http://informahealthcare.com/doi/abs/10.3109/08820538.2013.

821504
libro Seminars in Ophthalmology

Choroidal Changes and Duration of Diabetes

Posted online on September 27, 2013. (doi:10.3109/08820538.2013.821504)

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Fatma Yülek1, Nagihan Uğurlu1, Eda Demir Önal2, Sücattin İlker Kocamış3, Nurullah Çağıl1, Reyhan Ersoy2,

and Bekir Çakır2
1
Department of Ophthalmology and
2
Department of Endocrinology, Endotem Diabetes Center, Ankara Atatürk Training and Research
Hospital, 
Ankara
, Turkey, and
3
Department of Ophthalmology, Ardahan State Hospital, 
Ardahan
, Turkey
Correspondence: 
Sücattin İlker Kocamış M.D.
, Department of Ophthalmology, Ardahan State Hospital, 
Ardahan
, Turkey. E-mail: sucoilker@yahoo.com

Abstract
Purpose: We investigate changes in macular choroidal thickness in eyes without diabetic retinopathy of
patients with various durations of diabetes, using enhanced depth imaging optical coherence tomography
(EDI OCT). Methods: The 134 Type-2 diabetic patients who presented without diabetic retinopathy were
prospectively imaged using EDI OCT on Heidelberg Spectralis (Heidelberg Engineering, Heidelberg,
Germany) sd-OCT. The patients with diabetes were classified into three groups, according to the duration
of diabetes: Group I (5–9 years, n = 63); Group II (10–14 years, n = 37); Group III (15–40 years, n = 34).
The retinal and choroidal thickness was evaluated between these groups at central fovea and at the
regions at 500-mm intervals up to 1500 mm temporal and nasal to the fovea. Results: The central foveal
retinal thickness was significantly different between groups (group I: 273.05 ± 19.51 µ, group II: 267.12 ± 
20.78 µ, group III: 261.34 ± 22.27 µ; p = 0.04). The choroidal thickness measurements at central fovea, at
500, 1000, and 1500 micron intervals temporal and nasal to the center of the fovea were not significantly
different between groups. The duration of diabetes was weakly correlated with choroidal thickness in all
measured distances and they were not statistically significant. The central foveal choroidal thickness was
weakly correlated with serum creatinine (r = −0.18, p = 0.03). Conclusıon: Foveal retinal thickness was
significantly decreased in patients with longer duration of diabetes. Duration of diabetes does not seem to
be related to foveal chorodial thickness. On the other hand, the weak relation between creatinine and
choroidal thickness may be evaluated further. The choroidal thickness changes that may be an early sign
of nephropathy can be submitted to an easy, noninvasive scanning test at the same time

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