Assessment of Macular and Choroidal Thickness in Diabetic Patients in Relation to Glycemic Control

IF 0.9 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Malawi Medical Journal Pub Date : 2025-06-30 DOI:10.21608/aimj.2025.446625

Magdi Ezz-Eldin Hosny Tawakol, Nermeen Mohamed Abdelhalim, Osama Omar Omar Badr

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引用次数: 0

Abstract

Background: Retinopathy, or diabetic eye disease, is a condition in which damage to the retina develops as a result of diabetes. One potential consequence of DR is blindness. Aim and objectives: The purpose of assessing diabetes patients' glucose control in relation to choroidal and macular thickness is to. Subjects and methods: Patients with diabetes who visited the Retina clinic at Al-Azhar University Hospitals between January 2024 and October 2024 were the subjects of this non-cohort, cross-sectional study. Patients were subdivided according to HbA1c levels into 3 subgroups: group-A HbA1c 7 and below, group-B 7-8% and group-C HbA1c above 8%. Each group was examined for SF CT and CMT by OCT. Results: The groups varied significantly in terms of sub-foveal choroidal thickness (μm). Group A had the highest mean value (289.47±49.7), followed by group B (219.6±30.9), and group C had the lowest value (192.46±20.6). Based on central macular thickness (CMT), there is an extremely significant difference between the groups. Group-C had the highest mean value (283.98±50.96), followed by group-B (250.99±41.3), and group-A had the lowest (216.8±29.6). Conclusion: From the results of this study we concluded that, there were positive correlation between HbA1c levels with CMT and negative with SF CT.

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评估糖尿病患者黄斑和脉络膜厚度与血糖控制的关系

背景：视网膜病变，或糖尿病性眼病，是一种由糖尿病引起的视网膜损伤。DR的一个潜在后果是失明。目的和目的：评估糖尿病患者的血糖控制与脉络膜和黄斑厚度的关系。受试者和方法：2024年1月至2024年10月在爱资哈尔大学医院视网膜诊所就诊的糖尿病患者是这项非队列横断面研究的受试者。根据HbA1c水平将患者细分为3个亚组：a组HbA1c 7及以下，b组HbA1c 7-8%， c组HbA1c高于8%。结果：各组中央凹下脉络膜厚度（μm）差异显著。A组平均值最高（289.47±49.7），B组次之（219.6±30.9），C组最低（192.46±20.6）。基于中央黄斑厚度（CMT），两组之间存在极显著差异。平均值c组最高（283.98±50.96），b组次之（250.99±41.3），a组最低（216.8±29.6）。结论：本研究结果表明，HbA1c水平与CMT呈正相关，与SF CT呈阴性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Malawi Medical Journal Medicine-General Medicine

CiteScore

1.50

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Driven and guided by the priorities articulated in the Malawi National Health Research Agenda, the Malawi Medical Journal publishes original research, short reports, case reports, viewpoints, insightful editorials and commentaries that are of high quality, informative and applicable to the Malawian and sub-Saharan Africa regions. Our particular interest is to publish evidence-based research that impacts and informs national health policies and medical practice in Malawi and the broader region. Topics covered in the journal include, but are not limited to: - Communicable diseases (HIV and AIDS, Malaria, TB, etc.) - Non-communicable diseases (Cardiovascular diseases, cancer, diabetes, etc.) - Sexual and Reproductive Health (Adolescent health, education, pregnancy and abortion, STDs and HIV and AIDS, etc.) - Mental health - Environmental health - Nutrition - Health systems and health policy (Leadership, ethics, and governance) - Community systems strengthening research - Injury, trauma, and surgical disorders