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01). While median macular and retinal nerve fiber layer (RNFL) thicknesses significantly increased after the marathon (p0.01), median choroidal thickness significantly decreased (p0.01). Both systolic and diastolic blood pressures significantly decreased (p0.01 and p=0.021 respectively). Prolonged physical effort impacts the structure and vascularization of the retina and the choroid. Hypoxia and dehydration due to such an effort may induce a low ocular blood flow rate resulting in a choroidal thinning, contrasting with a

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