Prediction of a reliable method for the estimation of central corneal thickness in diabetic patients with and without diabetic retinopathy

IF 0.9 Q4 OPHTHALMOLOGY

Expert Review of Ophthalmology Pub Date : 2022-09-03 DOI:10.1080/17469899.2022.2138346

Anita Syla Lokaj, Gazmend Kaçaniku, K. Spahiu, Faruk Semiz

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引用次数: 0

Abstract

ABSTRACT Background This study aimed to analyze the central corneal thickness (CCT) in diabetic patients with and without diabetic retinopathy (DR) by investigating the impacts of other CCT factors such as hemoglobin A1c (HbA1c) levels, diabetes mellitus (DM) duration, and the DR stages. The study also compared the results of two measuring devices – anterior segment-optical coherence tomography (AS-OCT) and ultrasound pachymetry (UP). However, the existing research possesses bias in revealing the precise measurement of CCT. Research design and methods The study enrolled 300 participants who were segregated into three equal groups: group A with DR, group B without DR, and the control group. The study tested the following formulated hypothesis, like the correlation between the age, duration, and HbA1c level of diabetic patients with DR and without DR. The effectiveness of the AS-OCT and UP was assessed through statistical analysis. Results The experiment revealed a considerable statistical difference in the formulated hypothesis and observed that AS-OCT had higher efficacy than UP in estimating CCT in all the groups. Conclusions The study recommends the prompt utilization of devices such as AS-OCT to precisely predict CCT. This could greatly benefit DM patients with retinopathy conditions for better decision-making and reliable measures during glaucoma surgery.

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预测一种可靠的方法来估计糖尿病视网膜病变和非糖尿病视网膜病变患者的中心角膜厚度

本研究旨在通过研究其他CCT因素如血红蛋白A1c (HbA1c)水平、糖尿病(DM)病程和DR分期的影响，分析伴有和不伴有糖尿病视网膜病变(DR)的糖尿病患者角膜中央厚度(CCT)。本研究还比较了两种测量设备-前段光学相干断层扫描(AS-OCT)和超声厚测仪(UP)的结果。然而，现有的研究在揭示CCT的精确测量方面存在偏差。研究设计与方法研究招募了300名参与者，他们被分为三个相等的组:有DR的A组，没有DR的B组和对照组。本研究检验了以下假设，如糖尿病合并DR和不合并DR患者的年龄、病程、HbA1c水平之间的相关性，并通过统计分析评估AS-OCT和UP的有效性。结果实验发现，在所有组中，AS-OCT在估计CCT方面的有效性均高于UP。结论本研究建议及时使用as - oct等仪器来准确预测CCT。这将极大地有利于糖尿病视网膜病变患者在青光眼手术中更好的决策和可靠的措施。

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

Expert Review of Ophthalmology Health Professions-Optometry

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： The worldwide problem of visual impairment is set to increase, as we are seeing increased longevity in developed countries. This will produce a crisis in vision care unless concerted action is taken. The substantial value that ophthalmic interventions confer to patients with eye diseases has led to intense research efforts in this area in recent years, with corresponding improvements in treatment, ophthalmic instrumentation and surgical techniques. As a result, the future for ophthalmology holds great promise as further exciting and innovative developments unfold.