Skip to main content
Top
Published in: BMC Ophthalmology 1/2013

Open Access 01-12-2013 | Research article

Peripapillary choroidal thickness in healthy Chinese subjects

Authors: Wenbin Huang, Wei Wang, Minwen Zhou, Shida Chen, Xinbo Gao, Qian Fan, Xiaoyan Ding, Xiulan Zhang

Published in: BMC Ophthalmology | Issue 1/2013

Login to get access

Abstract

Background

To evaluate the peripapillary choroidal thickness of a healthy Chinese population, and to determine its influencing factors.

Methods

A total of 76 healthy volunteers (76 eyes) without ophthalmic or systemic symptoms were enrolled. Choroidal scans (360-degree 3.4 mm diameter peripapillary circle scans) were obtained for all eyes using enhanced depth imaging spectral-domain optical coherence tomography. Choroid thickness was measured at the temporal, superotemporal, superior, superonasal, nasal, inferonasal, inferior, and inferotemporal segments.

Results

The average peripapillary choroidal thicknesses were 165.03 ± 40.37 μm. Inferonasal, inferior, and inferotemporal thicknesses were significantly thinner than temporal, superotemporal, superior, superonasal, nasal thicknesses (p < 0.05). No statistically significant difference was found among inferonasal, inferior, and inferotemporal thicknesses. The average peripapillary choroidal thickness decreased linearly with age (β = −1.33, 95% CI −1.98, -0.68, P < 0.001). No correlation was noted between average choroidal thickness and other factors (gender, refractive error, axial length, average retinal nerve fiber layer thickness, intraocular pressure, diastolic blood pressure, systolic blood pressure, mean blood pressure, diastolic ocular perfusion pressure, systolic ocular perfusion pressure, and mean ocular perfusion pressure).

