between the groups in IOP, AL, CCT, or RT ( p > 0.05 in each group). There was a significant difference in the Schirmer 1 test, TBUT, and OSDI questionnaire ( p < 0.05 in each group). Choroidal thickness in LP patients was thinner than that in the controls ( p = 0.001 in each location). There was a moderate negative correlation between the disease duration and Schirmer 1 test, TBUT, and subfoveal CT ( r = –0.426, r = –0.555, r = –0.637; p = 0.001, p = 0.001, p = 0.001, respectively). There was a moderate negative correlation between the oral mucosal involvement and Schirmer 1 test, TBUT, and subfoveal CT ( r = –0.345, r = –0.392, r = –0.467; p = 0.006, p = 0.001, p = 0.001, respectively). There was a positive correlation between disease duration, oral mucosal involvement and OSDI score ( r = 0.717, r = 0.345; p = 0.001, p = 0.006, respectively). Conclusions Lichen planus may influence tear function tests and may cause dry eye. Patients with LP had lower CT values than healthy controls. Further studies are needed to clarify the effect of LP on the eyes.

show abstract

Evaluation of orbital arteries with colour Doppler ultrasonography in patients with psoriasis

Abstract: The haemodynamics of the orbit might be affected in patients with psoriasis.

Cited by 13 publications

References 33 publications

Retinal nerve fibre layer thickness and choroidal thickness: An evaluation in psoriasis patients

Retinal nerve fibre layer thickness and choroidal thickness: An evaluation in psoriasis patients

Usefulness of orbital colour Doppler ultrasound in vascular-related monocular vision loss

Evaluation of ocular findings in patients with lichen planus

Contact Info

Product

Resources

About