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Renal function and choroidal thickness using swept-source optical coherence tomography in diabetic patients

AuthorsGarrido-Hermosilla, Antonio Manuel; Méndez-Muros, Mariola; Gutiérrez-Sánchez, Estanislao; Morales-Portillo, Cristóbal; Díaz-Granda, María Jesús; Esteban-González, Eduardo; Relimpio-López, Isabel; Martínez-Brocca, María Asunción; Rodríguez-de-la-Rúa-Franch, Enrique
KeywordsChoroidal thickness
Renal function
Swept-source optical coherence tomography
Spectral-domain optical coherence tomography
Diabetes mellitus
Issue Date18-Jun-2019
PublisherChinese Medical Association
CitationInternational Journal of Ophthalmology 12(6): 985-989 (2019)
Abstract[Aim] To assess the relationship between choroidal thickness and renal function in diabetic patients.
[Methods] Cross-sectional retrospective clinical study of 42 eyes of 21 ocular treatment-na?ve diabetic patients. Demographic data included: age, sex, type and course of diabetes. Ocular data included: severity of diabetic retinopathy; retinal thickness at the central macular region, as well as choroidal thickness at the central and paracentral quadrants, using automatically generated maps by swept-source optical coherence tomography; presence of cystic macular edema; and ocular axial length (AXL). Lab-test parameters included: glycated hemoglobin (HbA1c), albuminuria, albumin/creatinine ratio in urine, and glomerular filtration rate.
[Results] A significant negative correlation was mainly observed between several choroidal thicknesses, age (P<0.020) and ocular AXL (P<0.030). On the contrary, a significant positive correlation was found between all choroidal thicknesses, HbA1c (P<0.035) and albuminuria (P<0.040).
[Conclusion] Choroidal thickness can represent an additional tool to help clinicians predicting the renal status in ocular treatment-naïve diabetic patients.
Publisher version (URL)http://dx.doi.org/10.18240/ijo.2019.06.17
Identifiersdoi: 10.18240/ijo.2019.06.17
issn: 2222-3959
e-issn: 2227-4898
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