Conclusions

The inferonasal, inferior, inferotemporal peripapillary choroidal thicknesses were significantly thinner than temporal, superotemporal, superior, superonasal, and nasal thicknesses. A thinner peripapillary choroid is associated with increasing age.
Appendix
Available only for authorised users
Literature
1.
go back to reference Spaide RF: Age-related choroidal atrophy. Am J Ophthalmol. 2009, 147 (5): 801-810. 10.1016/j.ajo.2008.12.010.CrossRefPubMed Spaide RF: Age-related choroidal atrophy. Am J Ophthalmol. 2009, 147 (5): 801-810. 10.1016/j.ajo.2008.12.010.CrossRefPubMed
2.
go back to reference Jirarattanasopa P, Ooto S, Nakata I, Tsujikawa A, Yamashiro K, Oishi A, Yoshimura N: Choroidal thickness, vascular hyper permeability, and complement factor h in age-related macular degeneration and polypoidal choroidal vasculopathy. Invest Ophthalmol Vis Sci. 2012, 53 (7): 3663-3672. 10.1167/iovs.12-9619.CrossRefPubMed Jirarattanasopa P, Ooto S, Nakata I, Tsujikawa A, Yamashiro K, Oishi A, Yoshimura N: Choroidal thickness, vascular hyper permeability, and complement factor h in age-related macular degeneration and polypoidal choroidal vasculopathy. Invest Ophthalmol Vis Sci. 2012, 53 (7): 3663-3672. 10.1167/iovs.12-9619.CrossRefPubMed
3.
go back to reference Nakai K, Gomi F, Ikuno Y, Yasuno Y, Nouchi T, Ohguro N, Nishida K: Choroidal observations in Vogt-Koyanagi-Harada disease using high-penetration optical coherence tomography. Graefes Arch Clin Exp Ophthalmol. 2012, 250 (7): 1089-1095. 10.1007/s00417-011-1910-7.CrossRefPubMed Nakai K, Gomi F, Ikuno Y, Yasuno Y, Nouchi T, Ohguro N, Nishida K: Choroidal observations in Vogt-Koyanagi-Harada disease using high-penetration optical coherence tomography. Graefes Arch Clin Exp Ophthalmol. 2012, 250 (7): 1089-1095. 10.1007/s00417-011-1910-7.CrossRefPubMed
4.
go back to reference Roberts KF, Artes PH, O'Leary N, Reis AS, Sharpe GP, Hutchison DM, Chauhan BC, Nicolela MT: Peripapillary choroidal thickness in healthy controls and patients with focal, diffuse, and sclerotic Glaucomatous optic disc damage. Arch Ophthalmol. 2012, 130 (8): 980-986. 10.1001/archophthalmol.2012.371.CrossRefPubMed Roberts KF, Artes PH, O'Leary N, Reis AS, Sharpe GP, Hutchison DM, Chauhan BC, Nicolela MT: Peripapillary choroidal thickness in healthy controls and patients with focal, diffuse, and sclerotic Glaucomatous optic disc damage. Arch Ophthalmol. 2012, 130 (8): 980-986. 10.1001/archophthalmol.2012.371.CrossRefPubMed
5.
go back to reference Coleman DJ, Lizzi FL: In vivo choroidal thickness measurement. Am J Ophthalmol. 1979, 88 (3 Pt 1): 369-375.CrossRefPubMed Coleman DJ, Lizzi FL: In vivo choroidal thickness measurement. Am J Ophthalmol. 1979, 88 (3 Pt 1): 369-375.CrossRefPubMed
6.
go back to reference Margolis R, Spaide RF: A pilot study of enhanced depth imaging optical coherence tomography of the choroid in normal eyes. Am J Ophthalmol. 2009, 147 (5): 811-815. 10.1016/j.ajo.2008.12.008.CrossRefPubMed Margolis R, Spaide RF: A pilot study of enhanced depth imaging optical coherence tomography of the choroid in normal eyes. Am J Ophthalmol. 2009, 147 (5): 811-815. 10.1016/j.ajo.2008.12.008.CrossRefPubMed
7.
go back to reference Yeoh J, Rahman W, Chen F, Hooper C, Patel P, Tufail A, Webster AR, Moore AT, Dacruz L: Choroidal imaging in inherited retinal disease using the technique of enhanced depth imaging optical coherence tomography. Graefes Arch Clin Exp Ophthalmol. 2010, 248 (12): 1719-1728. 10.1007/s00417-010-1437-3.CrossRefPubMed Yeoh J, Rahman W, Chen F, Hooper C, Patel P, Tufail A, Webster AR, Moore AT, Dacruz L: Choroidal imaging in inherited retinal disease using the technique of enhanced depth imaging optical coherence tomography. Graefes Arch Clin Exp Ophthalmol. 2010, 248 (12): 1719-1728. 10.1007/s00417-010-1437-3.CrossRefPubMed
8.
