scholarly journals Evaluation of choroidal thickness in children with type 1 diabetes: the role of optical coherence tomography in diabetic retinopathy screening

2021 ◽  
Vol 30 (1) ◽  
pp. 41-47
Author(s):  
Basak Can Ermerak ◽  
Ozgur Yalcinbayir ◽  
Erdal Eren ◽  
Elif Sobu ◽  
Cansu Erseven ◽  
...  
Author(s):  
Safinaz Adel Elhabashy ◽  
Nancy Samir Elbarbary ◽  
Karim Magdy Nageb ◽  
Mai Mostafa Mohammed

AbstractOptical coherence tomography (OCT) has been proven useful in measuring retinal thickness and volumes in patients with diabetes.To test whether OCT is able to identify early retinal changes and its potential correlations with metabolic parameters and other microvascular complications.Thirty patients with type 1 diabetes without minimal diabetic retinopathy (MDR) (17 males, 13 females, aged 14.3±2.4 years) compared with age-matched healthy volunteers were examined with OCT. Diabetes duration, anthropometric measurements, HbANo statistically significant differences were found between patients with (n=15) and without microvascular complications (n=15) compared to controls regarding retinal volume, nerve fibre layer volume (temporal and nasal quadrants) and ganglion cell layer area in both eyes. No correlation was found between the ganglion cell layer area and the clinical and laboratory characteristics of the patients, except a negative correlation with total serum cholesterol (Our study suggests that there is no advantage in performing OCT routinely in patients with type 1 diabetes mellitus without MDR. OCT did not show changes in retinal thickness in those patients compared to control. So OCT did not seem to be useful in the preclinical stages of diabetic retinopathy. Therefore, the conventional diagnostic methods are mandatory to detect early diabetic retinopathy.


2015 ◽  
Vol 77 (4) ◽  
pp. 13
Author(s):  
Katherine Xiaoke Li ◽  
Marge Lovell ◽  
Keira Evans ◽  
Patricia H Gallego

Diabetic retinopathy (DR) is a common eye disease and a leading cause of visual impairment in patients with Type 1 diabetes (T1DM). Retinopathy screening for T1DM varies according to the age of disease onset and diabetes duration. Retinal screening varies from standard fundal examination to more advanced methods of screening. An online survey was conducted in February 2014. The purpose of this survey was to assess the frequency and methods of eye examinations routinely performed in children and adolescents with T1DM. Data on local practices were collected from a group of optometrists and ophthalmologists in the London-Middlesex area. One hundred and one surveys were e-mailed out and the response rate was 37.6%. Results indicated that different screening methods vary according to individual practices. These results may have an impact on the findings of retinopathy in this population. A review of utilized screening methods and comparisons to established guidelines will be highlighted.


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