Evidence map›Paper›PMID 42702657›Full record

ArticleInternational ophthalmology2026

Quantitative evaluation of choroidal thickness and vascularity in subclinical keratoconus: a cross-sectional EDI-OCT study.

Hasan Kiziltoprak, Burak Ören, Dilara Ozkoyuncu Kocabas, Esat Yetkin, Kemal Tekin

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Article in International ophthalmology, 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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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Hasan KiziltoprakSchool of Medicine, Ophthalmology Department, Atlas University, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-7100-9107
Burak ÖrenSchool of Medicine, Ophthalmology Department, Adiyaman University, Adiyaman, Turkey. burakoren@windowslive.com.ORCID https://orcid.org/0000-0003-4933-2500
Dilara Ozkoyuncu KocabasSchool of Medicine, Department of Ophthalmology, TOBB University, Ankara, Turkey.ORCID http://orcid.org/0000-0001-5196-0106
Esat YetkinDepartment of Ophthalmology, Private Bati Hospital, Diyarbakir, Turkey.ORCID http://orcid.org/0000-0002-2241-0233
Kemal TekinOphthalmology Department, Ulucanlar Eye Training and Research Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0002-7461-6129

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess choroidal thickness (CT) and choroidal vascularity index (CVI) in a subclinical keratoconus (SK) population.

methodsA prospective, cross-sectional analysis was performed on 42 participants of unilateral keratoconus (KC), defined by clinical keratoconus (CK) in one eye and SK in the contralateral eye along with 42 age- and sex-matched healthy control participants. CT measurements were obtained at the subfoveal, nasal 750 µm (N750), and temporal 750 µm (T750) locations. Measurements of CVI, luminal area (LA), stromal area (SA), and total choroidal area (TCA) were calculated from enhanced depth imaging optical coherence tomography (EDI-OCT) images. Generalized estimating equations were used to account for the inter-eye correlation between CK and SK eyes.

resultsCT values at all three measured points differed significantly among the study groups (all p < 0.001). Both the CK and SK groups exhibited significantly greater CT than the control group at all measured locations. CK eyes also demonstrated significantly greater subfoveal CT than SK eyes (adjusted p = 0.003), whereas nasal and temporal CT did not differ significantly between the CK and SK groups. The CK group exhibited a significantly larger TCA than both the SK (adjusted p = 0.019) and control groups (adjusted p = 0.005). No significant differences were observed in LA (p = 0.173) or CVI (p = 0.104) among the groups, while SA demonstrated a significant overall group difference (p = 0.011), which was attributable only to the comparison between the CK and control groups (adjusted p = 0.016).

conclusionThe findings demonstrate increased CT in both CK and SK, whereas most quantitative choroidal vascularity parameters remained unchanged. These observations suggest that choroidal thickening may represent an early structural alteration in the keratoconus spectrum. However, these findings represent associations only, and the underlying biological mechanisms and their prognostic significance cannot be determined from this cross-sectional design.

Indexed as

ChoroidKeratoconusTomography, Optical CoherenceAdultCross-Sectional StudiesFemaleHumansMaleProspective StudiesYoung AdultChoroidal thicknessChoroidal vascularity indexEnhanced depth imaging OCTKeratoconusSubclinical keratoconus

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.