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Correlation between glycemic control and peripapillary retinal nerve fiber layer thickness in Saudi type II diabetics

To evaluate the effect of diabetes mellitus (DM), diabetic retinopathy, and degree of glycemic control (glycosylated hemoglobin [HbA1c]) on peripapillary retinal nerve fiber layer thickness (RNFLT) using optical coherence tomography. The study included 126 eyes of healthy controls (n=32) and diabeti...

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Published in:Clinical ophthalmology (Auckland, N.Z.) N.Z.), 2018-01, Vol.12, p.419-425
Main Authors: Fahmy, Rania M, Bhat, Ramesa S, Al-Mutairi, Manar, Aljaser, Feda S, El-Ansary, Afaf
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Bhat, Ramesa S
Al-Mutairi, Manar
Aljaser, Feda S
El-Ansary, Afaf
description To evaluate the effect of diabetes mellitus (DM), diabetic retinopathy, and degree of glycemic control (glycosylated hemoglobin [HbA1c]) on peripapillary retinal nerve fiber layer thickness (RNFLT) using optical coherence tomography. The study included 126 eyes of healthy controls (n=32) and diabetics patients (n=31), whose ages ranged from 40 to 70 years. The diabetic group was divided into: Subgroup 1: with HbA1c
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The study included 126 eyes of healthy controls (n=32) and diabetics patients (n=31), whose ages ranged from 40 to 70 years. The diabetic group was divided into: Subgroup 1: with HbA1c &lt;7% and Subgroup 2: with HbA1c ≥7%. All patients underwent full ophthalmic examination. HbA1c level was obtained with the A1cNow system and the peripapillary RNFLT was measured using 3D-OCT 2000 Topcon (360-degree circular scan with 3.4 mm diameter centered on optic disc). The obtained data demonstrates significant decrease in peripapillary RNFLT in superior and inferior quadrants of the right eye ( =0.000 and =0.039, respectively), and in superior quadrant of the left eye ( =0.002) with impairment of glycemic control. Pearson's correlation test showed significant negative correlation of RNFLT with HbA1c in the superior quadrant in both eyes. Impairment of glycemic control affects the peripapillary RNFLT mainly in the superior quadrant. This thickness also tends to decrease with long-standing DM, use of DM medications, and development of diabetic retinopathy. 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source Taylor & Francis (Open Access); PMC (PubMed Central); Publicly Available Content (ProQuest)
subjects Chronic illnesses
Development and progression
Diabetes
Diabetes mellitus
Diabetes therapy
Diabetic neuropathy
Diabetic retinopathy
Diabetics
Edema
Glucose
Glycosylated hemoglobin
Gram-positive bacteria
Hemoglobins
Hospitals
Insulin resistance
Laboratories
Mortality
Ophthalmology
optical coherence tomography
Optics
Original Research
Probiotics
Retina
RNFL
Statistical analysis
Tomography
Type 2 diabetes
title Correlation between glycemic control and peripapillary retinal nerve fiber layer thickness in Saudi type II diabetics
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