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Vol. 219, No. 6, 2005   

Free Abstract     Article (Fulltext)     Article (PDF 500 KB)     

Original Paper

Detection of Early Diabetic Change with Optical Coherence Tomography in Type 2 Diabetes Mellitus Patients without Retinopathy
Masahiko Sugimoto, Mikio Sasoh, Masashi Ido, Yoshikatsu Wakitani, Chisato Takahashi, Yukitaka Uji

Department of Ophthalmology, Mie University, School of Medicine, Tsu, Japan

Address of Corresponding Author

Ophthalmologica 2005;219:379-385 (DOI: 10.1159/000088382)


 goto top of page Key Words

  • Optical coherence tomography
  • Retinal nerve fiber layer thickness
  • Retinal thickness

 goto top of page Abstract

Purpose: To detect early diabetic damage in type 2 diabetes mellitus patients with no diabetic retinopathy (NDR) using optical coherence tomography (OCT) and to evaluate OCT as a clinical test. Methods: Thirty-two patients with NDR (n = 32) were enrolled. We examined retinal and retinal nerve fiber layer (RNFL) thickness using OCT. Two healthy normal populations were also enrolled for the retinal thickness (n = 48) and RNFL thickness (n = 34). Both OCT measurements were obtained in four areas (temporal, superior, nasal and inferior). The receiver operator characteristic (ROC) curve was generated to evaluate the predictor variables. Results: Comparing the normal and NDR eyes, retinal thickness significantly increased (p = 0.03) and RNFL thickness significantly decreased (p = 0.02) in the superior areas. The area under the ROC curve was 0.65 for the superior retinal thickness and 0.63 for the superior RNFL thickness. Conclusions: Both OCT measurements can detect early retinal damage in NDR patients.

Copyright © 2005 S. Karger AG, Basel


 goto top of page Author Contacts

Masahiko Sugimoto
Department of Ophthalmology, School of Medicine
Mie University, 2-174 Edobashi
Tsu, 514-8507 (Japan)
Tel. +81 59 231 5027, Fax +81 59 231 3036, E-Mail sugmochi@aqua.ocn.ne.jp


 goto top of page Article Information

Received: September 3, 2004
Accepted after revision: February 11, 2005
Number of Print Pages : 7
Number of Figures : 3, Number of Tables : 1, Number of References : 45

 
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