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Choroidal structural changes in airline pilots and cabin crew

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Abstract

Purpose

To analyze the differences in terms of choroidal vascularity index (CVI) and choroidal thickness (CT) between the airline pilots–cabin crew and the normal population.

Methods

In this prospective study, 50 airline pilots–cabin crew (study group) and 50 healthy individuals (control group) were included for comparison. For each participant, one eye, the eye with the higher OCT scan score index, was enrolled. Subfoveal CT and CVI were measured using a spectral-domain optical coherence tomography system with enhanced depth imaging.

Results

There were no significant differences in terms of age and sex between the study and control groups. The mean CT was 368.5 ± 79.6 in the control group vs. 424.9 ± 80.7 in the study group (p = 0.001). CT was significantly thicker in the study group. The mean CVI was 64.3 ± 1.5 in the control group and 66 ± 3.1 in the study group (p = 0.5). There was no significant correlation between the study and control groups in terms of CVI.

Conclusion

Airline pilots–cabin crew had thicker CT, but there were no differences in CVI when they were compared with healthy subjects. The effect of unique occupational exposures of airline pilots–cabin crew to the pathophysiology of choroidal structural alterations needs further investigation.

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References

  1. Wen CCY, Nicholas CL, Clarke-Errey S, Howard ME et al (2020) Health risks and potential predictors of fatigue and sleepiness in airline cabin crew. Int J Environ Res Public 18(1):13. https://doi.org/10.3390/ijerph18010013

    Article  CAS  Google Scholar 

  2. Goffeng EM, Nordby KC, Tarvainen M, Järvelin-Pasanen S et al (2019) Cardiac autonomic activity in commercial aircrew during an actual flight duty period. Aerosp Med Hum Perform 90:945–952. https://doi.org/10.3357/amhp.5389.2019

    Article  PubMed  Google Scholar 

  3. Fischer MD, Schatz A, Seitz IP, Schommer K et al (2015) Reversible increase of central choroidal thickness during high-altitude exposure. Invest Ophthalmol Vis Sci 56:4499–4503. https://doi.org/10.1167/iovs.15-16770

    Article  PubMed  Google Scholar 

  4. Hirukawa-Nakayama K, Hirakata A, Tomita K, Hiraoka T et al (2014) Increased choroidal thickness in patient with high-altitude retinopathy. Indian J Ophthalmol 62:506–507. https://doi.org/10.4103/0301-4738.116483

    Article  PubMed  PubMed Central  Google Scholar 

  5. Singh SR, Vupparaboina KK, Goud A, Dansingani KK et al (2019) Choroidal imaging biomarkers. Surv Ophthalmol 64:312–333. https://doi.org/10.1016/j.survophthal.2018.11.002

    Article  PubMed  Google Scholar 

  6. Pichi F, Aggarwal K, Neri P, Salvetti P et al (2018) Choroidal biomarkers. Indian J Ophthalmol 66:1716–1726. https://doi.org/10.4103/ijo.ijo_893_18

    Article  PubMed  PubMed Central  Google Scholar 

  7. Olver JM (1990) Functional anatomy of the choroidal circulation: methyl methacrylate casting of human choroid. Eye 4:262–272. https://doi.org/10.1038/eye.1990.38

    Article  PubMed  Google Scholar 

  8. Bhayana AA, Kumar V, Tayade A, Chandra M et al (2019) Choroidal thickness in normal Indian eyes using swept-source optical coherence tomography. Indian J Ophthalmol 67:252–255. https://doi.org/10.4103/ijo.ijo_668_18

    Article  PubMed  PubMed Central  Google Scholar 

  9. Wei X, Sonoda S, Mishra C, Khandelwal N et al (2018) Comparison of choroidal vascularity markers on optical coherence tomography using two-image binarization techniques. Invest Ophthalmol Vis Sci 59:1206–1211. https://doi.org/10.1167/iovs.17-22720

    Article  PubMed  Google Scholar 

  10. Laviers H, Zambarakji H (2014) Enhanced depth imaging-OCT of the choroid: a review of the current literature. Graefes Arch Clin Exp Ophthalmol 252:1871–1883. https://doi.org/10.1007/s00417-014-2840-y

    Article  CAS  PubMed  Google Scholar 

  11. Agrawal R, Ding J, Sen P, Rousselot A et al (2020) Exploring choroidal angioarchitecture in health and disease using choroidal vascularity index. Prog Retin Eye Res 77:100829. https://doi.org/10.1016/j.preteyeres.2020.100829

    Article  CAS  PubMed  Google Scholar 

  12. Iovino C, Pellegrini M, Bernabei F, Borrelli E et al (2020) Choroidal vascularity index: an in-depth analysis of this novel optical coherence tomography parameter. J Clin Med 9:595. https://doi.org/10.3390/jcm9020595

