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Published in: BMC Ophthalmology 1/2018

Open Access 01-12-2018 | Research article

Decreased choroidal thickness in vitiligo patients

Authors: Serkan Demirkan, Zafer Onaran, Güzin Samav, Fatma Özkal, Erhan Yumuşak, Özgür Gündüz, Ayşe Karabulut

Published in: BMC Ophthalmology | Issue 1/2018

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Abstract

Background

Vitiligo is a disease characterized by depigmented macules and patches that occur as a result of the loss of functional melanocytes from the affected skin through a mechanism which has not been elucidated yet. Destruction of pigment cells in vitiligo may not remain limited to the skin; the eyelashes, iris, ciliary body, choroid, retinal pigment epithelium and meninges may also be affected. This study aims to compare the choroidal thickness of patients with and without vitiligo using optical coherence tomography (OCT).

Methods

Spectral-domain optical coherence tomography (SD-OCT) (Retina Scan Advanced RS-3000 NIDEK, Japan) instrument (with λ = 840 nm, 27,000 A-scans/second and 5 μm axial resolution) was used for the imaging. Statistical analysis was performed using SPSS 21.0 software package.

Results

In all values except optic nevre area measurements, the choroidal thickness of all vitiligo patients was found out to be thinner compared to the control group.

Conclusions

In vitiligo, the choroidal thickness may be affected by the loss of melanocytes.
Literature
1.
go back to reference Alikhan A, Felsten LM, Daly M, Petronic-Rosic V. Vitiligo: a comprehensive overview part I. Introduction, epidemiology, quality of life, diagnosis, diferantial diagnosis, associations, histopathology, etiology, andwork-up. J Am Acad Dermatol. 2011;65(3):473–91.CrossRefPubMed Alikhan A, Felsten LM, Daly M, Petronic-Rosic V. Vitiligo: a comprehensive overview part I. Introduction, epidemiology, quality of life, diagnosis, diferantial diagnosis, associations, histopathology, etiology, andwork-up. J Am Acad Dermatol. 2011;65(3):473–91.CrossRefPubMed
2.
go back to reference Ortonne JP, Passeron T. Vitiligo and other disorders of hypopigmentation. In: Bolognia JL, Jorizzo JL, Scaheffer JV, editors. Dermatology. 3rd ed. Philedelphia: Elsevier Saunders; 2012. p. 1023–30. Ortonne JP, Passeron T. Vitiligo and other disorders of hypopigmentation. In: Bolognia JL, Jorizzo JL, Scaheffer JV, editors. Dermatology. 3rd ed. Philedelphia: Elsevier Saunders; 2012. p. 1023–30.
3.
go back to reference Taieb A, Alomar A, Böhm M, Dell’anna ML, De Pase A, Eleftheriadou V, et al. Guidelines for the management of vitiligo: the European dermatology forum consensus. Br J Dermatol. 2013;168(1):5–19.CrossRefPubMed Taieb A, Alomar A, Böhm M, Dell’anna ML, De Pase A, Eleftheriadou V, et al. Guidelines for the management of vitiligo: the European dermatology forum consensus. Br J Dermatol. 2013;168(1):5–19.CrossRefPubMed
4.
go back to reference Ryan SJ. Retina, vol. 1. 4th ed. Philadelphia: Elsevier Mosby; 2006. Ryan SJ. Retina, vol. 1. 4th ed. Philadelphia: Elsevier Mosby; 2006.
6.
go back to reference Chung SE, Kang SW, Lee JH, et al. Choroidal thickness in polypoidal choroidal vasculopathy and exudative age-related macular degeneration. Ophthalmology. 2011;118:840–5.CrossRefPubMed Chung SE, Kang SW, Lee JH, et al. Choroidal thickness in polypoidal choroidal vasculopathy and exudative age-related macular degeneration. Ophthalmology. 2011;118:840–5.CrossRefPubMed
7.
go back to reference Kurt A, Kurt EE, Kılıç R, Öktem C, Tuncay F, Erdem HR. Is choroidal thickness related with disease activity and joint damage in patient with rheumatoid arthritis. Bratisl Lek Listy. 2017;118(1):23–7.PubMed Kurt A, Kurt EE, Kılıç R, Öktem C, Tuncay F, Erdem HR. Is choroidal thickness related with disease activity and joint damage in patient with rheumatoid arthritis. Bratisl Lek Listy. 2017;118(1):23–7.PubMed
8.
