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Published in: BMC Ophthalmology 1/2013

Open Access 01-12-2013 | Research Article

RETRACTED ARTICLE: Cental macular thickness in patients with type 2 diabetes mellitus without clinical retinopathy

Authors: Mehmet Demir, Ersin Oba, Burcu Dirim, Erhan Ozdal, Efe Can

Published in: BMC Ophthalmology | Issue 1/2013

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Abstract

Background

An increase in macular thickness due to fluid accumulation in the macula in patients with diabetes mellitus. Optical coherence tomography (OCT) has been shown to be highly reproducible in measuring macular thickness in normal individuals and diabetic patients. OCT can detect subtle changes of macular thickness. The aim of this study is to compare central macular thickness (CMT) of diabetic patients with type 2 diabetes without clinical retinopathy and normal controls, in order to assess possible increased macular thickness associated with diabetes mellitus.

Methods

Optical coherence tomography (OCT) measurements were performed in 124 eyes of 62 subjects with diabetes mellitus without clinically retinopathy (study group: 39 female, 23 male, mean age: 55.06 ± 9.77 years) and in 120 eyes of 60 healthy subjects (control group: 35 female, 25 male, mean age: 55.78 ± 10.34 years). Blood biochemistry parameters were analyzed in all cases. The data for central macular thickness (at 1 mm) and the levels of the 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.
Literature
1.
go back to reference Girach A, Lund-Andersen H: Diabetic macular oedema: a clinical overview. Int J Clin Pract. 2007, 61: 88-97. 10.1111/j.1742-1241.2006.01211.x.CrossRefPubMed Girach A, Lund-Andersen H: Diabetic macular oedema: a clinical overview. Int J Clin Pract. 2007, 61: 88-97. 10.1111/j.1742-1241.2006.01211.x.CrossRefPubMed
2.
go back to reference Gardner TW, Larsen M, Girach A, Zhi X: Protein Kinase C Diabetic Retinopathy Study (PKC-DRS2) Study Group. Diabetic macular oedema and visual loss: relationship to location, severity and duration. Acta Ophthalmol. 2009, 87: 709-713. 10.1111/j.1755-3768.2009.01545.x.CrossRefPubMed Gardner TW, Larsen M, Girach A, Zhi X: Protein Kinase C Diabetic Retinopathy Study (PKC-DRS2) Study Group. Diabetic macular oedema and visual loss: relationship to location, severity and duration. Acta Ophthalmol. 2009, 87: 709-713. 10.1111/j.1755-3768.2009.01545.x.CrossRefPubMed
3.
go back to reference Sakata K, Funatsu H, Harino S, Noma H, Hori S: Relationship of macular microcirculation and retinal thickness with visual acuity in diabetic macular edema. Ophthalmology. 2007, 114: 2061-2069. 10.1016/j.ophtha.2007.01.003.CrossRefPubMed Sakata K, Funatsu H, Harino S, Noma H, Hori S: Relationship of macular microcirculation and retinal thickness with visual acuity in diabetic macular edema. Ophthalmology. 2007, 114: 2061-2069. 10.1016/j.ophtha.2007.01.003.CrossRefPubMed
4.
go back to reference Yahia SB, Kahloun R, Jelliti B, Khairallah M: Branch retinal artery occlusion associated with Behçet disease. Ocul Immunol Inflamm. 2011, 19: 293-295. 10.3109/09273948.2011.582219.CrossRefPubMed Yahia SB, Kahloun R, Jelliti B, Khairallah M: Branch retinal artery occlusion associated with Behçet disease. Ocul Immunol Inflamm. 2011, 19: 293-295. 10.3109/09273948.2011.582219.CrossRefPubMed
