DR. KEERTHI KUMAR

DR. DARSHAN S M, DR. SOUMYA H.V., DR. ANITA T. GIRISH, DR. BINDU MALINI M

Abstract

Studies on diabetic retinopathy (DR) have focused on risk factors associated with clinically significant macular edema (CSME). The role of systemic risk factors with early retinal pathology in diabetes in the absence of DME has not been widely studied.

In our study, a cohort of 60 diabetic patients were divided equally into two groups one with diabetic retinopathy and the other without diabetic retinopathy. Patients with maculopathy, retinal inflammatory conditions, vitreous hemorrhage, dense cataracts, and those previously treated for diabetic retinopathy were excluded from our study. We analyzed their OCT macular morphology, glycemic control, renal functions, and lipid profile. We noted renal diseases and HbA1C was significantly higher in patients in retinopathy group (p=0.03 and p=0.04 respectively). We also noted that central subfield thickness (261.6µ Vs 242.63µ) and cube average thickness (282µ Vs 271.5µ) were significantly greater in the DR group (p=0.002;p=0.010).