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Retinal ganglion cell complex changes using spectral domain optical coherence tomography in diabetic patients without retinopathy

查看全文 作  者:Ahmed [1]I.Hegazy;Rasha [1]H.Zedan;Tamer [1]A.Macky;Soheir [1]M.Esmat 高影响力作者 机构地区:[1]Department of Ophthalmology,Cairo University,Kasr Alainy Faculty of Medicine Ringgold Standard Institution高影响力机构 出  处:《International Journal of Ophthalmology(English edition)》索引2017年第10卷第3期,共7页高影响力期刊 摘  要:AIM:To assess the ganglion cell complex(GCC)thickness in diabetic eyes without retinopathy. METHODS:Two groups included 45 diabetic eyes without retinopathy and 21 non diabetic eyes. All subjects underwent full medical and ophthalmological history,full ophthalmological examination,measuring GCC thickness and central foveal thickness(CFT)using the RTVue~? spectral domainoptical coherence tomography(SD-OCT),and HbA1C level.RESULTS:GCC focal loss volume(FLV%)was significantly more in diabetic eyes(22.2% below normal)than normal eyes(P=0.024). No statistically significant difference was found between the diabetic group and the control group regarding GCC global loss volume(GLV%)(P=0.160). CFT was positively correlated to the average,superior and inferior GCC(P=0.001,0.000 and 0.001 respectively)and negatively correlated to GLV% and FLV%(P=0.002 and0.031 respectively)in diabetic eyes. C/D ratio in diabetic eyes was negatively correlated to average,superior and inferior GCC(P=0.015,0.007 and 0.017 respectively). The FLV% was negatively correlated to the refraction and level of Hb A1c(P=0.019 and 0.013 respectively)and positively correlated to the best corrected visual acuity(BCVA)in log MAR in diabetic group(P=0.004).CONCLUSION:Significant GCC thinning in diabetes predates retinal vasculopathy,which is mainly focal rather than diffuse. It has no preference to either the superior or inferior halves of the macula. Increase of myopic error is significantly accompanied with increased focal GCC loss. GCC loss is accompanied with increased C/D ratio in diabetic eyes. 关 键 词:视网膜 中心房间建筑群 糖尿病 光连贯断层摄影术
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