Changes in ocular pulse amplitude and posterior ocular structure parameters in type 1 diabetic children without diabetic retinopathy.

Background: It is important to determine changes in posterior ocular structures in the early period before retinopathy develops in pediatric patients with type 1 diabetes mellitus (DM). Objective: To evaluate inner plexiform layer (IPL), ganglion cell layer (GCL), and retinal nerve fiber layer (RNFL...

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Publicado en:Therapeutic Advances in Ophthalmology pp. 1 - 11
Autores principales: Asik, Abdulvahit, Bolu, Semih, Direkci, Ilke, Aydemir, Emre, Aydemir, Gozde Aksoy
Formato: diagnostic images research tables/charts Journal Article
Publicado: Sage Publications Inc. 7/7/2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 7/7/2022
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Changes in ocular pulse amplitude and posterior ocular structure parameters in type 1 diabetic children without diabetic retinopathy.
      aug:
        au:
          Asik, Abdulvahit
          Bolu, Semih
          Direkci, Ilke
          Aydemir, Emre
          Aydemir, Gozde Aksoy
        affil: Data curation, Department of Pediatrics, Adıyaman University Education and Research Hospital, Adıyaman, Turkey
      sug:
        subj:
          Diabetes Mellitus, Type 1 In Infancy and Childhood
          Diabetic Patients
          Intraocular Pressure
          Retinal Diseases
          Retinal Ganglion Cells Pathology
          Uveal Diseases
          Human
          Diabetic Retinopathy
          Prospective Studies
          Nonexperimental Studies
          Tonometry
          Descriptive Statistics
          Child
          Adolescence
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Background: It is important to determine changes in posterior ocular structures in the early period before retinopathy develops in pediatric patients with type 1 diabetes mellitus (DM). Objective: To evaluate inner plexiform layer (IPL), ganglion cell layer (GCL), and retinal nerve fiber layer (RNFL) thicknesses, as well as the relationship between choroidal thickness (CT) and ocular pulse amplitude (OPA) in type 1 diabetic children without diabetic retinopathy (DR). Design: A prospective observational study. Methods: Group 1 (n = 44) consisted of pediatric patients with type 1 DM without DR, and Group 2 (n = 65) of pediatric control subjects. Both intraocular pressure (IOP) and OPA were measured using a dynamic contour tonometer. CT, IPL, GCL, and RNFL were all measured using spectral domain optical coherence tomography (OCT). Results: The mean IOP and OPA values were 16.67 ± 2.34 and 1.85 ± 0.34, respectively, in group 1, and 15.14 ± 2.17 and 1.65 ± 0.25 in Group 2 (p = 0.001 for both). The mean subfoveal CT value was 294.30 ± 67.61 μm in group 1 and 394.42 ± 69.65 μm in Group 2 (p < 0.001). The mean GCL and RNFL values were 1.09 ± 0.11 and 96.46 ± 11.69, respectively, in group 1, and 1.14 ± 0.09 and 101.73 ± 9.33 in Group 2 (p = 0.005 and p = 0.008, respectively). Conclusions: IOP and OPA values were higher, and CT, GCL, and RNFL values were lower in children with type 1 DM during the early stages than in the healthy control group. These findings suggest that CT may be a marker of retinal involvement in children with type 1 DM without DR.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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