Fractal Analysis of Retinal Microvasculature and Its Association with Cardiovascular Outcomes: A Systematic Review and Meta-Analysis - Takeaways - MDSpire
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Fractal Analysis of Retinal Microvasculature and Its Association with Cardiovascular Outcomes: A Systematic Review and Meta-Analysis

  • By

  • Yihao Lian

  • Guixin Li

  • Haoyu Liu

  • Qing Zhang

  • November 26, 2025

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  • 1

    Cardiovascular disease (CVD) incidence rose significantly from 31.31 million in 1990 to 55.45 million in 2019, highlighting a global health crisis.

  • 2

    Retinal microvasculature may serve as promising biomarkers for evaluating microvascular impairment associated with CVD progression.

  • 3

    Fractal analysis of retinal vasculature assesses blood flow density and branching patterns, with fractal dimension (FD) indicating vascular network complexity.

  • 4

    The relationship between FD and CVD outcomes is inconsistent, with some studies showing significant associations while others do not.

  • 5

    This meta-analysis aims to evaluate the association between FD and CVD risk, considering vessel types and specific CVD outcomes.

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