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Retinal Capillary Vessel Density and Foveal Avascular Zone Size in Patients With Psoriatic Arthritis: A Case-Control Study. (PsA-RETINA)

7. oktober 2026 opdateret af: Koray Ayar, Bursa Yuksek Ihtisas Training and Research Hospital

Evaluation of Retinal Capillary Vascular Structures and the Foveal Avascular Zone in Patients With Psoriatic Arthritis.

In terms of blood flow per unit of tissue, the retina is one of the tissues with the highest blood flow in the body. Parameters such as the thickness of the choroid layer, which plays a crucial role in maintaining normal eye function, the dimensions of the foveal avascular zone (FAZ) supplied by this layer, and retinal vascular networks can be measured using non-invasive methods. OCTA (Optical Coherence Tomography Angiography) is an imaging tool that enables the non-invasive assessment of retinal microvascular densities and the measurement of the foveal avascular zone's dimensions. Studies conducted to date indicate that retinal capillary vessels and the dimensions of the foveal avascular zone are affected in rheumatological diseases, especially associated with systemic inflammation. This study aims to compare retinal capillary vessel density and foveal avascular zone dimensions in patients with psoriatic arthritis against those in a healthy population and in patients with psoriasis who do not have psoriatic arthritis, utilizing the non-invasive method of optical coherence tomography angiography.

Studieoversigt

Detaljeret beskrivelse

In terms of blood flow per unit of tissue, the retina is one of the tissues with the highest blood flow in the body. Non-invasive methods allow for the measurement of-and the detection of changes in-the thickness of the choroid layer (which plays a crucial role in maintaining normal eye function), the foveal avascular zone (nourished by this layer), and the retinal vascular networks. OCTA (Optical Coherence Tomography Angiography) is an imaging tool capable of non-invasively assessing retinal microvascular densities and measuring the dimensions of the foveal avascular zone. Retinal microvascular structures can be affected by systemic pathologies, including various eye diseases. In recent years, there has been growing evidence indicating that retinal vessel densities-as detected by OCTA-are significantly altered and the dimensions of the foveal avascular zone differ in patients with connective tissue diseases, vasculitis, and spondylitis. Psoriatic arthritis is a common chronic inflammatory disease characterized by both spondyloarthropathy and peripheral arthritis involvement. There is currently no data in the literature regarding the status of the choroidal vasculature-a highly perfused tissue-in patients with psoriatic arthritis or its relationship with disease activity. In this study, we aimed to compare retinal capillary density and foveal avascular zone dimensions among patients with psoriatic arthritis, patients with psoriasis, and healthy individuals using OCTA. The study will also compare findings between subgroups of psoriatic patients with and without concomitant spondylitis.

Undersøgelsestype

Observationel

Tilmelding (Anslået)

135

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

  • Navn: Koray Ayar, Associated Proffessor
  • Telefonnummer: 1648 +90 224-2955000
  • E-mail: ayarkoray@hotmail.com

Studiesteder

    • Yıldırım
      • Bursa, Yıldırım, Tyrkiet (Türkiye), 16130
        • Rekruttering
        • University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital
        • Kontakt:
        • Kontakt:
          • Koray Ayar, Associated Proffessor (Dr.)
          • Telefonnummer: 1648 +90 224-2955000
          • E-mail: ayarkoray@hotmail.com
        • Ledende efterforsker:
          • Koray Ayar, Associated Proffessor (Dr.)
        • Underforsker:
          • Neslihan Parmak Yener, Associated Proffessor

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 75 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

The study population consists of volunteers from among patients with psoriatic arthritis who are being followed at the study center's rheumatology clinic. The patient control group comprises volunteers diagnosed with psoriasis by a specialist dermatologist. Participants in the healthy control group are healthcare workers or patient companions matched for age and gender with the patient group and the patient control group.

Beskrivelse

Inclusion Criteria:

  • Volunteers diagnosed with psoriatic arthritis according to CASPAR criteria
  • Volunteers diagnosed with psoriasis by a specialist dermatologist
  • Hospital staff or patient companions with no chronic illnesses

Exclusion Criteria:

  • Diabetes mellitus
  • Cancer
  • Pregnancy or lactation
  • Chronic renal failure
  • Glocome
  • History of eye surgery
  • History of eye trauma

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Observationsmodeller: CASE_CONTROL
  • Tidsperspektiver: PROSPECTIVE

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
Psoriatic arthritis

Participants with psoriatic arthritis

Vessel density of retinal superficial capillary plexus

Vessel density of retinal deep capillary plexus

Vessel density of retinal prepapillary capillaries

FAZ essessment parameters

Psoriasis

Psoriasis participants with no other known systemic inflammatory disease

Vessel density of retinal superficial capillary plexus

Vessel density of retinal deep capillary plexus

Vessel density of retinal prepapillary capillaries

FAZ essessment parameters

Healthy controls

Patient companions or hospital staff with no known chronic illnesses

Vessel density of retinal superficial capillary plexus

Vessel density of retinal deep capillary plexus

Vessel density of retinal prepapillary capillaries

FAZ essessment parameters

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Retinal SCP, VD
Tidsramme: 1 day

Vessel density of retinal superficial capillary plexus

1 day
Retinal DCP, VD
Tidsramme: 1 day

Vessel density of retinal deep capillary plexus

1 day
Retinal RCP, VD
Tidsramme: 1 day

Vessel density of retinal prepapillary capillaries

1 day
FAZ parameters
Tidsramme: 1 day

Foveal avasculary assessment parameters

1 day

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. september 2026

Primær færdiggørelse (Anslået)

20. august 2027

Studieafslutning (Anslået)

31. august 2027

Datoer for studieregistrering

Først indsendt

29. september 2026

Først indsendt, der opfyldte QC-kriterier

29. september 2026

Først opslået (Faktiske)

5. oktober 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

13. oktober 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

7. oktober 2026

Sidst verificeret

1. september 2026

Mere information

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Plan for individuelle deltagerdata (IPD)

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