5.
go back to reference Ogino K, Tsujikawa A, Nakamura H, Miyamoto K, Murakami T, Muraoka Y, Yoshimura N: Focal macular electroretinogram in macular edema secondary to central retinal vein occlusion. Invest Ophthalmol Vis Sci. 2011, 52: 3514-3520. 10.1167/iovs.10-7142.CrossRefPubMed Ogino K, Tsujikawa A, Nakamura H, Miyamoto K, Murakami T, Muraoka Y, Yoshimura N: Focal macular electroretinogram in macular edema secondary to central retinal vein occlusion. Invest Ophthalmol Vis Sci. 2011, 52: 3514-3520. 10.1167/iovs.10-7142.CrossRefPubMed
6.
go back to reference Browning DJ, McOwen MD, Bowen RM, O'Marah TL: Comparison of the clinical diagnosis of diabetic macular edema with diagnosis by optical coherence tomography. Ophthalmology. 2004, 111: 712-715. 10.1016/j.ophtha.2003.06.028.CrossRefPubMed Browning DJ, McOwen MD, Bowen RM, O'Marah TL: Comparison of the clinical diagnosis of diabetic macular edema with diagnosis by optical coherence tomography. Ophthalmology. 2004, 111: 712-715. 10.1016/j.ophtha.2003.06.028.CrossRefPubMed
7.
go back to reference Virgili G, Menchini F, Murro V, Peluso E, Rosa F, Casazza G: Optical coherence tomography (OCT) for detection of macular oedema in patients with diabetic retinopathy. Cochrane Database Syst Rev. 2011, 7: CD008081-PubMed Virgili G, Menchini F, Murro V, Peluso E, Rosa F, Casazza G: Optical coherence tomography (OCT) for detection of macular oedema in patients with diabetic retinopathy. Cochrane Database Syst Rev. 2011, 7: CD008081-PubMed
8.
go back to reference Ibrahim MA, Sepah YJ, Symons RC, Channa R, Hatef E, Khwaja A: Spectral- and time-domain optical coherence tomography measurements of macular thickness in normal eyes and in eyes with diabetic macular edema. Eye (Lond). 2012, 26: 454-462. 10.1038/eye.2011.293.CrossRef Ibrahim MA, Sepah YJ, Symons RC, Channa R, Hatef E, Khwaja A: Spectral- and time-domain optical coherence tomography measurements of macular thickness in normal eyes and in eyes with diabetic macular edema. Eye (Lond). 2012, 26: 454-462. 10.1038/eye.2011.293.CrossRef
9.
go back to reference Medina FJ, Callén CI, Rebolleda G, Muñoz-Negrete FJ, Callén MJ, Valle FG: Use of Nonmydriatic Spectral-Domain Optical Coherence Tomography for Diagnosing Diabetic Macular Edema. Am J Ophthalmol. 2012, 153: 536-543. 10.1016/j.ajo.2011.08.008.CrossRefPubMed Medina FJ, Callén CI, Rebolleda G, Muñoz-Negrete FJ, Callén MJ, Valle FG: Use of Nonmydriatic Spectral-Domain Optical Coherence Tomography for Diagnosing Diabetic Macular Edema. Am J Ophthalmol. 2012, 153: 536-543. 10.1016/j.ajo.2011.08.008.CrossRefPubMed
10.
go back to reference Suzuma K, Yamada Y, Liu M, Tsuiki E, Fujikawa A, Kitaoka T: Comparing central retinal thickness in diabetic macular edema measured by two different spectral-domain optical coherence tomography devices. Jpn J Ophthalmol. 2011, 55: 620-624. 10.1007/s10384-011-0085-4.CrossRefPubMed Suzuma K, Yamada Y, Liu M, Tsuiki E, Fujikawa A, Kitaoka T: Comparing central retinal thickness in diabetic macular edema measured by two different spectral-domain optical coherence tomography devices. Jpn J Ophthalmol. 2011, 55: 620-624. 10.1007/s10384-011-0085-4.CrossRefPubMed
11.
