Association of Neuroretinal Thinning and Microvascular Changes with Hypertension in an Older Population in Southern Italy.

Autor: Niro A; Eye Clinic, Hospital 'SS. Annunziata', ASL Taranto, 74100 Taranto, Italy., Sborgia G; Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari 'Aldo Moro', 70124 Bari, Italy., Lampignano L; Unit of Research Methodology and Data Sciences for Population Health, 'Salus in Apulia Study', National Institute of Gastroenterology 'Saverio de Bellis', Research Hospital, 70013 Castellana Grotte, Italy., Giuliani G; Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari 'Aldo Moro', 70124 Bari, Italy., Castellana F; Unit of Research Methodology and Data Sciences for Population Health, 'Salus in Apulia Study', National Institute of Gastroenterology 'Saverio de Bellis', Research Hospital, 70013 Castellana Grotte, Italy., Zupo R; Unit of Research Methodology and Data Sciences for Population Health, 'Salus in Apulia Study', National Institute of Gastroenterology 'Saverio de Bellis', Research Hospital, 70013 Castellana Grotte, Italy., Bortone I; Unit of Research Methodology and Data Sciences for Population Health, 'Salus in Apulia Study', National Institute of Gastroenterology 'Saverio de Bellis', Research Hospital, 70013 Castellana Grotte, Italy., Puzo P; Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari 'Aldo Moro', 70124 Bari, Italy., Pascale A; Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari 'Aldo Moro', 70124 Bari, Italy., Pastore V; Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari 'Aldo Moro', 70124 Bari, Italy., Buonamassa R; Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari 'Aldo Moro', 70124 Bari, Italy., Galati R; Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari 'Aldo Moro', 70124 Bari, Italy., Bordinone M; Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari 'Aldo Moro', 70124 Bari, Italy., Cassano F; Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari 'Aldo Moro', 70124 Bari, Italy., Griseta C; Unit of Research Methodology and Data Sciences for Population Health, 'Salus in Apulia Study', National Institute of Gastroenterology 'Saverio de Bellis', Research Hospital, 70013 Castellana Grotte, Italy., Tirelli S; Unit of Research Methodology and Data Sciences for Population Health, 'Salus in Apulia Study', National Institute of Gastroenterology 'Saverio de Bellis', Research Hospital, 70013 Castellana Grotte, Italy., Lozupone M; Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari 'Aldo Moro', 70124 Bari, Italy., Bevilacqua V; Department of Electrical and Information Engineering, Polytechnic University of Bari, 70126 Bari, Italy., Panza F; Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari 'Aldo Moro', 70124 Bari, Italy., Sardone R; Unit of Research Methodology and Data Sciences for Population Health, 'Salus in Apulia Study', National Institute of Gastroenterology 'Saverio de Bellis', Research Hospital, 70013 Castellana Grotte, Italy., Alessio G; Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari 'Aldo Moro', 70124 Bari, Italy., Boscia F; Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari 'Aldo Moro', 70124 Bari, Italy.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2022 Feb 19; Vol. 11 (4). Date of Electronic Publication: 2022 Feb 19.
DOI: 10.3390/jcm11041098
Abstrakt: Background: Retinal microvasculature assessment at capillary level may potentially aid the evaluation of early microvascular changes due to hypertension. We aimed to investigate associations between the measures obtained using optical coherence tomography (OCT) and OCT-angiography (OCT-A) and hypertension, in a southern Italian older population.
Methods: We performed a cross-sectional analysis from a population-based study on 731 participants aged 65 years+ subdivided into two groups according to the presence or absence of blood hypertension without hypertensive retinopathy. The average thickness of the ganglion cell complex (GCC) and the retinal nerve fiber layer (RNFL) were measured. The foveal avascular zone area, vascular density (VD) at the macular site and of the optic nerve head (ONH) and radial peripapillary capillary (RPC) plexi were evaluated. Logistic regression was applied to assess the association of ocular measurements with hypertension.
Results: GCC thickness was inversely associated with hypertension (odds ratio (OR): 0.98, 95% confidence interval (CI): 0.97-1). A rarefaction of VD of the ONH plexus at the inferior temporal sector (OR: 0.95, 95% CI: 0.91-0.99) and, conversely, a higher VD of the ONH and RPC plexi inside optic disc (OR: 1.07, 95% CI: 1.04-1.10; OR: 1.04, 95% CI: 1.02-1.06, respectively) were significantly associated with hypertension.
Conclusion: A neuroretinal thinning involving GCC and a change in capillary density at the peripapillary network were related to the hypertension in older patients without hypertensive retinopathy. Assessing peripapillary retinal microvasculature using OCT-A may be a useful non-invasive approach to detect early microvascular changes due to hypertension.
Databáze: MEDLINE
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