Skip to main content
Top
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 10/2011

01-10-2011 | Basic Science

Choroidal thickness measurement in healthy Japanese subjects by three-dimensional high-penetration optical coherence tomography

Authors: Tetsuya Agawa, Masahiro Miura, Yasuhi Ikuno, Shuichi Makita, Tapio Fabritius, Takuya Iwasaki, Hiroshi Goto, Kohji Nishida, Yoshiaki Yasuno

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 10/2011

Login to get access

Abstract

Background

We performed retinal and choroidal thickness mapping by three-dimensional high-penetration optical coherence tomography (OCT) and evaluated the choroidal thickness distribution throughout the macula in healthy eyes.

Methods

Forty-three eyes of 43 healthy Japanese volunteers were evaluated by 1060-nm swept-source OCT. The eyes were scanned with a three-dimensional raster scanning protocol, and the mean retinal and choroidal thicknesses of the posterior sectors were obtained. The sectors were defined by the Early Treatment Diabetic Study (ETDRS) layout. These data were compared by age (23–56 years), spherical equivalent refractive error (between +0.9 D and −10.3 D), and axial length (22.9–27.6 mm).

Results

The mean retinal and choroidal thicknesses of the ETDRS area were 284 ± 14 μm and 348 ± 63 μm respectively. The mean regional choroidal thicknesses in the nasal inner macula and nasal outer macula were significantly smaller than those in all other sectors. The mean regional choroidal thickness in most sectors showed a significant negative correlation with axial length and a significant positive correlation with refractive error. In eyes with a long axial length (>25.0 mm), the mean regional choroidal thickness of five sectors showed a significant negative correlation with age. The coefficient of variation of choroidal thickness between sectors showed a significant negative correlation with axial length, and a positive correlation with refractive error. The mean retinal thickness in each sector was not significantly correlated with the mean choroidal thickness, age, axial length, or refractive error.

