Demir Mehmet, Dirim Burcu, Acar Zeynep, Yılmaz Murat, Sendul Yekta
Department of Ophthalmology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey ; Sisli Etfal Hastanesi, Halaskargazi Caddesi Etfal Sokak No. 10, 34400 Sisli, Istanbul, Turkey.
J Ophthalmol. 2013;2013:767931. doi: 10.1155/2013/767931. Epub 2013 Apr 3.
Objective. To compare central macular thickness (CMT) of diabetic patients with type 2 diabetes without clinical retinopathy and healthy subjects. Materials and Methods. Optical coherence tomography (OCT) measurements were performed in 124 eyes of 62 subjects with diabetes mellitus without clinical retinopathy (study group: 39 females, 23 males; mean age: 55.06 ± 9.77 years) and in 120 eyes of 60 healthy subjects (control group: 35 females, 25 males; mean age: 55.78 ± 10.34 years). Blood biochemistry parameters were analyzed in all cases. The data for central macular thickness (at 1 mm), the levels of fasting plasma glucose, and glycosylated hemoglobin (HbA1c) were compared in both groups. Results. The mean central macular thickness was 232.12 ± 24.41 µm in the study group and 227.19 ± 29.94 µm in the control group. The mean HbA1c level was 8.92 ± 2.58% in the study group and 5.07 ± 0.70% in the control group (P = 0.001). No statistically significant relationship was found between CMT, HbA1c, and fasting plasma glucose level in either group (P > 0.05). Conclusions. Central macular thickness was not significantly thicker in patients with type 2 diabetes without clinical retinopathy than in healthy subjects.
目的。比较无临床视网膜病变的2型糖尿病患者与健康受试者的黄斑中心厚度(CMT)。材料与方法。对62例无临床视网膜病变的糖尿病患者(研究组:39名女性,23名男性;平均年龄:55.06±9.77岁)的124只眼和60名健康受试者(对照组:35名女性,25名男性;平均年龄:55.78±10.34岁)的120只眼进行光学相干断层扫描(OCT)测量。分析所有病例的血液生化参数。比较两组黄斑中心厚度(1mm处)、空腹血糖水平和糖化血红蛋白(HbA1c)的数据。结果。研究组黄斑中心平均厚度为232.12±24.41µm,对照组为227.19±29.94µm。研究组HbA1c平均水平为8.92±2.58%,对照组为5.07±0.70%(P = 0.001)。两组中CMT、HbA1c和空腹血糖水平之间均未发现有统计学意义的相关性(P>0.05)。结论。无临床视网膜病变的2型糖尿病患者的黄斑中心厚度并不比健康受试者明显增厚。