Association of choroidal thickness with early stages of diabetic retinopathy in type 2 diabetes

AIM: To assess the correlation between choroidal thickness (CT) and the early stages of diabetic retinopathy (DR) in type 2 diabetic patients. METHODS: We divided 83 diabetic patients (51-80 years of age; 50 females) into non diabetic retinopathy group (NDR) and mild/moderate nonproliferative diabe...

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Main Authors: Zhi-Jun Shen, Xiu-Fen Yang, Jun Xu, Chong-Yang She, Wen-Wen Wei, Wan-Lu Zhu, Ning-Pu Liu
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2017-04-01
Series:International Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.cn/en_publish/2017/4/20170418.pdf
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author Zhi-Jun Shen
Xiu-Fen Yang
Jun Xu
Chong-Yang She
Wen-Wen Wei
Wan-Lu Zhu
Ning-Pu Liu
author_facet Zhi-Jun Shen
Xiu-Fen Yang
Jun Xu
Chong-Yang She
Wen-Wen Wei
Wan-Lu Zhu
Ning-Pu Liu
author_sort Zhi-Jun Shen
collection DOAJ
description AIM: To assess the correlation between choroidal thickness (CT) and the early stages of diabetic retinopathy (DR) in type 2 diabetic patients. METHODS: We divided 83 diabetic patients (51-80 years of age; 50 females) into non diabetic retinopathy group (NDR) and mild/moderate nonproliferative diabetic retinopathy (NPDR) group, and compared them with 26 non-diabetic control subjects (51-78 years of age; 16 females). Subfoveal choroidal thickness (SFCT) and parafoveal choroidal thickness (PFCT) were measured using enhanced depth imaging spectral-domain optical coherence tomography (EDI-OCT). Ocular health status, disease duration, body mass index, and hemoglobin A1c (HbA1c) were recorded. RESULTS: The mean ages of the NDR, NPDR, and control groups were 68.0±6.9y, 67.8±6.4y, and 65.1±6.3y, respectively (P=0.17). Pearson correlation of the right and left eyes for the control subjects was 0.95 and for the NDR subjects was 0.93. SFCT for the right eyes of the controls was 252.77± 41.10 μm, which was significantly thicker than that of the right eyes in NDR group (221.51±46.56 μm) and the worse eyes of the NPDR group (207.18±61.87 μm; ANOVA, P<0.01). In the diabetic patients pooled together, age was the only variable significantly associated with SFCT (multiple linear regression analysis, P=0.01). CONCLUSION: CT decreased significantly in the NDR and mild/moderate NPDR eyes compared with the control eyes. Age is significantly associated with SFCT in the diabetic patients. Diabetic choroidopathy may be present before clinical retinopathy.
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spelling doaj.art-5eda6964767b44b78af3e187890606042022-12-21T21:33:58ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982017-04-0110461361810.18240/ijo.2017.04.18Association of choroidal thickness with early stages of diabetic retinopathy in type 2 diabetesZhi-Jun Shen0Xiu-Fen Yang1Jun Xu2Chong-Yang She3Wen-Wen Wei4Wan-Lu Zhu5Ning-Pu Liu6Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology &amp; Visual Science Key Lab, Beijing 100730, ChinaDepartment of Ophthalmology, the Friendship Hospital, Capital Medical University, Beijing 100050, ChinaBeijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology &amp; Visual Science Key Lab, Beijing 100730, ChinaBeijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology &amp; Visual Science Key Lab, Beijing 100730, ChinaBeijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology &amp; Visual Science Key Lab, Beijing 100730, ChinaBeijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology &amp; Visual Science Key Lab, Beijing 100730, ChinaBeijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology &amp; Visual Science Key Lab, Beijing 100730, ChinaAIM: To assess the correlation between choroidal thickness (CT) and the early stages of diabetic retinopathy (DR) in type 2 diabetic patients. METHODS: We divided 83 diabetic patients (51-80 years of age; 50 females) into non diabetic retinopathy group (NDR) and mild/moderate nonproliferative diabetic retinopathy (NPDR) group, and compared them with 26 non-diabetic control subjects (51-78 years of age; 16 females). Subfoveal choroidal thickness (SFCT) and parafoveal choroidal thickness (PFCT) were measured using enhanced depth imaging spectral-domain optical coherence tomography (EDI-OCT). Ocular health status, disease duration, body mass index, and hemoglobin A1c (HbA1c) were recorded. RESULTS: The mean ages of the NDR, NPDR, and control groups were 68.0±6.9y, 67.8±6.4y, and 65.1±6.3y, respectively (P=0.17). Pearson correlation of the right and left eyes for the control subjects was 0.95 and for the NDR subjects was 0.93. SFCT for the right eyes of the controls was 252.77± 41.10 μm, which was significantly thicker than that of the right eyes in NDR group (221.51±46.56 μm) and the worse eyes of the NPDR group (207.18±61.87 μm; ANOVA, P<0.01). In the diabetic patients pooled together, age was the only variable significantly associated with SFCT (multiple linear regression analysis, P=0.01). CONCLUSION: CT decreased significantly in the NDR and mild/moderate NPDR eyes compared with the control eyes. Age is significantly associated with SFCT in the diabetic patients. Diabetic choroidopathy may be present before clinical retinopathy.http://www.ijo.cn/en_publish/2017/4/20170418.pdf618choroidal thicknessdiabetic choroidopathydiabetic retinopathy
spellingShingle Zhi-Jun Shen
Xiu-Fen Yang
Jun Xu
Chong-Yang She
Wen-Wen Wei
Wan-Lu Zhu
Ning-Pu Liu
Association of choroidal thickness with early stages of diabetic retinopathy in type 2 diabetes
International Journal of Ophthalmology
618
choroidal thickness
diabetic choroidopathy
diabetic retinopathy
title Association of choroidal thickness with early stages of diabetic retinopathy in type 2 diabetes
title_full Association of choroidal thickness with early stages of diabetic retinopathy in type 2 diabetes
title_fullStr Association of choroidal thickness with early stages of diabetic retinopathy in type 2 diabetes
title_full_unstemmed Association of choroidal thickness with early stages of diabetic retinopathy in type 2 diabetes
title_short Association of choroidal thickness with early stages of diabetic retinopathy in type 2 diabetes
title_sort association of choroidal thickness with early stages of diabetic retinopathy in type 2 diabetes
topic 618
choroidal thickness
diabetic choroidopathy
diabetic retinopathy
url http://www.ijo.cn/en_publish/2017/4/20170418.pdf
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