Abstract

BackgroundThis study aims to evaluate choroidal thickness (CT), retinal thickness, ganglion cell-inner plexiform layer (GCIPL), and retinal nerve fiber layer (RNFL) structures in psoriasis patients using optical coherence tomography (OCT).MethodsThis study included 33 psoriasis patients and 33 healthy individuals. Moreover, psoriasis patients who did not use any systemic anti-inflammatory treatment were evaluated. Retinal and choroidal images of the participants were obtained with spectral-domain OCT. Furthermore, CT was measured in the subfoveal, temporal, and nasal positions at 500-µm intervals to a distance of 1,500 μm from the foveal center.ResultsThe mean psoriasis area and severity index (PASI) score was 5.70 (range, 2.40–9.00). No significant differences were found in subfoveal (p = 0.659), temporal, and nasal CT values in psoriasis patients compared with the control group (p > 0.05). Similarly, no statistically significant differences were found between the groups in terms of central retinal thickness, macular GCIPL, and RNFL (p > 0.05). Moreover, no significant correlation exists between the duration of psoriasis disease and PASI scores and OCT parameters (p > 0.05).ConclusionsNo significant changes in CT, ganglion cell layer, RNFL, and retinal thickness values were noted in psoriasis patients with mild to moderate mean PASI score.

Highlights

  • This study aims to evaluate choroidal thickness (CT), retinal thickness, ganglion cell-inner plexiform layer (GCIPL), and retinal nerve fiber layer (RNFL) structures in psoriasis patients using optical coherence tomography (OCT)

  • This study aimed to evaluate CT, retinal thickness, macular ganglion cell-inner plexiform layer (mGCIPL), and RNFL in psoriasis patients and compare them with healthy individuals and determine how these segments are affected by this inflammatory disease

  • Age- and gender-matched healthy individuals referred to the ophthalmology outpatient clinic due to minor refractive error and whose intraocular pressure (IOP) was < 21 mmHg were included as the control group

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Summary

Introduction

This study aims to evaluate choroidal thickness (CT), retinal thickness, ganglion cell-inner plexiform layer (GCIPL), and retinal nerve fiber layer (RNFL) structures in psoriasis patients using optical coherence tomography (OCT). Psoriasis is an immune-mediated chronic inflammatory papulosquamous skin disease that affects approximately 2 % of the population worldwide and negatively affects the quality of life [1]. Genetic and environmental factors play a role. The immunopathology of psoriasis has been accepted as T cell activation, causing systemic inflammation and. Sahin et al BMC Ophthalmology (2021) 21:233 diseases, uveitis. Approximately 10 % of psoriasis patients have ocular findings that can affect the eyelid, conjunctiva, cornea, lens, and anterior uvea the exact prevalence is unknown. Ocular findings usually occur bilaterally during exacerbation periods of psoriasis. Vision-threatening complications are rare [8,9,10,11]

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