Layer-specific retinal microvascular redistribution in children with severe adenotonsillar hypertrophy assessed by optical coherence tomography angiography.
- 1Department of Ophthalmology, Dr. Lutfi Kirdar Kartal City Hospital, University of Health Sciences, D-100 South Side Road No:47, Cevizli, Istanbul, 34865, Turkey. [email protected].
- 2Department of Ophthalmology, Dr. Lutfi Kirdar Kartal City Hospital, University of Health Sciences, D-100 South Side Road No:47, Cevizli, Istanbul, 34865, Turkey.
- 3Department of Otolaryngology Head and Neck Surgery, Dr. Lutfi Kirdar Kartal City Hospital, University of Health Sciences, Istanbul, 34865, Turkey.
Abstract
Background
This study aims to compare the parafoveal retinal microcirculation in children with severe adenotonsillar hypertrophy (ATH) and healthy controls using optical coherence tomography angiography (OCTA).Methods
Sixty-six eyes (31 children with ATH and 35 healthy controls) were analyzed. Parafoveal OCTA images (6 × 6 mm) were obtained using a swept-source OCTA device (DRI OCT Triton; Topcon Corporation, Tokyo, Japan). Vessel density (VD) of the superficial capillary plexus (SCP) and deep capillary plexus (DCP) was measured in the central and four parafoveal quadrants. The foveal avascular zone (FAZ) area was also measured in both plexuses.Results
DCP vessel density was significantly higher in the ATH group than control group in the temporal [59.29 ± 3.22% vs. 47.16 ± 5.87%], superior [57.77 (56.21-58.77)% vs. 49.15 ( 44.66-52.13)%], nasal [58.12 ( 55.36-59.44)% vs. 48.98 ( 46.38-50.04)%], and inferior [56.89 (54.56-58.05)% vs. 44.87 (41.85-47.84)%] quadrants (all BH-FDR adjusted p < 0.001). The superficial FAZ area was smaller in the ATH group (0.311 ± 0.089 mm² vs. 0.358 ± 0.096 mm²; unadjusted p = 0.043), although this difference did not remain significant after Benjamini-Hochberg false-discovery-rate correction (BH-FDR adjusted p = 0.103). No significant differences were observed in deep FAZ area, SCP vessel density across all quadrants, or DCP central vessel density between the groups (all BH-FDR adjusted p > 0.05).Conclusions
Severe adenotonsillar hypertrophy is associated with layer-specific retinal microvascular alterations on OCTA. Deep capillary plexus vessel density was significantly increased in parafoveal regions, suggesting non-uniform microvascular involvement driven by differences in metabolic demand and autoregulatory mechanisms between retinal layers.
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BibTeX
@article{karadag2026layerspecific,
title = {{Layer-specific retinal microvascular redistribution in children with severe adenotonsillar hypertrophy assessed by optical coherence tomography angiography.}},
author = {Erdi Karadağ and Raziye Dönmez Gün and Ulviye Kıvrak and Burcu Duygu Başarır},
journal = {BMC ophthalmology},
year = {2026},
month = oct,
doi = {10.1186/s12886-026-05472-7},
url = {https://europepmc.org/article/MED/42907795},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Layer-specific retinal microvascular redistribution in children with severe adenotonsillar hypertrophy assessed by optical coherence tomography angiography.
AU - Erdi Karadağ
AU - Raziye Dönmez Gün
AU - Ulviye Kıvrak
AU - Burcu Duygu Başarır
PY - 2026
DA - 2026/10/21
JO - BMC ophthalmology
DO - 10.1186/s12886-026-05472-7
UR - https://europepmc.org/article/MED/42907795
AB - Background This study aims to compare the parafoveal retinal microcirculation in children with severe adenotonsillar hypertrophy (ATH) and healthy controls using optical coherence tomography angiography (OCTA).Methods Sixty-six eyes (31 children with ATH and 35 healthy controls) were analyzed. Parafoveal OCTA images (6 × 6 mm) were obtained using a swept-source OCTA device (DRI OCT Triton; Topcon Corporation, Tokyo, Japan). Vessel density (VD) of the superficial capillary plexus (SCP) and deep capillary plexus (DCP) was measured in the central and four parafoveal quadrants. The foveal avascular zone (FAZ) area was also measured in both plexuses.Results DCP vessel density was significantly higher in the ATH group than control group in the temporal [59.29 ± 3.22% vs. 47.16 ± 5.87%], superior [57.77 (56.21-58.77)% vs. 49.15 ( 44.66-52.13)%], nasal [58.12 ( 55.36-59.44)% vs. 48.98 ( 46.38-50.04)%], and inferior [56.89 (54.56-58.05)% vs. 44.87 (41.85-47.84)%] quadrants (all BH-FDR adjusted p < 0.001). The superficial FAZ area was smaller in the ATH group (0.311 ± 0.089 mm² vs. 0.358 ± 0.096 mm²; unadjusted p = 0.043), although this difference did not remain significant after Benjamini-Hochberg false-discovery-rate correction (BH-FDR adjusted p = 0.103). No significant differences were observed in deep FAZ area, SCP vessel density across all quadrants, or DCP central vessel density between the groups (all BH-FDR adjusted p > 0.05).Conclusions Severe adenotonsillar hypertrophy is associated with layer-specific retinal microvascular alterations on OCTA. Deep capillary plexus vessel density was significantly increased in parafoveal regions, suggesting non-uniform microvascular involvement driven by differences in metabolic demand and autoregulatory mechanisms between retinal layers.
SN - 1471-2415
ER -