Citation:Garrido-Hermosilla AM,Méndez-Muros M,Gutiérrez-Sánchez E,Morales-Portillo C,Díaz-Granda MJ,Esteban-González E,Relimpio-López I,Martínez-Brocca MA,Rodríguez-de-la-Rúa-Franch E.Renal function and choroidal thickness using swept-source optical coherence tomography in diabetic patients.Int J Ophthalmol 2019;12(6):985-989,doi:10.18240/ijo.2019.06.17
Renal function and choroidal thickness using swept-source optical coherence tomography in diabetic patients
Received:October 09, 2018  Revised:November 26, 2018
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DOI:10.18240/ijo.2019.06.17
Key Words:choroidal thickness  renal function  swept-source optical coherence tomography  spectral-domain optical coherence tomography  diabetes mellitus
Fund Project:OFTARED “RD16/0008/0010”, funded by Instituto de Salud Carlos III, integrated in the national I+D+i 2013-2016 and co-funded by European Union (ERDF/ESF, “Investing in your future”)
                          
AuthorInstitution
Antonio Manuel Garrido-Hermosilla Department of Ophthalmology, Virgen Macarena University Hospital, Seville 41009, Spain; OftaRed, Institute of Health Carlos III, Madrid, Spain
Mariola Méndez-Muros Department of Endocrinology and Nutrition, Virgen Macarena University Hospital, Seville 41009, Spain
Estanislao Gutiérrez-Sánchez Department of Ophthalmology, Virgen Macarena University Hospital, Seville 41009, Spain; OftaRed, Institute of Health Carlos III, Madrid, Spain
Cristóbal Morales-Portillo Department of Endocrinology and Nutrition, Virgen Macarena University Hospital, Seville 41009, Spain
María Jesús Díaz-Granda Department of Ophthalmology, Virgen Macarena University Hospital, Seville 41009, Spain; OftaRed, Institute of Health Carlos III, Madrid, Spain
Eduardo Esteban-González Department of Ophthalmology, Virgen Macarena University Hospital, Seville 41009, Spain; OftaRed, Institute of Health Carlos III, Madrid, Spain
Isabel Relimpio-López Department of Ophthalmology, Virgen Macarena University Hospital, Seville 41009, Spain; OftaRed, Institute of Health Carlos III, Madrid, Spain
María Asunción Martínez-Brocca Department of Endocrinology and Nutrition, Virgen Macarena University Hospital, Seville 41009, Spain
Enrique Rodríguez-de-la-Rúa-Franch Department of Ophthalmology, Virgen Macarena University Hospital, Seville 41009, Spain; OftaRed, Institute of Health Carlos III, Madrid, Spain
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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-naïve 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.

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