Conclusions

The choroidal thickness map showed a distribution entirely different from the retinal thickness map. Choroidal thickness varies significantly with location, axial length, refractive error, and age. These variations should be considered when evaluating choroidal thickness.
Literature
2.
go back to reference McLeod DS, Grebe R, Bhutto I, Merges C, Baba T, Lutty GA (2009) Relationship between RPE and choriocapillaries in age-related macular degeneration. Invest Ophthalmol Vis Sci 50:4982–4991PubMedCrossRef McLeod DS, Grebe R, Bhutto I, Merges C, Baba T, Lutty GA (2009) Relationship between RPE and choriocapillaries in age-related macular degeneration. Invest Ophthalmol Vis Sci 50:4982–4991PubMedCrossRef
3.
go back to reference Maruko I, Iida T, Sugano Y, Oyamada H, Sekiryu T, Fujiwara T, Spaide RF (2011) Subfoveal choroidal thickness after treatment of Vogt–Koyanagi–Harada disease. Retina 31:510–517PubMedCrossRef Maruko I, Iida T, Sugano Y, Oyamada H, Sekiryu T, Fujiwara T, Spaide RF (2011) Subfoveal choroidal thickness after treatment of Vogt–Koyanagi–Harada disease. Retina 31:510–517PubMedCrossRef
4.
go back to reference Brown JS, Flitcroft DI, Ying GS, Francis EL, Schmid GF, Quinn GE, Stone RA (2009) In vivo human choroidal thickness measurements: evidence for diurnal fluctuations. Invest Ophthalmol Vis Sci 50:5–12PubMedCrossRef Brown JS, Flitcroft DI, Ying GS, Francis EL, Schmid GF, Quinn GE, Stone RA (2009) In vivo human choroidal thickness measurements: evidence for diurnal fluctuations. Invest Ophthalmol Vis Sci 50:5–12PubMedCrossRef
5.
go back to reference Margolis R, Spaide RF (2009) A pilot study of enhanced depth imaging optical coherence tomography of the choroid in normal eyes. Am J Ophthalmol 147:811–815PubMedCrossRef Margolis R, Spaide RF (2009) A pilot study of enhanced depth imaging optical coherence tomography of the choroid in normal eyes. Am J Ophthalmol 147:811–815PubMedCrossRef
6.
go back to reference Rahman W, Chen FK, Yeoh J, Patel P, Tufail A, Da Cruz L (2011) Repeatability of manual subfoveal choroidal thickness measurements in healthy subjects using the technique of enhanced depth imaging optical coherence tomography. Invest Ophthalmol Vis Sci 52:2267–2271PubMedCrossRef Rahman W, Chen FK, Yeoh J, Patel P, Tufail A, Da Cruz L (2011) Repeatability of manual subfoveal choroidal thickness measurements in healthy subjects using the technique of enhanced depth imaging optical coherence tomography. Invest Ophthalmol Vis Sci 52:2267–2271PubMedCrossRef
7.
go back to reference Yasuno Y, Miura M, Kawana K, Makita S, Sato M, Okamoto F, Yamanari M, Iwasaki T, Yatagai T, Oshika T (2009) Visualization of sub-retinal pigment epithelium morphologies of exudative macular diseases by high-penetration optical coherence tomography. Invest Ophthalmol Vis Sci 50:405–413PubMedCrossRef Yasuno Y, Miura M, Kawana K, Makita S, Sato M, Okamoto F, Yamanari M, Iwasaki T, Yatagai T, Oshika T (2009) Visualization of sub-retinal pigment epithelium morphologies of exudative macular diseases by high-penetration optical coherence tomography. Invest Ophthalmol Vis Sci 50:405–413PubMedCrossRef
8.
go back to reference Ikuno Y, Kawaguchi K, Nouchi T, Yasuno Y (2010) Choroidal thickness in healthy Japanese subjects. Invest Ophthalmol Vis Sci 51:2173–2176PubMedCrossRef Ikuno Y, Kawaguchi K, Nouchi T, Yasuno Y (2010) Choroidal thickness in healthy Japanese subjects. Invest Ophthalmol Vis Sci 51:2173–2176PubMedCrossRef
9.
go back to reference Esmaeelpour M, Povazay B, Hermann B, Hofer B, Kajic V, Kapoor K, Sheen NJ, North RV, Drexler W (2010) Three-dimensional 1060-nm OCT: choroidal thickness maps in normal subjects and improved posterior segment visualization in cataract patients. Invest Ophthalmol Vis Sci 51:5260–5266PubMedCrossRef Esmaeelpour M, Povazay B, Hermann B, Hofer B, Kajic V, Kapoor K, Sheen NJ, North RV, Drexler W (2010) Three-dimensional 1060-nm OCT: choroidal thickness maps in normal subjects and improved posterior segment visualization in cataract patients. Invest Ophthalmol Vis Sci 51:5260–5266PubMedCrossRef
