Evidence map›Paper›PMID 38811404›Full record

ArticleArchives of gynecology and obstetrics2024

Optical coherence tomography angiography evaluation of retinal and choroidal microvascular changes in pregnant women with a history of unexplained recurrent spontaneous abortions.

Çisil Erkan Pota, Mehmet Erkan Doğan, Cem Yaşar Sanhal, Ali Pota

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Article in Archives of gynecology and obstetrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Çisil Erkan PotaDepartment of Ophthalmology, Manavgat State Hospital, Antalya, Turkey.ORCID 0000-0003-2544-6618
Mehmet Erkan DoğanDepartment of Ophthalmology, Faculty of Medicine, Akdeniz University, Antalya, Turkey.
Cem Yaşar SanhalDepartment of Obstetrics and Gynecology, Division of Perinatology, Faculty of Medicine, Akdeniz University, Antalya, Türkiye.
Ali PotaDepartment of Obstetrics and Gynecology, PınarbaşıMah. Akdeniz Üniversitesi Tıp Fakültesi Hastanesi, Antalya Akseki State Hospital, 07070, Konyaaltı, Antalya, Türkiye. cisilerkann@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo study retinal and choroidal microcirculation by optical coherence tomography angiography (OCTA) in pregnant women with unexplained recurrent spontaneous abortion (RSA) and to compare them with healthy pregnant and nonpregnant subjects.

methodsPregnant women with an unexplained history of RSA (group 1), healthy pregnant (group 2), and healthy non-pregnant women (group 3) were included in the study. After a thorough ophthalmologic examination:best-corrected visual acuity, intraocular pressure,slit-lamp biomicroscopy, fundus examination,autorefractometer, biometry, and axial length measurement; OCT and OCTA measurements were performed with Swept Source OCT-Angiography (Topcon Co, Japan).

resultsThe nonpregnant group had higher values for central foveal superficial capillary plexus (SCP) and deep capillary plexus (DCP) vessel density (VD) and lower values for superior, inferior, and mean VD compared with pregnant groups (p < 0.001). Choriocapillaris values (CC) VD were higher in groups 1 and 2 than in group 3 (p < 0.001). The group with unexplained RSA had a relatively smaller FAZ (foveal avascular zone) area than the group of healthy pregnant women (p:0.047). There were no statistically significant differences between groups in the retina, retinal nerve fiber layer, ganglion cell layer, and choroidal thickness (p > 0.05).

conclusionAlthough our study did not identify any etiology in pregnant women with RSA, we observed detectable differences in FAZ area and vessel density values using OCTA, when comparing them with healthy pregnant women and healthy nonpregnant controls. We believe that OCTA, as used in many pathologies such as diabetic and hypertensive retinopathy and retinal vascular occlusion, can also be extended to unexplained RSA both to detect etiology and to monitor treatment in studies with a larger number of patients.

Indexed as

Abortion, HabitualChoroidRetinal VesselsTomography, Optical CoherenceAdultCase-Control StudiesFemaleFluorescein AngiographyHumansMicrocirculationMicrovesselsPregnancyYoung AdultFoveal avascular zoneOptic coherence tomography angiographyPregnancyRecurrent spontaneous abortusVascular density

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.