Outer Retinal Layers’ Thickness Changes in relation to Age and Choroidal Thickness in Normal Eyes

Purpose. To identify and correlate age-related changes in outer retinal layers’ thickness and choroidal thickness (CT) in the normal eyes using spectral-domain optical coherence tomography (SD-OCT) and to investigate factors affecting these changes. Study Design. Observational cross-sectional study....

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Main Authors: Mona Kamal Abdellatif, Yasser Abdelmaguid Mohamed Elzankalony, Ahmed Abdelmonsef Abdelhamid Ebeid, Weam Mohamed Ebeid
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2019/1698967
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author Mona Kamal Abdellatif
Yasser Abdelmaguid Mohamed Elzankalony
Ahmed Abdelmonsef Abdelhamid Ebeid
Weam Mohamed Ebeid
author_facet Mona Kamal Abdellatif
Yasser Abdelmaguid Mohamed Elzankalony
Ahmed Abdelmonsef Abdelhamid Ebeid
Weam Mohamed Ebeid
author_sort Mona Kamal Abdellatif
collection DOAJ
description Purpose. To identify and correlate age-related changes in outer retinal layers’ thickness and choroidal thickness (CT) in the normal eyes using spectral-domain optical coherence tomography (SD-OCT) and to investigate factors affecting these changes. Study Design. Observational cross-sectional study. Subjects and Methods. We studied 125 healthy Egyptians between 20 and 79 years old. Patients were divided into 3 groups: group 1 (20–40 years), group 2 (40–60 years), and group 3 (>60 years). All patients had full ophthalmic examination. SD-OCT was done to measure the 9 ETDRS macular grid sectors of retinal pigment epithelium and photoreceptor outer segment (RPE-OS), outer nuclear layer and photoreceptor inner segment (ONL-IS), and choroidal thickness (CT) (by enhanced depth imaging). Results. RPE-OS was significantly thinner in group 3 than in the other 2 groups (central: P<0.001). Moreover, the 3 groups were significantly different from each other regarding the CT (central: P<0.001); significant thinning was noticed in the choroid with age. The 3 groups did not show significant difference concerning the ONL-IS thickness. RPE-OS and CT showed statistically significant negative correlation with age (central RPE-OS: r = −0 C.345, P<0.001, and central CT: r = −0.725, P<0.001) while ONL-IS showed statistically nonsignificant correlation with age (central ONL-IS: r = −0.08, P=0.376). Multiple regression analysis revealed that the most important determinant of central 1 mm RPE-OS thickness in this study was age (β = −0.087, P=0.010) rather than choroidal thinning (β = 0.001, P=0.879). Conclusion. RPE-OS layer thickness shows significant thinning with increasing age, and with decrease in CT, however, age is the most determinant factor of this thinning.
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spelling doaj-art-0b85dd2632a04c008c1339585636137e2025-02-03T01:12:57ZengWileyJournal of Ophthalmology2090-004X2090-00582019-01-01201910.1155/2019/16989671698967Outer Retinal Layers’ Thickness Changes in relation to Age and Choroidal Thickness in Normal EyesMona Kamal Abdellatif0Yasser Abdelmaguid Mohamed Elzankalony1Ahmed Abdelmonsef Abdelhamid Ebeid2Weam Mohamed Ebeid3Department of Ophthalmology, Faculty of Medicine, Ain Shams University, Cairo, EgyptDepartment of Ophthalmology, Faculty of Medicine, Ain Shams University, Cairo, EgyptDepartment of Ophthalmology, Faculty of Medicine, Ain Shams University, Cairo, EgyptDepartment of Ophthalmology, Faculty of Medicine, Ain Shams University, Cairo, EgyptPurpose. To identify and correlate age-related changes in outer retinal layers’ thickness and choroidal thickness (CT) in the normal eyes using spectral-domain optical coherence tomography (SD-OCT) and to investigate factors affecting these changes. Study Design. Observational cross-sectional study. Subjects and Methods. We studied 125 healthy Egyptians between 20 and 79 years old. Patients were divided into 3 groups: group 1 (20–40 years), group 2 (40–60 years), and group 3 (>60 years). All patients had full ophthalmic examination. SD-OCT was done to measure the 9 ETDRS macular grid sectors of retinal pigment epithelium and photoreceptor outer segment (RPE-OS), outer nuclear layer and photoreceptor inner segment (ONL-IS), and choroidal thickness (CT) (by enhanced depth imaging). Results. RPE-OS was significantly thinner in group 3 than in the other 2 groups (central: P<0.001). Moreover, the 3 groups were significantly different from each other regarding the CT (central: P<0.001); significant thinning was noticed in the choroid with age. The 3 groups did not show significant difference concerning the ONL-IS thickness. RPE-OS and CT showed statistically significant negative correlation with age (central RPE-OS: r = −0 C.345, P<0.001, and central CT: r = −0.725, P<0.001) while ONL-IS showed statistically nonsignificant correlation with age (central ONL-IS: r = −0.08, P=0.376). Multiple regression analysis revealed that the most important determinant of central 1 mm RPE-OS thickness in this study was age (β = −0.087, P=0.010) rather than choroidal thinning (β = 0.001, P=0.879). Conclusion. RPE-OS layer thickness shows significant thinning with increasing age, and with decrease in CT, however, age is the most determinant factor of this thinning.http://dx.doi.org/10.1155/2019/1698967
spellingShingle Mona Kamal Abdellatif
Yasser Abdelmaguid Mohamed Elzankalony
Ahmed Abdelmonsef Abdelhamid Ebeid
Weam Mohamed Ebeid
Outer Retinal Layers’ Thickness Changes in relation to Age and Choroidal Thickness in Normal Eyes
Journal of Ophthalmology
title Outer Retinal Layers’ Thickness Changes in relation to Age and Choroidal Thickness in Normal Eyes
title_full Outer Retinal Layers’ Thickness Changes in relation to Age and Choroidal Thickness in Normal Eyes
title_fullStr Outer Retinal Layers’ Thickness Changes in relation to Age and Choroidal Thickness in Normal Eyes
title_full_unstemmed Outer Retinal Layers’ Thickness Changes in relation to Age and Choroidal Thickness in Normal Eyes
title_short Outer Retinal Layers’ Thickness Changes in relation to Age and Choroidal Thickness in Normal Eyes
title_sort outer retinal layers thickness changes in relation to age and choroidal thickness in normal eyes
url http://dx.doi.org/10.1155/2019/1698967
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AT ahmedabdelmonsefabdelhamidebeid outerretinallayersthicknesschangesinrelationtoageandchoroidalthicknessinnormaleyes
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