10.
go back to reference Early Treatment Diabetic Retinopathy Study Research Group (1991) Early Treatment Diabetic Retinopathy Study design and baseline patient characteristics. ETDRS report number 7. Ophthalmology 98:741–756 Early Treatment Diabetic Retinopathy Study Research Group (1991) Early Treatment Diabetic Retinopathy Study design and baseline patient characteristics. ETDRS report number 7. Ophthalmology 98:741–756
11.
go back to reference Sull AC, Vuong LN, Price LL, Srinivasan VJ, Gorczynska I, Fujimoto JG, Schuman JS, Duker JS (2010) Comparison of spectral/Fourier domain optical coherence tomography instruments for assessment of normal macular thickness. Retina 30:235–245PubMedCrossRef Sull AC, Vuong LN, Price LL, Srinivasan VJ, Gorczynska I, Fujimoto JG, Schuman JS, Duker JS (2010) Comparison of spectral/Fourier domain optical coherence tomography instruments for assessment of normal macular thickness. Retina 30:235–245PubMedCrossRef
12.
go back to reference Grover S, Murthy RK, Brar VS, Chalam KV (2009) Normative data for macular thickness by high-definition spectral-domain optical coherence tomography (spectralis). Am J Ophthalmol 148:266–271PubMedCrossRef Grover S, Murthy RK, Brar VS, Chalam KV (2009) Normative data for macular thickness by high-definition spectral-domain optical coherence tomography (spectralis). Am J Ophthalmol 148:266–271PubMedCrossRef
13.
go back to reference Sayanagi K, Sharma S, Kaiser PK (2009) Comparison of retinal thickness measurements between three-dimensional and radial scans on spectral-domain optical coherence tomography. Am J Ophthalmol 148:431–438PubMedCrossRef Sayanagi K, Sharma S, Kaiser PK (2009) Comparison of retinal thickness measurements between three-dimensional and radial scans on spectral-domain optical coherence tomography. Am J Ophthalmol 148:431–438PubMedCrossRef
14.
go back to reference Yasuno Y, Madjarova VD, Makita S, Akiba M, Morosawa A, Chong C, Sakai T, Chan K, Itoh M, Yatagai T (2005) Three-dimensional and high-speed swept-source optical coherence tomography for in vivo investigation of human anterior segments. Opt Express 13:10652–10664PubMedCrossRef Yasuno Y, Madjarova VD, Makita S, Akiba M, Morosawa A, Chong C, Sakai T, Chan K, Itoh M, Yatagai T (2005) Three-dimensional and high-speed swept-source optical coherence tomography for in vivo investigation of human anterior segments. Opt Express 13:10652–10664PubMedCrossRef
15.
go back to reference Carney LG, Mainstone JC, Henderson BA (1997) Corneal topography and myopia. A cross-sectional study. Invest Ophthalmol Vis Sci 38:311–320PubMed Carney LG, Mainstone JC, Henderson BA (1997) Corneal topography and myopia. A cross-sectional study. Invest Ophthalmol Vis Sci 38:311–320PubMed
16.
go back to reference Hayreh SS (1990) In vivo choroidal circulation and its watershed zones. Eye (Lond) 4(Pt 2):273–289CrossRef Hayreh SS (1990) In vivo choroidal circulation and its watershed zones. Eye (Lond) 4(Pt 2):273–289CrossRef
17.
go back to reference Hogan MJ, Alvarado JA (1971) Histology of the human eye. Saunders, Philadelphia Hogan MJ, Alvarado JA (1971) Histology of the human eye. Saunders, Philadelphia
19.
go back to reference Vongphanit J, Mitchell P, Wang JJ (2002) Prevalence and progression of myopic retinopathy in an older population. Ophthalmology 109:704–711PubMedCrossRef Vongphanit J, Mitchell P, Wang JJ (2002) Prevalence and progression of myopic retinopathy in an older population. Ophthalmology 109:704–711PubMedCrossRef
20.