go back to reference Kwon SI, Hwang DJ, Seo JY, Park IW: Evaluation of changes of macular thickness in diabetic retinopathy after cataract surgery. Korean J Ophthalmol. 2011, 25: 238-242. 10.3341/kjo.2011.25.4.238.CrossRefPubMedPubMedCentral Kwon SI, Hwang DJ, Seo JY, Park IW: Evaluation of changes of macular thickness in diabetic retinopathy after cataract surgery. Korean J Ophthalmol. 2011, 25: 238-242. 10.3341/kjo.2011.25.4.238.CrossRefPubMedPubMedCentral
12.
go back to reference Udaondo P, Díaz-Llopis M, García-Delpech S, Salom D, Romero FJ: Intravitreal plasmin without vitrectomy for macular edema secondary to branch retinal vein occlusion. Arch Ophthalmol. 2011, 129: 283-287. 10.1001/archophthalmol.2011.8.CrossRefPubMed Udaondo P, Díaz-Llopis M, García-Delpech S, Salom D, Romero FJ: Intravitreal plasmin without vitrectomy for macular edema secondary to branch retinal vein occlusion. Arch Ophthalmol. 2011, 129: 283-287. 10.1001/archophthalmol.2011.8.CrossRefPubMed
13.
go back to reference Moreira RO, Trujillo FR, Meirelles RM, Ellinger VC, Zagury L: Use of optical coherence tomography (OCT) and indirect ophthalmoscopy in the diagnosis of macular edema in diabetic patients. Int Ophthalmol. 2001, 24: 331-336.CrossRefPubMed Moreira RO, Trujillo FR, Meirelles RM, Ellinger VC, Zagury L: Use of optical coherence tomography (OCT) and indirect ophthalmoscopy in the diagnosis of macular edema in diabetic patients. Int Ophthalmol. 2001, 24: 331-336.CrossRefPubMed
14.
go back to reference Schneeberg AE, Göbel W: Diagnosis and follow-up of non-diabetic macular edema with optical coherence tomography (OCT). Ophthalmologe. 2003, 100: 960-966. 10.1007/s00347-003-0822-2.CrossRefPubMed Schneeberg AE, Göbel W: Diagnosis and follow-up of non-diabetic macular edema with optical coherence tomography (OCT). Ophthalmologe. 2003, 100: 960-966. 10.1007/s00347-003-0822-2.CrossRefPubMed
15.
go back to reference Song JH, Lee JJ, Lee SJ: Comparison of the short-term effects of intravitreal triamcinolone acetonide and bevacizumab injection for diabetic macular edema. Korean J Ophthalmol. 2011, 25: 156-160. 10.3341/kjo.2011.25.3.156.CrossRefPubMedPubMedCentral Song JH, Lee JJ, Lee SJ: Comparison of the short-term effects of intravitreal triamcinolone acetonide and bevacizumab injection for diabetic macular edema. Korean J Ophthalmol. 2011, 25: 156-160. 10.3341/kjo.2011.25.3.156.CrossRefPubMedPubMedCentral
16.
go back to reference Takatsuna Y, Yamamoto S, Nakamura Y, Tatsumi T, Arai M, Mitamura Y: Long-term therapeutic efficacy of the subthreshold micropulse diode laser photocoagulation for diabetic macular edema. Jpn J Ophthalmol. 2011, 55: 365-369. 10.1007/s10384-011-0033-3.CrossRefPubMed Takatsuna Y, Yamamoto S, Nakamura Y, Tatsumi T, Arai M, Mitamura Y: Long-term therapeutic efficacy of the subthreshold micropulse diode laser photocoagulation for diabetic macular edema. Jpn J Ophthalmol. 2011, 55: 365-369. 10.1007/s10384-011-0033-3.CrossRefPubMed
17.
go back to reference Vemala R, Koshy S, Sivaprasad S: Qualitative and quantitative OCT response of diffuse diabetic macular oedema to macular laser photocoagulation. Eye (Lond). 2011, 25: 901-908. 10.1038/eye.2011.84.CrossRef Vemala R, Koshy S, Sivaprasad S: Qualitative and quantitative OCT response of diffuse diabetic macular oedema to macular laser photocoagulation. Eye (Lond). 2011, 25: 901-908. 10.1038/eye.2011.84.CrossRef
