Evidence map›Paper›PMID 42507182›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2026

Structural and microvascular retinal changes in tamoxifen users assessed by optical coherence tomography and OCT angiography.

Songul Kilic, Mine Ozturk, Abdullah Ağın, Feyza Onder

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Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 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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5 · Who and what money

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4 authors.

Songul KilicDepartment of Ophthalmology, Muradiye State Hospital, Van, Turkey.ORCID http://orcid.org/0000-0001-7721-8727
Mine OzturkDepartment of Ophthalmology, University of Health Sciences, Haseki Training and Research Hospital, Fatih, Istanbul, 34130, Turkey.ORCID http://orcid.org/0000-0003-4544-1021
Abdullah AğınDepartment of Ophthalmology, University of Health Sciences, Haseki Training and Research Hospital, Fatih, Istanbul, 34130, Turkey. abdullahagin@gmail.com.ORCID https://orcid.org/0000-0001-7173-8617
Feyza OnderDepartment of Ophthalmology, University of Health Sciences, Haseki Training and Research Hospital, Fatih, Istanbul, 34130, Turkey.ORCID http://orcid.org/0000-0002-3752-9181

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate subclinical retinal structural, microvascular, and outer retinal reflectivity changes in women receiving tamoxifen therapy for at least 12 months without clinically apparent retinopathy.

methodsA total of 48 eyes from 48 women who had been receiving tamoxifen therapy for at least 12 months and 52 eyes from 52 age-matched healthy female controls were included in the study. Only the right eye of each participant was analyzed to avoid inter-eye correlation. All participants underwent comprehensive ophthalmic examination, swept-source optical coherence tomography (OCT), OCT angiography (OCTA), and quantitative outer retinal reflectivity analysis using ImageJ. Retinal thickness, choroidal thickness, and OCTA-derived vessel density parameters were compared between groups. Absolute and RPE-normalized reflectivity values of the retinal pigment epithelium (RPE), ellipsoid zone (EZ), and external limiting membrane (ELM) were quantified using standardized vertical line-profile analysis.

resultsThe mean age was 45.9 ± 5.4 years in the tamoxifen group and 46.6 ± 4.7 years in the control group. Retinal thickness parameters, choroidal thickness, and OCTA-derived vessel density metrics of the superficial and deep capillary plexuses and choriocapillaris were comparable between tamoxifen users and controls (all p > 0.05). Mean and central RPE reflectivity were significantly higher in the tamoxifen group than in controls (RPEav, p = 0.037; RPEc, p = 0.003), whereas EZ and ELM reflectivity values and all RPE-normalized relative reflectivity indices did not differ significantly between groups. A localized increase in outer retinal vessel density was observed in the superior sector in tamoxifen users, without corresponding widespread microvascular alterations. No significant correlations were found between duration of tamoxifen exposure and OCT, OCTA, or reflectivity parameters.

conclusionTamoxifen therapy for at least 12 months is associated with selective increases in RPE reflectivity despite preserved retinal structure and microvasculature. Quantitative reflectivity analysis may serve as a sensitive, noninvasive marker for early, subclinical retinal stress preceding clinically apparent tamoxifen retinopathy.

Indexed as

ImageJOptical coherence tomography angiographyReflectivityTamoxifen retinopathyVessel density

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