go back to reference Moriyama M, Ohno-Matsui K, Futagami S, Yoshida T, Hayashi K, Shimada N, Kojima A, Tokoro T, Mochizuki M (2007) Morphology and long-term changes of choroidal vascular structure in highly myopic eyes with and without posterior staphyloma. Ophthalmology 114:1755–1762PubMedCrossRef Moriyama M, Ohno-Matsui K, Futagami S, Yoshida T, Hayashi K, Shimada N, Kojima A, Tokoro T, Mochizuki M (2007) Morphology and long-term changes of choroidal vascular structure in highly myopic eyes with and without posterior staphyloma. Ophthalmology 114:1755–1762PubMedCrossRef
21.
go back to reference Ramrattan R, van der Schaft T, Mooy C, de Bruijn W, Mulder P, de Jong P (1994) Morphometric analysis of Bruch’s membrane, the choriocapillaries, and the choroid in aging. Invest Ophthalmol Vis Sci 35:2857–2864PubMed Ramrattan R, van der Schaft T, Mooy C, de Bruijn W, Mulder P, de Jong P (1994) Morphometric analysis of Bruch’s membrane, the choriocapillaries, and the choroid in aging. Invest Ophthalmol Vis Sci 35:2857–2864PubMed
22.
go back to reference Ikuno Y, Tano Y (2009) Retinal and choroidal biometry in highly myopic eyes with spectral-domain optical coherence tomography. Invest Ophthalmol Vis Sci 50:3876–3880PubMedCrossRef Ikuno Y, Tano Y (2009) Retinal and choroidal biometry in highly myopic eyes with spectral-domain optical coherence tomography. Invest Ophthalmol Vis Sci 50:3876–3880PubMedCrossRef
23.
go back to reference Fujiwara T, Imamura Y, Margolis R, Slakter JS, Spaide RF (2009) Enhanced depth imaging optical coherence tomography of the choroid in highly myopic eyes. Am J Ophthalmol 148:445–450PubMedCrossRef Fujiwara T, Imamura Y, Margolis R, Slakter JS, Spaide RF (2009) Enhanced depth imaging optical coherence tomography of the choroid in highly myopic eyes. Am J Ophthalmol 148:445–450PubMedCrossRef
24.
25.
go back to reference Ikuno Y, Jo Y, Hamasaki T, Tano Y (2010) Ocular risk factors for choroidal neovascularization in pathologic myopia. Invest Ophthalmol Vis Sci 51:3721–3725PubMedCrossRef Ikuno Y, Jo Y, Hamasaki T, Tano Y (2010) Ocular risk factors for choroidal neovascularization in pathologic myopia. Invest Ophthalmol Vis Sci 51:3721–3725PubMedCrossRef
27.
go back to reference Maruko I, Iida T, Sugano Y, Ojima A, Ogasawara M, Spaide RF (2010) Subfoveal choroidal thickness after treatment of central serous chorioretinopathy. Ophthalmology 117:1792–1799PubMedCrossRef Maruko I, Iida T, Sugano Y, Ojima A, Ogasawara M, Spaide RF (2010) Subfoveal choroidal thickness after treatment of central serous chorioretinopathy. Ophthalmology 117:1792–1799PubMedCrossRef
28.
go back to reference Manjunath V, Taha M, Fujimoto JG, Duker JS (2010) Choroidal thickness in normal eyes measured using Cirrus HD optical coherence tomography. Am J Ophthalmol 150:325–329PubMedCrossRef Manjunath V, Taha M, Fujimoto JG, Duker JS (2010) Choroidal thickness in normal eyes measured using Cirrus HD optical coherence tomography. Am J Ophthalmol 150:325–329PubMedCrossRef
29.
go back to reference Benavente-Perez A, Hosking SL, Logan NS, Bansal D (2010) Reproducibility-repeatability of choroidal thickness calculation using optical coherence tomography. Optom Vis Sci 87:867–872PubMedCrossRef Benavente-Perez A, Hosking SL, Logan NS, Bansal D (2010) Reproducibility-repeatability of choroidal thickness calculation using optical coherence tomography. Optom Vis Sci 87:867–872PubMedCrossRef
Metadata
Title
Choroidal thickness measurement in healthy Japanese subjects by three-dimensional high-penetration optical coherence tomography
Authors
Tetsuya Agawa
Masahiro Miura
Yasuhi Ikuno
Shuichi Makita
Tapio Fabritius
Takuya Iwasaki
Hiroshi Goto
Kohji Nishida
Yoshiaki Yasuno
Publication date
01-10-2011
Publisher
Springer-Verlag
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 10/2011
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-011-1708-7

Other articles of this Issue 10/2011

Graefe's Archive for Clinical and Experimental Ophthalmology 10/2011 Go to the issue