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https://doi.org/10.21203/rs.3....
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Photodiagnosis and Photodynamic Therapy
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https://doi.org/10.2139/ssrn.4...
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Evaluation of Choroidal Vascular Index and Choroidal Changes in Migraine Subgroups

Authors: Isil Merve Torun; Nejla Tukenmez Dikmen; Mirac Aysen Unsal; Murat Sonmez;

Evaluation of Choroidal Vascular Index and Choroidal Changes in Migraine Subgroups

Abstract

Abstract Purpose: To investigate binarized choroidal structural parameters, retinal nerve fiber layer (RNFL) thickness and retina changes during the attack free period in migraine patients using enchanced depth imaging optic coherence tomography (EDI-OCT), compare the migraine patients with aura (MwA), without aura (MoA) and aura subgroups (visual, non- visual aura), with age -sex matched healthy subjects. Method: This observational, prospective, study included 102 migraine patients and 36 healthy controls. . Central macular thickness (CMT), retinal nerve fiber layer (RNFL), ganglion cell layer (GCL), and choroidal thickness (CT) were measured using The Spectralis -OCT device. (SD-OCT). Choroid vascularity index (CVI) was evaluated by Image-J software. CVI was calculated as the proportion of the luminal area (LA) to the total choroidal area (TCA). RNFL, CMT, CT, CVI measurements were compared statistically.Results: Choroidal thickness at 1500 µm temporal of the fovea was found to be statistically significantly thinner in the MwA , MoA groups compared to the control group. (p≤0.01) There was a significant difference in subfoveal CT values of the MwA and the control group.(p<0.05). TCA and LA measurements were statistically different in MwA group compared to controls (p=0.011 and p= 0.006) The mean RNFL thickness of migraine patients with visual aura was found to be statistically significantly thinner than the migraine group with non-visual aura (98.73±8.4 and 109.4±16.8) (p<0.05). There was no statistically significant difference between the RNFL CMT, GCC, and CVI values in MwA, MoA, and control groups (p>0.05).Conclusion: We found that the choroidal thickness was significantly decreased in migraine patients , especially in MwA group.In visual aura subgroup the mean RNFL thickness was significantly decreased compared to non-visual aura subgroup.

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Keywords

Retinal Ganglion Cells, Nerve Fibers, Photosensitizing Agents, Epilepsy, Photochemotherapy, Choroid, Migraine Disorders, Humans, Prospective Studies, Tomography, Optical Coherence

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
7
Top 10%
Average
Top 10%
gold