Subfoveal choroidal thickness in ipsi‐ and contralateral eyes of patients with carotid stenosis before and after carotid endarterectomy: a prospective study Article Swipe
Marianne Ala‐Kauhaluoma
,
Suvi Koskinen
,
Heli Silvennoinen
,
Pirkka Vikatmaa
,
Krista Nuotio
,
Petra Ijäs
,
Kristiina Relander
,
Perttu J. Lindsberg
,
Lauri Soinne
,
Paula Summanen
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1111/aos.14648
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1111/aos.14648
Purpose To compare subfoveal choroidal thickness (SFCT) and associated clinical variables in patients with carotid stenosis (CS) before and 6 months after carotid endarterectomy (CEA). Methods The prospective non‐randomized Helsinki Carotid Endarterectomy Study – Brain and Eye Sub‐sTudy included seventy patients (81% male, mean age 69 years) and 40 control subjects (77% male, 68 years), from March 2015 to December 2018. Ophthalmological examination included SFCT measured with enhanced‐depth imaging‐optical coherence tomography. Carotid stenosis (CS) was more severe (≥70% stenosis in 92%) ipsilateral to the CEA than contralaterally (<50% stenosis in 74%; p < 0.001). Results At baseline, patients had thinner mean SFCT than control subjects in both eyes (ipsilateral, 222 versus 257 μ m and contralateral, 217 versus 258 μ m, p ≤ 0.005). At follow‐up, SFCT did not change in ipsi‐ and contralateral eyes compared to baseline in patients (p = 0.68 and p = 0.77), or in control subjects (p = 0.59 and p = 0.79). Patients with coronary artery disease had thinner mean SFCT versus those without it in ipsilateral eyes before CEA (200 versus 233 μ m, p = 0.027). In ipsilateral eyes of patients before CEA, thinner SFCT and ocular signs of CS, plaque and hypoperfusion related findings combined, were associated (p = 0.036), and the best‐corrected visual acuity, measured in logMAR, increased with increasing SFCT ( r = −0.25; p = 0.046). Conclusions Subfoveal choroidal thickness (SFCT) is thinner in patients with CS without association between SFCT and the grade of CS. Unchanged SFCT after CEA suggests, that choroidal vessels in severe CS are unable to react to increased blood flow. Bilaterally thin SFCT could be considered as yet another sign of CS.
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Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/aos.14648
- OA Status
- green
- Cited By
- 17
- References
- 42
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3115575041
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3115575041Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/aos.14648Digital Object Identifier
- Title
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Subfoveal choroidal thickness in ipsi‐ and contralateral eyes of patients with carotid stenosis before and after carotid endarterectomy: a prospective studyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-12-23Full publication date if available
- Authors
-
Marianne Ala‐Kauhaluoma, Suvi Koskinen, Heli Silvennoinen, Pirkka Vikatmaa, Krista Nuotio, Petra Ijäs, Kristiina Relander, Perttu J. Lindsberg, Lauri Soinne, Paula SummanenList of authors in order
- Landing page
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https://doi.org/10.1111/aos.14648Publisher landing page
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YesWhether a free full text is available
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greenOpen access status per OpenAlex
- OA URL
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https://hdl.handle.net/10138/337994Direct OA link when available
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Medicine, Carotid endarterectomy, Ophthalmology, Stenosis, Prospective cohort study, Choroid, Surgery, Internal medicine, Retina, Physics, OpticsTop concepts (fields/topics) attached by OpenAlex
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17Total citation count in OpenAlex
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2025: 4, 2024: 4, 2023: 6, 2022: 2, 2021: 1Per-year citation counts (last 5 years)
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42Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.0.68 | 143 |
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| abstract_inverted_index.74%; | 91 |
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| abstract_inverted_index.flow. | 267 |
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| abstract_inverted_index.male, | 43, 53 |
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| abstract_inverted_index.those | 169 |
| abstract_inverted_index.(CEA). | 25 |
| abstract_inverted_index.(SFCT) | 7, 233 |
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| abstract_inverted_index.0.79). | 158 |
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| abstract_inverted_index.0.027). | 184 |
| abstract_inverted_index.0.036), | 209 |
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| corresponding_author_ids | https://openalex.org/A5077245178 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 10 |
| corresponding_institution_ids | https://openalex.org/I133731052, https://openalex.org/I2800394112 |
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| sustainable_development_goals[0].display_name | Good health and well-being |
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| citation_normalized_percentile.is_in_top_10_percent | False |