Detection of subclinical microvascular changes in systemic lupus erythematous using optical coherence tomography angiography: A systematic review and meta-analysis

被引:5
|
作者
Ferreira, Andre [1 ,2 ,3 ]
Vieira, Rafael Jose [3 ,4 ]
Furtado, Maria Joao [1 ,5 ]
Lume, Miguel [1 ]
Andrade, Jose P. [2 ,3 ]
Meneres, Pedro [1 ,5 ]
机构
[1] Ctr Hosp Univ Santo Antonio, Dept Ophthalmol, Porto, Portugal
[2] Univ Porto, Fac Med, Dept Biomed, Unit Anat, Porto, Portugal
[3] Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res, Hlth Res Network CINTESIS RISE, Porto, Portugal
[4] Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Porto, Portugal
[5] Univ Porto, ICBAS Inst Ciencias Biomed Abel Salazar, Porto, Portugal
关键词
Autoimmune diseases; Systemic lupus erythematous; Macula lutea; Microvasculature; Optical coherence tomography; angiography; CHOROIDOPATHY; DISEASE;
D O I
10.1016/j.survophthal.2023.07.008
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Systemic lupus erythematosus (SLE) is a chronic, systemic, autoimmune connective tissue disease that affects several vascular territories. We sought to assess the role of optical coherence tomography angiography in detecting subclinical microvascular alterations in SLE patients. PubMed, Scopus, and Web of Science databases were systematically searched until January 21, 2023. Studies using optical coherence tomography angiography as a primary diagnostic method to evaluate the macular microvasculature of SLE patients versus healthy controls were included. Primary outcomes were macular vessel density and foveal zone parameters. A meta-analysis was performed using a random-effects model. Of 301 screened abstracts, 15 were found eligible, enrolling 1,246 eyes from 1,013 patients. SLE patients presented a reduction of macular vessel density at both plexuses in all zones (whole scan, fovea, parafovea, and perifovea), and of foveal density compared with healthy controls. No differences were found at foveal avascular zone parameters. SLE patients presented a reduction of macular vessel density without signs or symptoms of SLE ocular involvement. Optical coherence tomography angiography application for the assessment of subclinical microvascular changes needs to be elucidated with longitudinal studies.(c) 2023 Elsevier Inc. All rights reserved.
引用
收藏
页码:1115 / 1128
页数:14
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