Interocular Symmetry of Choroidal Parameters in Patients with Diabetic Retinopathy with and without Diabetic Macular Edema

This study focuses on the interocular comparison of choroidal parameters in diabetic patients with diabetic retinopathy (DR) with and without diabetic macular edema (DME), as well as in patients with unilateral DME (present in only one eye). The aim of this study was to determine the symmetry in ord...

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Main Authors: Anna Raciborska, Patryk Sidorczuk, Joanna Konopińska, Diana Anna Dmuchowska
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/13/1/176
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author Anna Raciborska
Patryk Sidorczuk
Joanna Konopińska
Diana Anna Dmuchowska
author_facet Anna Raciborska
Patryk Sidorczuk
Joanna Konopińska
Diana Anna Dmuchowska
author_sort Anna Raciborska
collection DOAJ
description This study focuses on the interocular comparison of choroidal parameters in diabetic patients with diabetic retinopathy (DR) with and without diabetic macular edema (DME), as well as in patients with unilateral DME (present in only one eye). The aim of this study was to determine the symmetry in order to obtain better insights into the pathophysiology of diabetic choroidopathy. This retrospective single-center cross-sectional study included 170 eyes from 85 patients (61 with DR and 24 controls), divided into subgroups depending on the presence of DME. The patients underwent fluorescein angiography and spectral domain optical coherence tomography examination, and the analysis included various choroidal parameters: choroidal thickness, volume, and the choroidal vascularity index (CVI). In terms of the choroidal thickness, one eye of a patient with DR, regardless of the presence, absence, or unilaterality of DME, may be treated as representative for that patient. CVI proved symmetrical for controls and patients with DR without DME. However, there was some asymmetry of CVI in patients with bilateral or unilateral DME. There was no straightforward relationship between choroidopathy and DME. Other mechanisms were also involved in the pathogenesis.
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spelling doaj.art-3ab7750e1cff495d83f63a640f36dfc62024-01-10T15:01:27ZengMDPI AGJournal of Clinical Medicine2077-03832023-12-0113117610.3390/jcm13010176Interocular Symmetry of Choroidal Parameters in Patients with Diabetic Retinopathy with and without Diabetic Macular EdemaAnna Raciborska0Patryk Sidorczuk1Joanna Konopińska2Diana Anna Dmuchowska3Ophthalmology Department, Medical University of Bialystok, 24a M. Sklodowskiej-Curie, 15-276 Bialystok, PolandOphthalmology Department, Medical University of Bialystok, 24a M. Sklodowskiej-Curie, 15-276 Bialystok, PolandOphthalmology Department, Medical University of Bialystok, 24a M. Sklodowskiej-Curie, 15-276 Bialystok, PolandOphthalmology Department, Medical University of Bialystok, 24a M. Sklodowskiej-Curie, 15-276 Bialystok, PolandThis study focuses on the interocular comparison of choroidal parameters in diabetic patients with diabetic retinopathy (DR) with and without diabetic macular edema (DME), as well as in patients with unilateral DME (present in only one eye). The aim of this study was to determine the symmetry in order to obtain better insights into the pathophysiology of diabetic choroidopathy. This retrospective single-center cross-sectional study included 170 eyes from 85 patients (61 with DR and 24 controls), divided into subgroups depending on the presence of DME. The patients underwent fluorescein angiography and spectral domain optical coherence tomography examination, and the analysis included various choroidal parameters: choroidal thickness, volume, and the choroidal vascularity index (CVI). In terms of the choroidal thickness, one eye of a patient with DR, regardless of the presence, absence, or unilaterality of DME, may be treated as representative for that patient. CVI proved symmetrical for controls and patients with DR without DME. However, there was some asymmetry of CVI in patients with bilateral or unilateral DME. There was no straightforward relationship between choroidopathy and DME. Other mechanisms were also involved in the pathogenesis.https://www.mdpi.com/2077-0383/13/1/176choroidal vascularity indexchoroidal volumechoroidal thicknessdiabetic macular edemadiabetic retinopathyinterocular symmetry
spellingShingle Anna Raciborska
Patryk Sidorczuk
Joanna Konopińska
Diana Anna Dmuchowska
Interocular Symmetry of Choroidal Parameters in Patients with Diabetic Retinopathy with and without Diabetic Macular Edema
Journal of Clinical Medicine
choroidal vascularity index
choroidal volume
choroidal thickness
diabetic macular edema
diabetic retinopathy
interocular symmetry
title Interocular Symmetry of Choroidal Parameters in Patients with Diabetic Retinopathy with and without Diabetic Macular Edema
title_full Interocular Symmetry of Choroidal Parameters in Patients with Diabetic Retinopathy with and without Diabetic Macular Edema
title_fullStr Interocular Symmetry of Choroidal Parameters in Patients with Diabetic Retinopathy with and without Diabetic Macular Edema
title_full_unstemmed Interocular Symmetry of Choroidal Parameters in Patients with Diabetic Retinopathy with and without Diabetic Macular Edema
title_short Interocular Symmetry of Choroidal Parameters in Patients with Diabetic Retinopathy with and without Diabetic Macular Edema
title_sort interocular symmetry of choroidal parameters in patients with diabetic retinopathy with and without diabetic macular edema
topic choroidal vascularity index
choroidal volume
choroidal thickness
diabetic macular edema
diabetic retinopathy
interocular symmetry
url https://www.mdpi.com/2077-0383/13/1/176
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AT joannakonopinska interocularsymmetryofchoroidalparametersinpatientswithdiabeticretinopathywithandwithoutdiabeticmacularedema
AT dianaannadmuchowska interocularsymmetryofchoroidalparametersinpatientswithdiabeticretinopathywithandwithoutdiabeticmacularedema