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Agrawal R, Gupta P, Tan KA, Cheung CM et al (2016) Choroidal vascularity index as a measure of vascular status of the choroid: measurements in healthy eyes from a population-based study. Sci Rep 6:21090. https://doi.org/10.1038/srep21090

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Hu X, Lodewijks G (2020) Detecting fatigue in car drivers and aircraft pilots by using non-invasive measures: the value of differentiation of sleepiness and mental fatigue. J Safety Res 72:173–187. https://doi.org/10.1016/j.jsr.2019.12.015

    Article  PubMed  Google Scholar 

  15. Aljurf TM, Olaish AH, BaHammam AS (2018) Assessment of sleepiness, fatigue, and depression among Gulf cooperation council commercial airline pilots. Sleep Breath 22:411–419. https://doi.org/10.1007/s11325-017-1565-7

    Article  PubMed  Google Scholar 

  16. Nkrumah G, Paez-Escamilla M, Singh SR, Rasheed MA et al (2020) Biomarkers for central serous chorioretinopathy. Ther Adv Ophthalmol 12:2515841420950846. https://doi.org/10.1177/2515841420950846

    Article  PubMed  PubMed Central  Google Scholar 

  17. Petrassi FA, Hodkinson PD, Walters PL, Gaydos SJ (2012) Hypoxic hypoxia at moderate altitudes: review of the state of the science. Aviat Space Environ Med 83:975–984. https://doi.org/10.3357/asem.3315.2012

    Article  PubMed  Google Scholar 

  18. Bouak F, Vartanian O, Hofer K, Cheung B (2018) Acute mild hypoxic hypoxia effects on cognitive and simulated aircraft pilot performance. Aerosp Med Hum Perform 89:526–535. https://doi.org/10.3357/amhp.5022.2018

    Article  PubMed  Google Scholar 

  19. Hayreh SS, Zimmerman MB, Podhajsky P, Alward WL (1994) Nocturnal arterial hypotension and its role in optic nerve head and ocular ischemic disorders. Am J Ophthalmol 117:603–624. https://doi.org/10.1016/s0002-9394(14)70067-4

    Article  CAS  PubMed  Google Scholar 

  20. Ozdemir I, Kocamis SI, Ersoz MG (2022) Comparison of the long-term effects of high and low altitude on the choroidal thickness. Med Sci 11:335–337

    Article  Google Scholar 

  21. Yang Y, Yang D, Sun Y, Xie Y et al (2019) Retinal vessel oxygen saturation and vessel diameter in healthy individuals during high-altitude exposure. Acta Ophthalmol 97:279–286. https://doi.org/10.1111/aos.13897

    Article  CAS  PubMed  Google Scholar 

  22. Willmann G, Fischer MD, Schatz A, Schommer K et al (2013) Retinal vessel leakage at high altitude. JAMA 309:2210–2212. https://doi.org/10.1001/jama.2013.5550

    Article  CAS  PubMed  Google Scholar 

  23. Jonas JB, Wang N, Wang YX, You QS et al (2014) Subfoveal choroidal thickness and cerebrospinal fluid pressure: the Beijing eye study 2011. Invest Ophthalmol Vis Sci 55:1292–1298. https://doi.org/10.1167/iovs.13-13351

    Article  PubMed  Google Scholar 

  24. Imray C, Wright A, Subudhi A, Roach R (2010) Acute mountain sickness: pathophysiology, prevention, and treatment. Prog Cardiovasc Dis 52:467–484. https://doi.org/10.1016/j.pcad.2010.02.003

    Article  CAS  PubMed  Google Scholar 

  25. Ersoz MG, Kesim C, Karslioglu MZ, Yildiz-Tas A et al (2021) Repeatability of choroidal vascularity index measurements using directional optical coherence tomography images. Retina 41:1723–1729. https://doi.org/10.1097/iae.0000000000003086

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

The study was performed in Biruni University Hospital, Istanbul, Turkey. The authors had full access to all the data in the study and take full responsibility for the integrity and the accuracy of the data as well as the decision to submit for publication. All authors approved the manuscript and its submission. The manuscript has not been presented in any congress or evaluated in any form by another journal.

Funding

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. No payment or services have been received from a third party for any aspect of the submitted work, including design, data collection, analysis, or interpretation of the data, writing of the report, or in the decision to submit the article for publication.

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Authors

Contributions

BI is the first author of this article. Designed the study: BI, MGE. Preparation of ethics forms and apply: BI. Manuscript preparation, analysis interpretation of data: BI, MGE, MSO. Contributed reagents/materials/analysis tools: BI. Wrote the paper: BI, MGE. Collected and entered the data: BI, MGE, MSO. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Mehmet Giray Ersoz.

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The authors declare no competing interests.

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Isık, B., Ersoz, M.G. & Ofluoglu, M.S. Choroidal structural changes in airline pilots and cabin crew. Int Ophthalmol 43, 1819–1823 (2023). https://doi.org/10.1007/s10792-022-02580-3

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  • DOI: https://doi.org/10.1007/s10792-022-02580-3

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