Choroidal Vascularity Index and Choroidal Thickness Changes Following Renal Transplantation

Turk J Ophthalmol. 2023 Apr 20;53(2):97-104. doi: 10.4274/tjo.galenos.2022.02489.


Objectives: This study aimed to evaluate changes in subfoveal choroidal thickness (SFCT), choroidal vascularity index (CVI), estimated glomerular filtration rate (GFR), mean arterial pressure (MAP), and intraocular pressure (IOP) after renal transplantation.

Materials and methods: A total of 49 renal transplantation patients were included in this prospective study. CVI and SFCT on enhanced-depth imaging optic coherence tomography (EDI-OCT), MAP at the cubital fossa, GFR, and IOP were measured preoperatively and at postoperative 1 week and 1 month. In the analysis of EDI-OCT images, luminal area (LA) and stromal area of the choroid were determined using the image binarization method. CVI was defined as the ratio of LA to total choroid area. The effects of GFR, IOP, and MAP on CVI and SFCT were investigated.

Results: The study included 23 women (47%) and 26 men (53%) with a mean age of 26.28±8.25 years (range: 18-52). Changes between preoperative, postoperative 1-week, and postoperative 1-month GFR values, CVI, and SFCT measurements were evaluated. There were significant differences between preoperative and postoperative GFR and SFCT measurements (p<0.001), but no significant differences between preoperative and postoperative CVI (p=0.09), MAP (p=0.14), or IOP (p=0.84) measurements.

Conclusion: The present study demonstrated that SFCT increased significantly with GFR, while there was no change in CVI values.

Keywords: Binarization; choroidal thickness; choroidal vascularity index; glomerular filtration rate; renal transplantation.

MeSH terms

  • Adolescent
  • Adult
  • Choroid
  • Female
  • Humans
  • Intraocular Pressure
  • Kidney Transplantation*
  • Male
  • Prospective Studies
  • Tomography, Optical Coherence / methods
  • Young Adult