| Home > Articles > Published articles > Differences in macular vessel density in the superficial plexus across cognitive impairment : |
| Date: | 2022 |
| Abstract: | Optical coherence tomography angiography (OCT-A) allows the detection of retinal vessel density (VD) loss, which is a reflection of brain vascular pathology. We aimed to investigate differences in macular VD in the superficial plexus in a large cohort of individuals cognitively unimpaired (CU), with mild cognitive impairment due to Alzheimer's disease (MCI-AD), MCI due to cerebrovascular pathology (MCI-Va), probable Alzheimer's disease dementia (ADD) and Vascular Dementia (VaD). Clinical, demographical, ophthalmological and OCT-A data from the Neuro-ophthalmology Research at Fundació ACE (NORFACE) project were analyzed. Differences of macular VD in four quadrants (superior, nasal, inferior and temporal) among the five diagnostic groups were assessed in a multivariate regression model, adjusted by age, sex, education, hypertension, diabetes mellitus, heart disease and stroke. The study cohort comprised 672 participants: 128 CU, 120 MCI-AD, 111 MCI-Va, 257 ADD and 56 VaD. Regression analysis showed a significantly higher VD in the temporal quadrant in MCI-AD compared to CU participants (49. 05 ± 4. 91 vs 47. 27 ± 4. 17, p = 0. 02, d = 0. 40), and a significantly lower VD in the inferior quadrant in MCI-Va compared to CU participants (48. 70 ± 6. 57 vs 51. 27 ± 6. 39, p = 0. 02, d = 0. 40). Individuals with heart disease presented significantly lower VD in the inferior quadrant than those without (p = 0. 01). The interaction of sex and diagnosis had no effect in differentiating VD. Mini-Mental State Examination (MMSE) scores were not correlated to VD (all r < 0. 16; p. |
| Grants: | Instituto de Salud Carlos III PI19/00335 Instituto de Salud Carlos III PI17/01474 Instituto de Salud Carlos III AC17/00100 Instituto de Salud Carlos III PI19/01301 Instituto de Salud Carlos III AC19/00097 |
| Rights: | Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. |
| Language: | Anglès |
| Document: | Article ; recerca ; Versió publicada |
| Subject: | Alzheimer Disease ; Cognitive Dysfunction ; Copper ; Fluorescein Angiography ; Heart Diseases ; Humans ; Retinal Vessels ; Tomography, Optical Coherence |
| Published in: | Scientific reports, Vol. 12 Núm. 1 (december 2022) , p. 16938, ISSN 2045-2322 |
15 p, 1.8 MB |