Evidence map›Paper›PMID 42151406›Full record

ArticleEye (London, England)2026

Choroidal vascularity profiles in diabetic macular oedema subtypes: a swept-source OCT angiography study.

Lanxin Ren, Jingsheng Yi, Yifan Wang, Dezhi Zheng, Zijing Huang, Weiqi Chen, Dingguo Huang

Abstract read
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Article in Eye (London, England), 2026. 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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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Lanxin RenJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, China.
Jingsheng YiJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, China.
Yifan WangJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, China.
Dezhi ZhengJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, China.
Zijing HuangJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, China.ORCID http://orcid.org/0000-0003-2909-2538
Weiqi ChenJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, China.ORCID http://orcid.org/0000-0003-2852-8192
Dingguo HuangJoint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, China. hdg@jsiec.org.ORCID http://orcid.org/0000-0002-0888-7828

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo characterise choroidal microvascular changes in diabetic macular oedema (DMO) subtypes using swept-source optical coherence tomography angiography (SS-OCTA).

methodsThis cross-sectional study analysed 182 eyes with centre-involved DMO from 141 patients (45 diffuse retinal thickening [DRT], 72 cystoid macular oedema [CMO], 65 serous retinal detachment [SRD]) and 40 age-matched healthy controls. Imaging was performed using the VG200 SS-OCTA system with a 1050 nm wavelength and 200,000 A-scans/second scan speed. Parameters including choroidal thickness (ChT), choroidal volume (CV), choroidal vascularity index (CVI), and choriocapillaris flow deficit percentage (CC FD%) were assessed in three macular annular regions (1-, 3-, and 6-mm diameter rings cantered on the fovea).

resultsCompared to controls, all DMO subtypes exhibited choroidal microvascular dysfunction, including reduced CVI and increased ChT. Notably, SRD demonstrated the most severe flow deficits, with significantly larger CC FD% than both DRT (17.08 ± 10.83% vs 11.08 ± 7.38%, p = 0.002) and CMO (17.08 ± 10.83% vs 12.71 ± 8.16%, p = 0.014) in the 1-mm diameter ring. Similar differences were observed in the 3-mm diameter ring (SRD 12.66 ± 5.73% vs DRT 9.09 ± 5.00%, p = 0.002; SRD vs CMO 9.84 ± 5.11%, p = 0.007) and 6-mm diameter ring (SRD 9.87 ± 4.03% vs DRT 8.11 ± 4.40%, p = 0.003; SRD vs CMO 8.28 ± 4.07%, p = 0.026). No significant inter-subtype differences were found in CVI or ChT (p > 0.05).

conclusionsChoroidal microvascular dysfunction is present in all DMO subtypes, with SRD exhibiting the most severe choriocapillaris flow deficits. These findings suggest potential subtype-specific pathophysiological associations.

Indexed as

ChoroidDiabetic RetinopathyFluorescein AngiographyMacular EdemaRetinal VesselsTomography, Optical CoherenceAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedRegional Blood Flow

Identifiers

PMID42151406
PMCPMC13462868

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