go back to reference Rahman W, Chen FK, Yeoh J, Patel P, Tufail A, Da CL: Repeatability of manual subfoveal choroidal thickness measurements in healthy subjects using the technique of enhanced depth imaging optical coherence tomography. Invest Ophthalmol Vis Sci. 2011, 52 (5): 2267-2271. 10.1167/iovs.10-6024.CrossRefPubMed Rahman W, Chen FK, Yeoh J, Patel P, Tufail A, Da CL: Repeatability of manual subfoveal choroidal thickness measurements in healthy subjects using the technique of enhanced depth imaging optical coherence tomography. Invest Ophthalmol Vis Sci. 2011, 52 (5): 2267-2271. 10.1167/iovs.10-6024.CrossRefPubMed
9.
go back to reference Ikuno Y, Maruko I, Yasuno Y, Miura M, Sekiryu T, Nishida K, Iida T: Reproducibility of retinal and choroidal thickness measurements in enhanced depth imaging and high-penetration optical coherence tomography. Invest Ophthalmol Vis Sci. 2011, 52 (8): 5536-5540. 10.1167/iovs.10-6811.CrossRefPubMed Ikuno Y, Maruko I, Yasuno Y, Miura M, Sekiryu T, Nishida K, Iida T: Reproducibility of retinal and choroidal thickness measurements in enhanced depth imaging and high-penetration optical coherence tomography. Invest Ophthalmol Vis Sci. 2011, 52 (8): 5536-5540. 10.1167/iovs.10-6811.CrossRefPubMed
10.
go back to reference Usui S, Ikuno Y, Akiba M, Maruko I, Sekiryu T, Nishida K, Iida T: Circadian changes in subfoveal choroidal thickness and the relationship with circulatory factors in healthy subjects. Invest Ophthalmol Vis Sci. 2012, 53 (4): 2300-2307. 10.1167/iovs.11-8383.CrossRefPubMed Usui S, Ikuno Y, Akiba M, Maruko I, Sekiryu T, Nishida K, Iida T: Circadian changes in subfoveal choroidal thickness and the relationship with circulatory factors in healthy subjects. Invest Ophthalmol Vis Sci. 2012, 53 (4): 2300-2307. 10.1167/iovs.11-8383.CrossRefPubMed
11.
go back to reference Ikuno Y, Kawaguchi K, Nouchi T, Yasuno Y: Choroidal thickness in healthy Japanese subjects. Invest Ophthalmol Vis Sci. 2010, 51 (4): 2173-2176. 10.1167/iovs.09-4383.CrossRefPubMed Ikuno Y, Kawaguchi K, Nouchi T, Yasuno Y: Choroidal thickness in healthy Japanese subjects. Invest Ophthalmol Vis Sci. 2010, 51 (4): 2173-2176. 10.1167/iovs.09-4383.CrossRefPubMed
12.
go back to reference Koizumi H, Yamagishi T, Yamazaki T, Kawasaki R, Kinoshita S: Subfoveal choroidal thickness in typical age-related macular degeneration and polypoidal choroidal vasculopathy. Graefes Arch Clin Exp Ophthalmol. 2011, 249 (8): 1123-1128. 10.1007/s00417-011-1620-1.CrossRefPubMed Koizumi H, Yamagishi T, Yamazaki T, Kawasaki R, Kinoshita S: Subfoveal choroidal thickness in typical age-related macular degeneration and polypoidal choroidal vasculopathy. Graefes Arch Clin Exp Ophthalmol. 2011, 249 (8): 1123-1128. 10.1007/s00417-011-1620-1.CrossRefPubMed
13.
go back to reference Ding X, Li J, Zeng J, Ma W, Liu R, Li T, Yu S, Tang S: Choroidal thickness in healthy Chinese subjects. Invest Ophthalmol Vis Sci. 2011, 52 (13): 9555-9560. 10.1167/iovs.11-8076.CrossRefPubMed Ding X, Li J, Zeng J, Ma W, Liu R, Li T, Yu S, Tang S: Choroidal thickness in healthy Chinese subjects. Invest Ophthalmol Vis Sci. 2011, 52 (13): 9555-9560. 10.1167/iovs.11-8076.CrossRefPubMed
14.
go back to reference Tanabe H, Ito Y, Terasaki H: Choroid is thinner in inferior region of optic disks of normal eyes. Retina. 2012, 32 (1): 134-139. 10.1097/IAE.0b013e318217ff87.CrossRefPubMed Tanabe H, Ito Y, Terasaki H: Choroid is thinner in inferior region of optic disks of normal eyes. Retina. 2012, 32 (1): 134-139. 10.1097/IAE.0b013e318217ff87.CrossRefPubMed
15.
go back to reference Ho J, Branchini L, Regatieri C, Krishnan C, Fujimoto JG, Duker JS: Analysis of normal peripapillary choroidal thickness via spectral domain optical coherence tomography. Ophthalmology. 2011, 118 (10): 2001-2007. 10.1016/j.ophtha.2011.02.049.CrossRefPubMedPubMedCentral Ho J, Branchini L, Regatieri C, Krishnan C, Fujimoto JG, Duker JS: Analysis of normal peripapillary choroidal thickness via spectral domain optical coherence tomography. Ophthalmology. 2011, 118 (10): 2001-2007. 10.1016/j.ophtha.2011.02.049.CrossRefPubMedPubMedCentral
16.
