論文

査読有り 国際誌
2019年6月14日

Association between radiation, glaucoma subtype, and retinal vessel diameter in atomic bomb survivors.

Scientific reports
  • Yoshiaki Kiuchi
  • ,
  • Masahide Yanagi
  • ,
  • Katsumasa Itakura
  • ,
  • Ikuno Takahashi
  • ,
  • Ayumi Hida
  • ,
  • Waka Ohishi
  • ,
  • Kyoji Furukawa

9
1
開始ページ
8642
終了ページ
8642
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1038/s41598-019-45049-7

We examined the relationship between glaucoma subtype and retinal vascular caliber as markers of ocular circulation. Subjects were Japanese atomic bomb survivors in Hiroshima and Nagasaki. After a screening examination, potential cases were subjected to further definitive examination. The diameters of central retinal artery and vein equivalents (CRAE and CRVE) on digitized retinal photographs were measured using an established method. Generalized linear regression analyses were used to examine the associations among vessel diameters, radiation exposure, and prevalence of glaucoma subtypes among the study subjects. We identified 196 cases of glaucoma (12%) based on optic disc appearance, perimetry results, and other ocular findings. The main subtypes were primary angle-closure glaucoma, primary open-angle glaucoma and normal-tension glaucoma (NTG). NTG was the dominant subtype (78%). NTG was negatively associated with CRAE and CRVE, and positively associated with radiation dose. CRVE was negatively associated with radiation dose and the association was unclear for CRAE. The smaller retinal vessel caliber in NTG patients than in subjects without glaucoma may indicate an association between ocular blood flow and the pathogenesis of NTG. However, significant relationships among vessel calibers, NTG and radiation exposure were not clear.

リンク情報
DOI
https://doi.org/10.1038/s41598-019-45049-7
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31201344
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6570769
ID情報
  • DOI : 10.1038/s41598-019-45049-7
  • PubMed ID : 31201344
  • PubMed Central 記事ID : PMC6570769

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