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56919

Optical Coherence Tomography Assessment of Macular and Choroidal Thickness in Patients with Proliferative Diabetic Retinopathy in Relation to Hemoglobin A1C

Article

Last updated: 30 Jan 2023

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Abstract

Background: Diabetic retinopathy affects up to 80 % of all patients who have had diabetes for 10 years or more. Despite these intimidating statistics, research indicates that at least 90% of these new cases could be reduced if there were proper treatment and monitoring of the eyes blindness. Objective: To evaluate the relation of macular and choroidal thickness to HbA1c in patients with proliferative diabetic retinopathy. Patients and methods: This study included 40 eyes of 33 patients with a diagnosis of proliferative diabetic retinopathy (PDR). Patients were recruited from Retinal Clinic in Imbaba Eye Hospital and they were asked to participate in this study. This study was designed as an observational, cross-sectional and non-coherent study in the period from 5/2018 to 4/2019. Results: the results showed that the macular thickness was higher and the choroidal thickness was lower in uncontrolled HbA1c group than controlled HbA1c group. We assumed that increase level of glycosylated hemoglobin lead to increase macular thickness and decrease choroidal thickness and increase incidence of diabetic macular edema and choroidal atrophy. Conclusion: Optical coherence tomography is a sensitive and noninvasive diagnostic tool in the evaluation of macular and choroidal thickness. Hypertension is also an important risk factor in the development of diabetic retinopathy, diabetic macular edema and diabetic choroidopathy.

DOI

10.21608/ejhm.2019.56919

Keywords

Optical Coherence Tomography, Macular and Choroidal Thickness, proliferative diabetic retinopathy, Hemoglobin A1C

Authors

First Name

Abdullah Hussain

Last Name

Hamed

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Affiliation

Department of Ophthalmology, Faculty of Medicine, Al-Azhar University

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First Name

Hassan Metwally

Last Name

Bayoumi

MiddleName

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Affiliation

Department of Ophthalmology, Faculty of Medicine, Al-Azhar University

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Orcid

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First Name

Abdulmonem Mohammad

Last Name

Abdulmonem

MiddleName

-

Affiliation

Department of Ophthalmology, Faculty of Medicine, Al-Azhar University

Email

drabdelmonem2020@gmail.com

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Volume

77

Article Issue

4

Related Issue

8489

Issue Date

2019-10-01

Receive Date

2019-11-04

Publish Date

2019-10-01

Page Start

5,355

Page End

5,366

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_56919.html

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https://ejhm.journals.ekb.eg/service?article_code=56919

Order

9

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

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Article

Created At

22 Jan 2023