go back to reference Kılıç R, Kurt A, Acer E, Öktem Ç, Kocamış Ö. Choroidal thickness in psoriasis. Int Ophthalmol. 2017;37(1):173–7.CrossRefPubMed Kılıç R, Kurt A, Acer E, Öktem Ç, Kocamış Ö. Choroidal thickness in psoriasis. Int Ophthalmol. 2017;37(1):173–7.CrossRefPubMed
9.
go back to reference Kola M, Kalkisim A, Karkucak M, et al. Evaluation of choroidal thickness in ankylosing spondylitis using optical coherence tomography. Ocul Immunol Inflamm. 2014;22:434–8.CrossRefPubMed Kola M, Kalkisim A, Karkucak M, et al. Evaluation of choroidal thickness in ankylosing spondylitis using optical coherence tomography. Ocul Immunol Inflamm. 2014;22:434–8.CrossRefPubMed
10.
go back to reference Örnek N, Onaran Z, Koçak M, Örnek K. Retinal nerve fiber layer thickness in vitiligo patients. J Res Med Sci. 2013;18(5):405–7.PubMedPubMedCentral Örnek N, Onaran Z, Koçak M, Örnek K. Retinal nerve fiber layer thickness in vitiligo patients. J Res Med Sci. 2013;18(5):405–7.PubMedPubMedCentral
11.
go back to reference Hamzavi I, Jain H, McLean D, Shapiro J, Zeng H, Lui H. Parametric modeling of narrowband UV-B phototherapy for vitiligo using a novel quantitative tool: the vitiligo area scoring index. Arch Dermatol. 2004;140(6):677–83.CrossRefPubMed Hamzavi I, Jain H, McLean D, Shapiro J, Zeng H, Lui H. Parametric modeling of narrowband UV-B phototherapy for vitiligo using a novel quantitative tool: the vitiligo area scoring index. Arch Dermatol. 2004;140(6):677–83.CrossRefPubMed
12.
go back to reference Ikuno Y, Kawaguchi K, Nouchi T, Yasuno Y. Choroidal thickness in healthy Japanese subjects. Invest Ophthalmol Vis Sci. 2010;51:2173–6.CrossRefPubMed Ikuno Y, Kawaguchi K, Nouchi T, Yasuno Y. Choroidal thickness in healthy Japanese subjects. Invest Ophthalmol Vis Sci. 2010;51:2173–6.CrossRefPubMed
13.
go back to reference Agawa T, Miura M, Ikuno Y, Makita S, Fabritius T, Iwasaki T, et al. Choroidal thickness measurement in healthy Japanese subjects by three-dimensional high-penetration optical coherence tomography. Graefes Arch Clin Exp Ophthalmol. 2011;249(10):1485–92.CrossRefPubMed Agawa T, Miura M, Ikuno Y, Makita S, Fabritius T, Iwasaki T, et al. Choroidal thickness measurement in healthy Japanese subjects by three-dimensional high-penetration optical coherence tomography. Graefes Arch Clin Exp Ophthalmol. 2011;249(10):1485–92.CrossRefPubMed
14.
go back to reference Yiu G, Chiu SJ, Petrou PA, Stinnett S, Sarin N, Farsiu S, et al. Relationship of central choroidal thickness with age-related macular degeneration status. Am J Ophthalmol. 2015;159(4):617–26.CrossRefPubMed Yiu G, Chiu SJ, Petrou PA, Stinnett S, Sarin N, Farsiu S, et al. Relationship of central choroidal thickness with age-related macular degeneration status. Am J Ophthalmol. 2015;159(4):617–26.CrossRefPubMed
15.
go back to reference Sanchez-Cano A, Orduna E, Segura F, Lopez C, Cuenca N, Abecia E, Pinilla I. Choroidal thickness and volume in healthy young white adults and the relationships between them and axial length, ammetropy and sex. Am J Ophthalmol. 2014;158(3):574–83.CrossRefPubMed Sanchez-Cano A, Orduna E, Segura F, Lopez C, Cuenca N, Abecia E, Pinilla I. Choroidal thickness and volume in healthy young white adults and the relationships between them and axial length, ammetropy and sex. Am J Ophthalmol. 2014;158(3):574–83.CrossRefPubMed
16.
go back to reference Akay F, Gundogan FC, Yolcu U, Toyran S, Uzun S. Choroidal thickness in systemic arterial hypertension. Eur J Ophthalmol. 2016;26(2):152–7.CrossRefPubMed Akay F, Gundogan FC, Yolcu U, Toyran S, Uzun S. Choroidal thickness in systemic arterial hypertension. Eur J Ophthalmol. 2016;26(2):152–7.CrossRefPubMed
17.
go back to reference Sizmaz S, Küçüker Dönmez C, Pinarci EY, Karalezli A, Canan H, Yilmaz G. The effect of smoking on choroidal thickness measured by optical coherence tomography. Br J Ophthalmol. 2013;97:601–4.CrossRefPubMed Sizmaz S, Küçüker Dönmez C, Pinarci EY, Karalezli A, Canan H, Yilmaz G. The effect of smoking on choroidal thickness measured by optical coherence tomography. Br J Ophthalmol. 2013;97:601–4.CrossRefPubMed
