Lupus & antiphospholipid syndrome

Early subclinical macular disease in asymptomatic patients with primary antiphospholipid syndrome: A quantitative multimodal retinal evaluation

LupusPublished Cross-sectional study

Authors' conclusion

PAPS patients present lower vascular density and retinal sensitivity compared to the control group, even in patients without paracentral acute middle maculopathy (PAMM).

Study context

Population
Patients with PAPS without ocular complaints followed at a tertiary rheumatology outpatient clinic, and healthy individuals100 eyes
Participants
50 patients
Exposure
PAPS without ocular complaints vs healthy individuals
  • PAPSn = 25
  • Controlsn = 25reference
Outcome
Quantitative multimodal retinal evaluation (optical coherence tomography angiography (OCTA) and microperimetry)
Methodological detailscase-control comparison, tertiary rheumatology outpatient clinic
  • Case-control comparison
  • Tertiary rheumatology outpatient clinic

Main finding

As reported in the abstract

  • Significant differences in vascular density, superficial vascular complex (SVC) and deep vascular complex (DVC) (high-speed protocol) and SVC (high-resolution protocol), PAPS vs controls
  • Sectoral differences in retinal sensitivity, except inferior sector
  • PAPS vs Controls: P = 0.047
  • PAPS vs Controls: P = 0.041
  • PAPS vs Controls: P < 0.001

Observational data: associations, not effects.

Original publication

Early subclinical macular disease in asymptomatic patients with primary antiphospholipid syndrome: A quantitative multimodal retinal evaluation. Lupus. Published 10 December 2024. doi:10.1177/09612033241307895

Composed by AI from the published abstract and checked against it. How Briefs are made →

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