دورية أكاديمية

Association between periodontitis and blood-ocular barrier disruption.

التفاصيل البيبلوغرافية
العنوان: Association between periodontitis and blood-ocular barrier disruption.
المؤلفون: Karesvuo M; Helsinki Retina Research Group, University of Helsinki, Helsinki, Finland.; Health Services Dental Care, City of Helsinki, Helsinki, Finland., Häyry S; Chin and Mouth Disease Unit, Kymenlaakso Central Hospital, Kotka, Finland., Karesvuo P; Helsinki Retina Research Group, University of Helsinki, Helsinki, Finland.; Department of Ophthalmology, Helsinki University Central Hospital, Helsinki, Finland., Kanclerz P; Helsinki Retina Research Group, University of Helsinki, Helsinki, Finland.; Hygeia Clinic, Gdańsk, Poland., Tuuminen R; Helsinki Retina Research Group, University of Helsinki, Helsinki, Finland.; Department of Ophthalmology, Kymenlaakso Central Hospital, Kotka, Finland.
المصدر: European journal of ophthalmology [Eur J Ophthalmol] 2023 May; Vol. 33 (3), pp. 1473-1479. Date of Electronic Publication: 2022 Dec 18.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: SAGE Publishing Country of Publication: United States NLM ID: 9110772 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1724-6016 (Electronic) Linking ISSN: 11206721 NLM ISO Abbreviation: Eur J Ophthalmol Subsets: MEDLINE
أسماء مطبوعة: Publication: 2018- : Thousand Oaks, CA : SAGE Publishing
Original Publication: Milano ; Birmingham, AL : Wichtig, c1991-
مواضيع طبية MeSH: Blood-Aqueous Barrier* , Periodontitis*/therapy , Periodontitis*/metabolism, Humans ; Aqueous Humor/metabolism ; Inflammation ; Lasers
مستخلص: Purpose: Periodontitis causes low-grade systemic inflammation e.g., through circulatory periodontal endotoxins, and it has been associated with cardiovascular morbidity and wet age-related macular degeneration.
Methods: To assess the association between clinical severity of periodontitis and aqueous flare levels in the eyes. Patients with periodontitis (N = 15) who underwent periodontal treatment by a specialized dentist between the years 2020 and 2021 at the Chin and Mouth Disease Unit, Kymenlaakso Central Hospital, Kotka, Finland were enrolled. Aqueous flare levels, a surrogate marker for blood-aqueous and blood-retinal-barrier disruption, were measured using Laser Flare Meter (FM-600, Kowa Company, Ltd., Nagoya, Japan) before and right after the periodontal treatment and at 3 months. The number of teeth, periodontal probing depth (PPD), periodontal pathogens and antimicrobial treatment were recorded.
Results: At baseline, aqueous flare levels correlated with the number of clinically-relevant PPD (>5 mm) pockets (R = 0.789, P  < 0.001) and inversely correlated with the number of teeth (R = -0.587, P  = 0.035). At baseline, aqueous flare levels were 15.39 ± 13.24 photon units (pu)/ms among patients with periodontal pathogens, compared with 3.29 ± 1.67 pu/ms among those without any peridontal pathogens in PCR ( P  = 0.018). At 3 months compared to baseline values, aqueous flare levels were reduced to <50% from baseline among 6 patients (40%), whereas the levels increased to >200% from baseline in 1 patient (7%) (repeated measures ANOVA, P  < 0.026).
Conclusions: Poor periodontal status was associated with blood-ocular-barrier breakdown. These findings could expand our understanding of the potential mechanisms and therapeutic targets against retinal vascular diseases and systemic comorbidities in patients with periodontitis.
فهرسة مساهمة: Keywords: Aqueous flare; blood-aqueous-barrier disruption; blood-ocular-barrier breakdown; blood-retinal-barrier disruption; periodontitis
تواريخ الأحداث: Date Created: 20221219 Date Completed: 20230501 Latest Revision: 20230501
رمز التحديث: 20231215
DOI: 10.1177/11206721221146672
PMID: 36529928
قاعدة البيانات: MEDLINE
الوصف
تدمد:1724-6016
DOI:10.1177/11206721221146672