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December 1, 2021European Journal of Ophthalmology

Mean values for carotid IMT were significantly higher in diabetic patients than in controls (p < 0.001), and vessel density in SCP, DCP, and OD were significantly lower in the diabetic group (p < 0.05), with significant correlations between carotid IMT and OCTA parameters.

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Why the study?

The study aimed to detect early retinal vascular changes using OCTA in T1DM patients without diabetic retinopathy and evaluate their correlation with carotid intima-media thickness.

Do patients with type 1 diabetes mellitus without diabetic retinopathy exhibit early retinal microvascular changes that correlate with increased carotid intima-media thickness compared to healthy controls?

Population

38 adult patients with T1DM without diabetic retinopathy and 38 matched healthy controls

Comparison

T1DM patients without diabetic retinopathy vs healthy controls

Design

Case-control and cross-sectional study

Authors

HUHafize Gökben UlutaşMGMetin GüçlüMAMehmet Emin Aslancı

Discussion

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Overview

May support OCTA for detecting early microvascular changes in T1DM without DR; hypothesis-generating for carotid IMT links.

Structured PICO

Do patients with type 1 diabetes mellitus without diabetic retinopathy exhibit early retinal microvascular changes that correlate with increased carotid intima-media thickness compared to healthy controls?

P
Population
38 adult patients with type 1 diabetes mellitus (T1DM) without diabetic retinopathy, and 38 age and gender-matched healthy controls (total n=76)
I
Intervention
Type 1 diabetes mellitus (T1DM) without diabetic retinopathy
C
Comparator
Age and gender-matched healthy controls
O
Outcome
Early retinal vascular changes detected with optical coherence tomography angiography (OCTA) and their correlation with carotid intima-media thickness (IMT)surrogate

Optical coherence tomography angiography can detect early microvascular changes in patients with type 1 diabetes without diabetic retinopathy, which correlate with increased carotid intima-media thickness.

Cite This Study

Ulutaş et al. (2021) studied this question.

synapsesocial.com/papers/6a0f9dd3d03631df9ce9cce7https://doi.org/10.1177/11206721211064024
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