18.
go back to reference Duru N, Altinkaynak H, Erten Ş, Can ME, Duru Z, Uğurlu FG, Çağıl N. Thinning of choroidal thickness in patients with rheumatoid arthritis unrelated to disease activity. Ocul Immunol Inflamm. 2015;31:1–8. Duru N, Altinkaynak H, Erten Ş, Can ME, Duru Z, Uğurlu FG, Çağıl N. Thinning of choroidal thickness in patients with rheumatoid arthritis unrelated to disease activity. Ocul Immunol Inflamm. 2015;31:1–8.
19.
go back to reference Ingegnoli F, Gualtierotti R, Pierro L, Del Turco C, Miserocchi E, Schioppo T, ACUTE study group, et al. Choroidal impairment and macular thinning in patients with systemic sclerosis: the acute study. Microvasc Res. 2015;97:31–6.CrossRefPubMed Ingegnoli F, Gualtierotti R, Pierro L, Del Turco C, Miserocchi E, Schioppo T, ACUTE study group, et al. Choroidal impairment and macular thinning in patients with systemic sclerosis: the acute study. Microvasc Res. 2015;97:31–6.CrossRefPubMed
20.
go back to reference Pekel G, Alur I, Alihanoglu YI, Yagci R, Emrecan B. Choroidal changes after cardiopulmonary bypass. Perfusion. 2014;29:560–6.CrossRefPubMed Pekel G, Alur I, Alihanoglu YI, Yagci R, Emrecan B. Choroidal changes after cardiopulmonary bypass. Perfusion. 2014;29:560–6.CrossRefPubMed
21.
go back to reference Karabas L, Esen F, Celiker H, Elcioglu N, Cerman E, Eraslan M, Kazokoglu H, Sahin O. Decreased subfoveal choroidal thickness and failure of emmetropisation in patients with oculocutaneous albinism. Br J Ophthalmol. 2014;98:1087–90.CrossRefPubMed Karabas L, Esen F, Celiker H, Elcioglu N, Cerman E, Eraslan M, Kazokoglu H, Sahin O. Decreased subfoveal choroidal thickness and failure of emmetropisation in patients with oculocutaneous albinism. Br J Ophthalmol. 2014;98:1087–90.CrossRefPubMed
22.
go back to reference Bordaberry MF. Vogt-Koyanagi-Harada disease: diagnosis and treatments update. Curr Opin Ophthalmol. 2010;21:430–5.CrossRefPubMed Bordaberry MF. Vogt-Koyanagi-Harada disease: diagnosis and treatments update. Curr Opin Ophthalmol. 2010;21:430–5.CrossRefPubMed
23.
go back to reference Nakayama M, Keino H, Okada AA, Watanabe T, Taki W, Inoue M, Hirakata A. Enhanced depth imaging optical coherence tomography of the choroid in Vogt-Koyanagi-Harada disease. Retina. 2012;32:2061–9.CrossRefPubMed Nakayama M, Keino H, Okada AA, Watanabe T, Taki W, Inoue M, Hirakata A. Enhanced depth imaging optical coherence tomography of the choroid in Vogt-Koyanagi-Harada disease. Retina. 2012;32:2061–9.CrossRefPubMed
24.
go back to reference Bulbul-Baskan E, Baykara M, Ercan İ, Tunali S, Yucel A. Vitiligo and ocular findings: a study on possible associations. J Eur Acad Dermatol Venereol. 2006;20:829–33.PubMed Bulbul-Baskan E, Baykara M, Ercan İ, Tunali S, Yucel A. Vitiligo and ocular findings: a study on possible associations. J Eur Acad Dermatol Venereol. 2006;20:829–33.PubMed
25.
go back to reference Ayotunde A, Olakunle G. Ophthalmic assessment in black patients with vitiligo. J Natl Med Assoc. 2005;97(2):286–7. Ayotunde A, Olakunle G. Ophthalmic assessment in black patients with vitiligo. J Natl Med Assoc. 2005;97(2):286–7.
26.
go back to reference Kavroulaki D, Gugleta K, Kochkorov A, et al. Influence of gender and menopausal status on peripheral and choroidal circulation. Acta Ophthalmol. 2010;88:850–3.CrossRefPubMed Kavroulaki D, Gugleta K, Kochkorov A, et al. Influence of gender and menopausal status on peripheral and choroidal circulation. Acta Ophthalmol. 2010;88:850–3.CrossRefPubMed
Metadata
Title
Decreased choroidal thickness in vitiligo patients
Authors
Serkan Demirkan
Zafer Onaran
Güzin Samav
Fatma Özkal
Erhan Yumuşak
Özgür Gündüz
Ayşe Karabulut
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2018
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-018-0796-0

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