18.
go back to reference Browning DJ, Fraser CM, Propst BW: The variation in optical coherence tomography-measured macular thickness in diabetic eyes without clinical macular edema. Am J Ophthalmol. 2008, 145: 889-893. 10.1016/j.ajo.2008.01.007.CrossRefPubMed Browning DJ, Fraser CM, Propst BW: The variation in optical coherence tomography-measured macular thickness in diabetic eyes without clinical macular edema. Am J Ophthalmol. 2008, 145: 889-893. 10.1016/j.ajo.2008.01.007.CrossRefPubMed
19.
go back to reference Hee MR, Puliafito CA, Wong C, Duker JS, Reichel E, Rutledge B: Quantitative assessment of macular edema with optical coherence tomography. Arch Ophthalmol. 1995, 113: 1019-1029. 10.1001/archopht.1995.01100080071031.CrossRefPubMed Hee MR, Puliafito CA, Wong C, Duker JS, Reichel E, Rutledge B: Quantitative assessment of macular edema with optical coherence tomography. Arch Ophthalmol. 1995, 113: 1019-1029. 10.1001/archopht.1995.01100080071031.CrossRefPubMed
20.
go back to reference Moon SW, Kim HY, Kim SW, Oh J, Huh K, Oh IK: The change of macular thickness measured by optical coherence tomography in relation to glycemic control in diabetic patients. Graefes Arch Clin Exp Ophthalmol. 2011, 249: 839-848. 10.1007/s00417-010-1562-z.CrossRefPubMed Moon SW, Kim HY, Kim SW, Oh J, Huh K, Oh IK: The change of macular thickness measured by optical coherence tomography in relation to glycemic control in diabetic patients. Graefes Arch Clin Exp Ophthalmol. 2011, 249: 839-848. 10.1007/s00417-010-1562-z.CrossRefPubMed
21.
go back to reference Yeung L, Sun CC, Ku WC, Chuang LH, Chen CH, Huang BY: Associations between chronic glycosylated haemoglobin (HbA1c) level and macular volume in diabetes patients without macular oedema. Acta Ophthalmol. 2010, 88: 753-758. 10.1111/j.1755-3768.2009.01711.x.CrossRefPubMed Yeung L, Sun CC, Ku WC, Chuang LH, Chen CH, Huang BY: Associations between chronic glycosylated haemoglobin (HbA1c) level and macular volume in diabetes patients without macular oedema. Acta Ophthalmol. 2010, 88: 753-758. 10.1111/j.1755-3768.2009.01711.x.CrossRefPubMed
22.
go back to reference Chou TH, Wu PC, Kuo JZ, Lai CH, Kuo CN: Relationship of diabetic macular oedema with glycosylated haemoglobin. Eye (Lond). 2009, 23: 1360-1363. 10.1038/eye.2008.279.CrossRef Chou TH, Wu PC, Kuo JZ, Lai CH, Kuo CN: Relationship of diabetic macular oedema with glycosylated haemoglobin. Eye (Lond). 2009, 23: 1360-1363. 10.1038/eye.2008.279.CrossRef
23.
go back to reference Rosenstock J, Friberg T, Raskin P: Effect of glycemic control on microvascular complications in patients with type I diabetes mellitus. Am J Med. 1986, 81: 1012-1018. 10.1016/0002-9343(86)90398-0.CrossRefPubMed Rosenstock J, Friberg T, Raskin P: Effect of glycemic control on microvascular complications in patients with type I diabetes mellitus. Am J Med. 1986, 81: 1012-1018. 10.1016/0002-9343(86)90398-0.CrossRefPubMed
Metadata
Title
RETRACTED ARTICLE: Cental macular thickness in patients with type 2 diabetes mellitus without clinical retinopathy
Authors
Mehmet Demir
Ersin Oba
Burcu Dirim
Erhan Ozdal
Efe Can
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2013
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/1471-2415-13-11

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