Comparison of Peripheral Blood Inflammatory Indices in Patients with Neovascular Age-related Macular Degeneration and Haemorrhagic Polypoidal Choroidal Vasculopathy

Ocul Immunol Inflamm. 2023 Jul;31(5):935-939. doi: 10.1080/09273948.2022.2071742. Epub 2022 May 19.

Abstract

Purpose: To compare the differences in peripheral blood inflammatory indices between patients with neovascular age-related macular degeneration (nAMD) and haemorrhagic polypoidal choroidal vasculopathy (PCV).

Methods: Retrospective, best corrected visual acuity (BCVA), neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR) and monocyte-to-lymphocyte ratio (MLR), were analysed across the nAMD, PCV and normal control (NCG) groups of patients. The ratios' cut-off values for nAMD were calculated.

Results: nAMD had a significantly longer duration and better BCVA than PCV (all P < .05). The NLR, MLR and PLR were significantly higher in nAMD than in PCV and NCG (all P < .01), no significant differences between PCV and NCG (all P > .05). The ROC curve analysis revealed that the cut-off values for NLR and MLR were 1.98 and 0.24, respectively, for nAMD.

Conclusion: NLR, MLR and PLR are significantly high in patients with nAMD. The ability of these inflammatory indicators to distinguish nAMD and PCV is unclear.

Keywords: Inflammation; monocyte -to- lymphocyte ratio; neovascular age-related macular degeneration; neutrophil -to- lymphocyte ratio; polypoidal choroidal vasculopathy.

MeSH terms

  • Choroid / pathology
  • Choroidal Neovascularization* / pathology
  • Fluorescein Angiography
  • Humans
  • Macular Degeneration*
  • Polypoidal Choroidal Vasculopathy
  • Polyps* / diagnosis
  • Polyps* / pathology
  • ROC Curve
  • Retrospective Studies
  • Wet Macular Degeneration*