1. Ganglion cell layer thickening in well-controlled patients with type 1 diabetes: an early sign for diabetic retinopathy?
- Author
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Ursula Schmidt-Erfurth, Christian Pruente, Henryk Zulewski, Roger Lehmann, Alexandra Kaider, Katja Hatz, Bianca S Gerendas, and Alessio Montuoro
- Subjects
Adult ,Male ,Retinal Ganglion Cells ,medicine.medical_specialty ,chemistry.chemical_compound ,image analysis ,Diabetes mellitus ,Ophthalmology ,Statistical significance ,medicine ,Humans ,early detection ,Ganglion cell layer ,Type 1 diabetes ,Analysis of Variance ,Diabetic Retinopathy ,business.industry ,early disease ,Retinal ,General Medicine ,Diabetic retinopathy ,Original Articles ,Middle Aged ,medicine.disease ,medicine.anatomical_structure ,Cross-Sectional Studies ,Diabetes Mellitus, Type 1 ,chemistry ,OCT ,Case-Control Studies ,Female ,Original Article ,Thickening ,Analysis of variance ,sense organs ,business ,Tomography, Optical Coherence - Abstract
Purpose To evaluate early changes in retinal layers using optical coherence tomography (OCT) in patients with long‐standing type 1 diabetes (DM1) receiving intensified insulin therapy. Methods In a cross‐sectional case–control study 150 patients with DM1 and 150 age‐ and sex‐matched healthy control participants underwent OCT imaging. Scans of both eyes were analysed for different layers (NFL, GCL (+IPL), INL, outer layer complex (OLC, including OPL, ONL and ELM) and photoreceptors (PR)) in all subfields of an ETDRS grid. All analyses were performed semi‐automatically using custom software by certified graders of the Vienna Reading Center. ANOVA models were used to compare the mean thickness of the layers between patients and controls. Results Six hundred eyes with 512 datapoints in 49 b‐scans in each OCT were analysed. Mean thickness in patients/controls was 31.35 μm/30.65 μm (NFL, p = 0.0347), 76.7 μm/73.15 μm (GCL, p ≤ 0.0001), 36.29 μm/37.13 μm (INL, p = 0.0116), 114.34 μm/112.02 μm (OLC, p
- Published
- 2019