J Korean Ophthalmol Soc.  2014 Oct;55(10):1476-1480. 10.3341/jkos.2014.55.10.1476.

Difference of GCIPL Thickness of Diabetes and Normal Eyes in Spectral Domain OCT

Affiliations
  • 1Department of Ophthalmology and Inha Vision Science Laboratory, Inha University School of Medicine, Incheon, Korea. nrkim@inha.ac.kr

Abstract

PURPOSE
To analyze the difference of the ganglion cell-inner plexiform layer (GCIPL) thickness in diabetic and normal eyes of patients using spectral domain optical coherence tomography (OCT) (Carl Zeiss Meditec, Dublin, CA, USA).
METHODS
The authors compared and analyzed the difference of the GCIPL thickness measured with spectral domain optical coherence tomography (OCT) in 42 diabetic and 92 normal subjects.
RESULTS
The study subjects were divided into 3 groups: 92 normal subjects, 22 diabetic patients without diabetic retinopathy, and 26 diabetic patients with diabetic retinopathy. Presence of diabetes mellitus (DM) or diabetic retinopathy did not influence the retinal nerve fiber layer (RNFL) thickness. The GCIPL thickness tended to be thinner especially in the superior sector GCIPL. The GCIPL thickness of normal subjects, diabetes patients without diabetic retinopathy, and diabetic retinopathy patients was 82.24 +/- 7.21 microm, 81.86 +/- 9.53 microm, and 76.77 +/- 14.13 microm, respectively, especially in the superior sector GCIPL (p = 0.029).
CONCLUSIONS
Retinal ganglion cell layer thinning was induced by diabetes and diabetic retinopathy, and originated specifically from the superior part of the retina.

Keyword

Diabetes mellitus (DM); Ganglion cell-inner plexiform layer (GCIPL); Optical coherence tomography (OCT); Retinal nerve fiber layer (RNFL)

MeSH Terms

Diabetes Mellitus
Diabetic Retinopathy
Ganglion Cysts
Humans
Nerve Fibers
Retina
Retinal Ganglion Cells
Retinaldehyde
Tomography, Optical Coherence
Retinaldehyde

Figure

  • Figure 1. Peripapillary retinal nerve fiber layer (RNFL) thickness of diabetic patients groups and control group. The illustration shows that the RNFL layer thickness had no difference among the 3 groups. DM = diabtes mellitus; DMR = diabetic retinopathy.

  • Figure 2. Ganglion cell-inner plexiform layer (GCIPL) thickness of diabetic patients groups and control group. The illustration shows that the GCIPL thickness had tendency to be thinner in diabetic patients than norm al patients and in diabetic retinopathy than non-diabetic retinopathy diabetes mellitus patients. DM = diabtes mellitus; DMR = diabetic retinopathy.


Cited by  1 articles

Thickness in Ganglion Cell-Inner Plexiform Layer on Spectral-Domain Optical Coherence Tomography after Cataract Surgery
Woo Beom Shin, Hyun Kyo Jeong, Ji Hyun Kim, Jun Mo Lee, Sa Min Hong, Chan Yun Kim, Gong Je Seong, Kyoung Soo Park
J Korean Ophthalmol Soc. 2015;56(11):1767-1776.    doi: 10.3341/jkos.2015.56.11.1767.


Reference

References

1. Dyck PJ, Lais A, Karnes JL, et al. Fiber loss is primary and multifocal in sural nerves in diabetic polyneuropathy. Ann Neurol. 1986; 19:425–39.
Article
2. Antonetti DA, Barber AJ, Bronson SK, et al. Diabetic retinopathy: seeing beyond glucose-induced microvascular disease. Diabetes. 2006; 55:2401–11.
3. Barber AJ, Lieth E, Khin SA, et al. Neural apoptosis in the retina during experimental and human diabetes. Early onset and effect of insulin. J Clin Invest. 1998; 102:783–91.
Article
4. Barber AJ, Antonetti DA, Kern TS, et al. The Ins2Akita mouse as a model of early retinal complications in diabetes. Invest Ophthalmol Vis Sci. 2005; 46:2210–8.
5. Rungger-Brändle E, Dosso AA, Leuenberger PM. Glial reactivity, an early feature of diabetic retinopathy. Invest Ophthalmol Vis Sci. 2000; 41:1971–80.
6. Takahashi H, Goto T, Shoji T, et al. Diabetes-associated retinal nerve fiber damage evaluated with scanning laser polarimetry. Am J Ophthalmol. 2006; 142:88–94.
Article
7. Lopes de Faria JM, Russ H, Costa VP. Retinal nerve fibre layer loss in patients with type 1 diabetes mellitus without retinopathy. Br J Ophthalmol. 2002; 86:725–8.
Article
8. Ozdek S, Lonneville YH, Onol M, et al. Assessment of nerve fiber layer in diabetic patients with scanning laser polarimetry. Eye (Lond). 2002; 16:761–5.
9. Sugimoto M, Sasoh M, Ido M, et al. Detection of early diabetic change with optical coherence tomography in type 2 diabetes mellitus patients without retinopathy. Ophthalmologica. 2005; 219:379–85.
Article
10. Lonneville YH, Ozdek SC, Onol M, et al. The effect of blood glucose regulation on retinal nerve fiber layer thickness in diabetic patients. Ophthalmologica. 2003; 217:347–50.
Article
11. Zhang L, Ino-ue M, Dong K, Yamamoto M. Retrograde axonal transport impairment of large- and medium-sized retinal ganglion cells in diabetic rat. Curr Eye Res. 2000; 20:131–6.
Article
12. Lieth E, Gardner TW, Barber AJ, Antonetti DA. Retinal neurodegeneration: early pathology in diabetes. Clin Experiment Ophthalmol. 2000; 28:3–8.
Article
13. van Dijk HW, Verbraak FD, Kok PH, et al. Decreased retinal ganglion cell layer thickness in patients with type 1 diabetes. Invest Ophthalmol Vis Sci. 2010; 51:3660–5.
Article
14. Garvin MK, Abràmoff MD, Wu X, et al. Automated 3-D intraretinal layer segmentation of macular spectral-domain optical coherence tomography images. IEEE Trans Med Imaging. 2009; 28:1436–47.
Article
15. Photocoagulation for diabetic macular edema. Early Treatment Diabetic Retinopathy Study report number 1. Early Treatment Diabetic Retinopathy Study research group. Arch Ophthalmol. 1985; 103:1796–806.
16. Park HY, Kim IT, Park CK. Early diabetic changes in the nerve fibre layer at the macula detected by spectral domain optical coherence tomography. Br J Ophthalmol. 2011; 95:1223–8.
Article
17. Mizutani M, Gerhardinger C, Lorenzi M. Müller cell changes in human diabetic retinopathy. Diabetes. 1998; 47:445–9.
Article
18. Rungger-Brändle E, Dosso AA, Leuenberger PM. Glial reactivity, an early feature of diabetic retinopathy. Invest Ophthalmol Vis Sci. 2000; 41:1971–80.
19. Chung HS, Harris A, Halter PJ, et al. Regional differences in retinal vascular reactivity. Invest Ophthalmol Vis Sci. 1999; 40:2448–53.
20. Jonas JB, Naumann GO. Parapapillary retinal vessel diameter in normal and glaucoma eyes. II. Correlations. Invest Ophthalmol Vis Sci. 1989; 30:1604–11.
21. Kern TS, Engerman RL. Vascular lesions in diabetes are distributed non-uniformly within the retina. Exp Eye Res. 1995; 60:545–9.
Article
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