NDLI: Changes in choroidal thickness in relation to the severity of retinopathy and macular edema in type 2 diabetic patients.

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Changes in choroidal thickness in relation to the severity of retinopathy and macular edema in type 2 diabetic patients.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Lee, Dong Hoon Kim, Jee Taek Joe, Soo Geun Kim, June-Gone Yoon, Young Hee
Spatial Coverage	Republic of Korea
Description	Author Affiliation: Kim JT ( Department of Ophthalmology, Asan Medical Center, University of Ulsan, Seoul, Republic of Korea.)
Abstract	PURPOSE: To assess changes in choroidal thickness in type 2 diabetic patients with diabetic retinopathy (DR) and diabetic macular edema (DME) using enhanced-depth imaging spectral domain optical coherence tomography (EDI-OCT). METHODS: Among 235 eyes from 145 patients, 195 treatment-naïve eyes were divided into no DR, mild/moderate nonproliferative DR (NPDR), severe NPDR, proliferative DR (PDR), and 40 eyes having a history of laser panretinal photocoagulation (PRP) were classified as PRP-treated DR. Eyes with no ocular treatment (195 eyes) were divided according to the presence of and to the subtypes of DME. Subfoveal choroidal thickness (SFChT) and parafoveal choroidal thickness (PFChT) at 1500 µm were measured using EDI-OCT. RESULTS: Mean age was 62.6 ± 12.4 years, and mean duration of DM was 15.1 ± 7.2 years. Mean SFChT in groups with no DR (40 eyes), mild/moderate NPDR (47 eyes), severe NPDR (72 eyes), PDR (36 eyes), and PRP-treated DR (40 eyes) was 262.3 ± 68.4 µm, 244.6 ± 77.0 µm, 291.1 ± 107.7 µm, 363.5 ± 74.9 µm, and 239.9 ± 57.4 µm, respectively. Mean SFChT was significantly greater in eyes with PDR than in those with no DR (P < 0.01), mild/moderate NPDR (P < 0.01), or severe NPDR (P < 0.05). Mean SFChT decreased significantly in PRP-treated DR compared with PDR (P < 0.01). Eyes with DME (67 eyes) had a thicker subfoveal choroid than eyes without DME (128 eyes; P < 0.05) and, compared with cystoid or diffuse types, SFChT was thickest in subretinal detachment (SRD)-type DME (P < 0.05). CONCLUSIONS: Choroidal thickness increased significantly as the severity worsened from mild/moderate/NPDR to PDR, and decreased in PRP-treated eyes. The subfoveal choroid was thicker in eyes with DME than in those without, and was thickest in eyes with SRD-type DME.
ISSN	01460404
e-ISSN	15525783
Journal	Investigative Opthalmology & Visual Science
Issue Number	5
Volume Number	54
Language	English
Publisher	Association for Research in Vision and Ophthalmology
Publisher Date	2013-05-09
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Choroid Pathology Diabetes Mellitus, Type 2 Diabetic Retinopathy Macular Edema Retina Tomography, Optical Coherence Physiopathology Complications Epidemiology Disease Progression Fluorescein Angiography Etiology Reproducibility Of Results Retrospective Studies Severity Of Illness Index Discipline Ophthalmology
Content Type	Text
Resource Type	Article
Subject	Ophthalmology Sensory Systems Cellular and Molecular Neuroscience

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