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Characterization of initial stages of diabetic macular edema

dc.contributor.authorSantos, Ana Rita
dc.contributor.authorSantos, Torcato
dc.contributor.authorAlves, Dalila
dc.contributor.authorMarques, Inês P.
dc.contributor.authorLobo, Conceição
dc.contributor.authorCunha-Vaz, José
dc.date.accessioned2023-04-18T17:07:24Z
dc.date.available2023-04-18T17:07:24Z
dc.date.issued2019-11
dc.description.abstractThis study is aimed at characterizing the type of retinal edema in the initial stages of retinopathy in type 2 diabetes. In this retrospective cross-sectional study, spectral domain optical coherence tomography (OCT) layer by layer analysis of the retina in association with OCT-Leakage, an algorithm to detect sites of low optical reflectivity, were used to examine eyes with minimal, mild, and moderate diabetic retinopathy (DR). A total of 142 eyes from 142 patients (28% women) aged 52–88 years were imaged. Macular edema, either subclinical (SCME) or central-involved macular edema (CIME), was present in 43% of eyes in group 10–20, 41% of eyes in group 35, and 38% of eyes in group 43–47. The inner nuclear layer (INL) was the layer showing higher and most frequent increases in retinal thickness (79%). The edema was predominantly intracellular in group 10–20 (65%) and extracellular in groups 35 (77%) and 43–47 (69%). Eyes from diabetic patients in the initial stages of DR with different Early Treatment Diabetic Retinopathy Study gradings show similar prevalence of SCME and CIME, independent of the severity of the retinopathy. Retinal edema is located mainly in the INL and appears to be mostly extracellular except in the earliest stages of diabetic retinal disease where intracellular edema predominates.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSantos, A. R., Santos, T., Alves, D., Marques, I. P., Lobo, C., & Cunha-Vaz, J. (2019). Characterization of Initial Stages of Diabetic Macular Edema. Ophthalmic Research, 62(4), 203–210. https://doi.org/10.1159/000499117pt_PT
dc.identifier.doi10.1159/000499117pt_PT
dc.identifier.eissn1423-0259
dc.identifier.issn0030-3747
dc.identifier.urihttp://hdl.handle.net/10400.22/22744
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherKargerpt_PT
dc.relation.publisherversionhttps://www.karger.com/Article/FullText/499117pt_PT
dc.subjectDiabetic retinopathypt_PT
dc.subjectMacular edemapt_PT
dc.subjectOptical coherence tomographypt_PT
dc.subjectOptical coherence tomography-leakagept_PT
dc.titleCharacterization of initial stages of diabetic macular edemapt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage210pt_PT
oaire.citation.startPage203pt_PT
oaire.citation.titleOphtalmic Researchpt_PT
oaire.citation.volume62 (4)pt_PT
person.familyNameB M Santos
person.givenNameAna Rita
person.identifier.ciencia-id291A-15C5-9C96
person.identifier.orcid0000-0003-3761-3292
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationcf304315-48a2-4bae-a1d5-61a4c8e45274
relation.isAuthorOfPublication.latestForDiscoverycf304315-48a2-4bae-a1d5-61a4c8e45274

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