The association of choroidal thickness with rheumatoid factor and anti-cyclic citrullinated peptide in rheumatoid arthritis

Int Ophthalmol. 2020 Apr;40(4):935-941. doi: 10.1007/s10792-019-01265-8. Epub 2020 Jan 11.

Abstract

Purpose: To measure ocular vascular parameters in rheumatoid arthritis patients and compare with those of controls and to evaluate the association of rheumatoid factor and anti-cyclic citrullinated peptide antibody with the choroidal thickness.

Methods: Superficial foveal vessel density, superficial and deep foveal avascular zone area, and subfoveal choroidal thickness were measured using the swept-source optical coherence tomography angiography. Multivariate linear regression was used to assess the correlation of subfoveal choroidal thickness with serological markers in patients with rheumatoid arthritis.

Results: Choroidal thickness in patients was significantly thinner than that in healthy controls (278.87 ± 59.54 μm vs. 323.94 ± 98.02 μm, p = 0.03). Despite the weak positive correlations between rheumatoid factor/anti-cyclic citrullinated peptide and choroidal thickness, these relationships were not statistically significant (p > 0.05).

Conclusions: In patients with rheumatoid arthritis, subfoveal choroid was thinner than controls. There were similar correlations between choroidal thickness and rheumatoid factor and anti-cyclic citrullinated peptide antibody.

Keywords: Anti-cyclic citrullinated peptide antibody; Choroidal thickness; Optical coherence tomography angiography; Rheumatoid arthritis; Rheumatoid factor.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Arthritis, Rheumatoid / diagnosis
  • Arthritis, Rheumatoid / metabolism*
  • Biomarkers / metabolism
  • Choroid / diagnostic imaging*
  • Female
  • Fluorescein Angiography / methods*
  • Fundus Oculi
  • Humans
  • Macula Lutea / diagnostic imaging
  • Male
  • Middle Aged
  • Rheumatoid Factor / metabolism*
  • Tomography, Optical Coherence / methods*

Substances

  • Biomarkers
  • Rheumatoid Factor