go back to reference Ehrlich JR, Peterson J, Parlitsis G, Kay KY, Kiss S, Radcliffe NM: Peripapillary choroidal thickness in glaucoma measured with optical coherence tomography. Exp Eye Res. 2011, 92 (3): 189-194. 10.1016/j.exer.2011.01.002.CrossRefPubMed Ehrlich JR, Peterson J, Parlitsis G, Kay KY, Kiss S, Radcliffe NM: Peripapillary choroidal thickness in glaucoma measured with optical coherence tomography. Exp Eye Res. 2011, 92 (3): 189-194. 10.1016/j.exer.2011.01.002.CrossRefPubMed
17.
go back to reference Hayreh SS: Blood supply of the optic nerve head and its role in optic atrophy, glaucoma, and oedema of the optic disc. Br J Ophthalmol. 1969, 53 (11): 721-748. 10.1136/bjo.53.11.721.CrossRefPubMedPubMedCentral Hayreh SS: Blood supply of the optic nerve head and its role in optic atrophy, glaucoma, and oedema of the optic disc. Br J Ophthalmol. 1969, 53 (11): 721-748. 10.1136/bjo.53.11.721.CrossRefPubMedPubMedCentral
18.
go back to reference Maul EA, Friedman DS, Chang DS, Boland MV, Ramulu PY, Jampel HD, Quigley HA: Choroidal thickness measured by spectral domain optical coherence tomography: factors affecting thickness in glaucoma patients. Ophthalmology. 2011, 118 (8): 1571-1579. 10.1016/j.ophtha.2011.01.016.CrossRefPubMedPubMedCentral Maul EA, Friedman DS, Chang DS, Boland MV, Ramulu PY, Jampel HD, Quigley HA: Choroidal thickness measured by spectral domain optical coherence tomography: factors affecting thickness in glaucoma patients. Ophthalmology. 2011, 118 (8): 1571-1579. 10.1016/j.ophtha.2011.01.016.CrossRefPubMedPubMedCentral
19.
go back to reference Fujiwara T, Imamura Y, Margolis R, Slakter JS, Spaide RF: Enhanced depth imaging optical coherence tomography of the choroid in highly myopic eyes. Am J Ophthalmol. 2009, 148 (3): 445-450. 10.1016/j.ajo.2009.04.029.CrossRefPubMed Fujiwara T, Imamura Y, Margolis R, Slakter JS, Spaide RF: Enhanced depth imaging optical coherence tomography of the choroid in highly myopic eyes. Am J Ophthalmol. 2009, 148 (3): 445-450. 10.1016/j.ajo.2009.04.029.CrossRefPubMed
20.
go back to reference Schoenwolf G, Bleyl S, Brauer P, Francis-West P: Larsen’s Human Embryology. 2009, Philadelphia: Elsevier, 602-616. Schoenwolf G, Bleyl S, Brauer P, Francis-West P: Larsen’s Human Embryology. 2009, Philadelphia: Elsevier, 602-616.
21.
go back to reference Hirooka K, Tenkumo K, Fujiwara A, Baba T, Sato S, Shiraga F: Evaluation of peripapillary choroidal thickness in patients with normal-tension glaucoma. BMC Ophthalmol. 2012, 12: 29-10.1186/1471-2415-12-29.CrossRefPubMedPubMedCentral Hirooka K, Tenkumo K, Fujiwara A, Baba T, Sato S, Shiraga F: Evaluation of peripapillary choroidal thickness in patients with normal-tension glaucoma. BMC Ophthalmol. 2012, 12: 29-10.1186/1471-2415-12-29.CrossRefPubMedPubMedCentral
22.
go back to reference Wei WB, Xu L, Jonas JB, Shao L, Du KF, Wang S, Chen CX, Xu J, Wang YX, Zhou JQ, et al: Subfoveal choroidal thickness: the Beijing eye study. Ophthalmology. 2013, 120: 175-180. 10.1016/j.ophtha.2012.07.048.CrossRefPubMed Wei WB, Xu L, Jonas JB, Shao L, Du KF, Wang S, Chen CX, Xu J, Wang YX, Zhou JQ, et al: Subfoveal choroidal thickness: the Beijing eye study. Ophthalmology. 2013, 120: 175-180. 10.1016/j.ophtha.2012.07.048.CrossRefPubMed
23.
go back to reference Tan CS, Ouyang Y, Ruiz H, Sadda SR: Diurnal variation of choroidal thickness in normal, healthy subjects measured by spectral domain optical coherence tomography. Invest Ophthalmol Vis Sci. 2012, 53 (1): 261-266. 10.1167/iovs.11-8782.CrossRefPubMed Tan CS, Ouyang Y, Ruiz H, Sadda SR: Diurnal variation of choroidal thickness in normal, healthy subjects measured by spectral domain optical coherence tomography. Invest Ophthalmol Vis Sci. 2012, 53 (1): 261-266. 10.1167/iovs.11-8782.CrossRefPubMed
Metadata
Title
Peripapillary choroidal thickness in healthy Chinese subjects
Authors
Wenbin Huang
Wei Wang
Minwen Zhou
Shida Chen
Xinbo Gao
Qian Fan
Xiaoyan Ding
Xiulan Zhang
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2013
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/1471-2415-13-23

Other articles of this Issue 1/2013

BMC Ophthalmology 1/2013 Go to the issue