Rod function in diabetic patients without and with early diabetic retinopathy.

Abstract:

PURPOSE:To compare rod function among diabetic patients without and with mild nonproliferative diabetic retinopathy (DR) and healthy controls by means of scotopic microperimetry and dark-adapted electroretinography. METHODS:Sixty-one diabetic patients and 30 age-matched controls (control group) underwent complete ophthalmic examination, scotopic microperimetry, and dark-adapted 0.01 electroretinography (DA-ERG). RESULTS:In 32 eyes, DR was absent (no-DR group); in 29 eyes, only microaneurysms were observed (DR group). No statistically significant differences in fixation stability, fixation location, or scotopic sensitivity among the 3 groups were observed. Implicit time and amplitude of the DA-ERG b-wave of no-DR and DR groups were not different from controls. Scotopic microperimetry showed a dense scotoma centered onto the fovea in all subjects, consistent with the rod-free zone. Greater scotopic sensitivity was found in a ring located 8° from the fovea (9.33 ± 1.33 dB). CONCLUSIONS:Diabetic patients without DR and with mild nonproliferative DR did not show alterations in rod-based function, as examined by microperimetry and confirmed by DA-ERG. Scotopic microperimetry measures rod-based function and offers additional information in the evaluation of the aspects of involvement of retinal cells in diabetes.

journal_name

Eur J Ophthalmol

authors

Longhin E,Tormene AP,Olivato E,Convento E,Vujosevic S,Pilotto E,Kotsafti O,Midena E

doi

10.5301/ejo.5000800

subject

Has Abstract

pub_date

2016-08-04 00:00:00

pages

418-24

issue

5

eissn

1120-6721

issn

1724-6016

pii

07B39539-122D-45B1-8874-A0288C4302C4

journal_volume

26

pub_type

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