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Subfoveal Choroidal Thickness in Central Serous Chorioretinopathy: A Meta-Analysis.

Identifieur interne : 000088 ( Main/Exploration ); précédent : 000087; suivant : 000089

Subfoveal Choroidal Thickness in Central Serous Chorioretinopathy: A Meta-Analysis.

Auteurs : Guohai Chen [République populaire de Chine] ; Radouil Tzekov [États-Unis] ; Wensheng Li [République populaire de Chine] ; Fangzheng Jiang [République populaire de Chine] ; Sihong Mao [République populaire de Chine] ; Yuhua Tong [République populaire de Chine]

Source :

RBID : pubmed:28076442

Descripteurs français

English descriptors

Abstract

PURPOSE

To evaluate the relationship between subfoveal choroidal thickness (SFCT) and eyes with central serous chorioretinopathy (CSC) versus fellow or control eyes.

METHODS

We performed a meta-analysis using databases including PubMed, Embase and ISI Web of Science to find relevant studies. Weighted mean difference (WMD) was calculated for the SFCT in CSC eyes, the unaffected fellow eyes and normal controls.

RESULTS

Twelve studies were selected for this meta-analysis, including 1108 eyes (397 CSC eyes, 228 unaffected fellow eyes and 483 eyes of normal controls). The meta-analysis clearly demonstrated that the subfoveal choiroid of eyes with a clinical presentation of CSC was thickened compared to unaffected fellow eyes (WMD = 52.81, 95% confidence interval (CI), 39.13-66.49, P<0.00001) and was thickened compared to control eyes (WMD = 145.03, 95%CI, 121.33-168.73, P<0.00001). The mean SFCT measurement of the unaffected fellow eyes showed also significantly increased choroidal thickness compared to that of normal control eyes (WMD = 77.20, 95% CI, 44.98-109.42, P<0.00001). Similar results were obtained in a sub-analysis based on the same instrument.

CONCLUSION

It is demonstrated that SFCT is significantly increased in eyes with clinical manifestation of CSC, and in the clinically non-manifested fellow eyes. These results support the hypothesis that CSC is a bilateral disorder with an initial unilateral clinical presentation.


DOI: 10.1371/journal.pone.0169152
PubMed: 28076442
PubMed Central: PMC5226680


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Adult (MeSH)</term>
<term>Case-Control Studies (MeSH)</term>
<term>Central Serous Chorioretinopathy (diagnosis)</term>
<term>Central Serous Chorioretinopathy (pathology)</term>
<term>Choroid (diagnostic imaging)</term>
<term>Choroid (pathology)</term>
<term>Female (MeSH)</term>
<term>Fluorescein Angiography (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Organ Size (MeSH)</term>
<term>Tomography, Optical Coherence (MeSH)</term>
<term>Visual Acuity (MeSH)</term>
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<term>Acuité visuelle (MeSH)</term>
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<term>Adulte d'âge moyen (MeSH)</term>
<term>Angiographie fluorescéinique (MeSH)</term>
<term>Choriorétinopathie séreuse centrale (anatomopathologie)</term>
<term>Choriorétinopathie séreuse centrale (diagnostic)</term>
<term>Choroïde (anatomopathologie)</term>
<term>Choroïde (imagerie diagnostique)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Taille d'organe (MeSH)</term>
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<term>Choriorétinopathie séreuse centrale</term>
<term>Choroïde</term>
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<term>Choroid</term>
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<term>Choroid</term>
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<term>Adult</term>
<term>Case-Control Studies</term>
<term>Female</term>
<term>Fluorescein Angiography</term>
<term>Humans</term>
<term>Male</term>
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<term>Adulte</term>
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<p>
<b>PURPOSE</b>
</p>
<p>To evaluate the relationship between subfoveal choroidal thickness (SFCT) and eyes with central serous chorioretinopathy (CSC) versus fellow or control eyes.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>We performed a meta-analysis using databases including PubMed, Embase and ISI Web of Science to find relevant studies. Weighted mean difference (WMD) was calculated for the SFCT in CSC eyes, the unaffected fellow eyes and normal controls.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Twelve studies were selected for this meta-analysis, including 1108 eyes (397 CSC eyes, 228 unaffected fellow eyes and 483 eyes of normal controls). The meta-analysis clearly demonstrated that the subfoveal choiroid of eyes with a clinical presentation of CSC was thickened compared to unaffected fellow eyes (WMD = 52.81, 95% confidence interval (CI), 39.13-66.49, P<0.00001) and was thickened compared to control eyes (WMD = 145.03, 95%CI, 121.33-168.73, P<0.00001). The mean SFCT measurement of the unaffected fellow eyes showed also significantly increased choroidal thickness compared to that of normal control eyes (WMD = 77.20, 95% CI, 44.98-109.42, P<0.00001). Similar results were obtained in a sub-analysis based on the same instrument.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>It is demonstrated that SFCT is significantly increased in eyes with clinical manifestation of CSC, and in the clinically non-manifested fellow eyes. These results support the hypothesis that CSC is a bilateral disorder with an initial unilateral clinical presentation.</p>
</div>
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<AbstractText Label="RESULTS" NlmCategory="RESULTS">Twelve studies were selected for this meta-analysis, including 1108 eyes (397 CSC eyes, 228 unaffected fellow eyes and 483 eyes of normal controls). The meta-analysis clearly demonstrated that the subfoveal choiroid of eyes with a clinical presentation of CSC was thickened compared to unaffected fellow eyes (WMD = 52.81, 95% confidence interval (CI), 39.13-66.49, P<0.00001) and was thickened compared to control eyes (WMD = 145.03, 95%CI, 121.33-168.73, P<0.00001). The mean SFCT measurement of the unaffected fellow eyes showed also significantly increased choroidal thickness compared to that of normal control eyes (WMD = 77.20, 95% CI, 44.98-109.42, P<0.00001). Similar results were obtained in a sub-analysis based on the same instrument.</AbstractText>
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<Citation>Am J Ophthalmol. 2015 Apr;159(4):644-51</Citation>
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<ArticleId IdType="pubmed">25595669</ArticleId>
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