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Open Access Research article

Cental macular thickness in patients with type 2 diabetes mellitus without clinical retinopathy

Mehmet Demir*, Ersin Oba, Burcu Dirim, Erhan Ozdal and Efe Can

Author affiliations

Sisli Etfal Training and Research Hospital, Eye Clinic, Karayolları Mah. Abdi ipekci bulvarı. N0:32 Avrupa tem konutları 28. Blok. Daire:14. 34250 GOP, Sisli, Istanbul 34400, Turkey

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Citation and License

BMC Ophthalmology 2013, 13:11  doi:10.1186/1471-2415-13-11

Published: 9 April 2013

Abstract

Background

An increase in macular thickness due to fluid accumulation in the macula in patients with diabetes mellitus. Optical coherence tomography (OCT) has been shown to be highly reproducible in measuring macular thickness in normal individuals and diabetic patients. OCT can detect subtle changes of macular thickness. The aim of this study is to compare central macular thickness (CMT) of diabetic patients with type 2 diabetes without clinical retinopathy and normal controls, in order to assess possible increased macular thickness associated with diabetes mellitus.

Methods

Optical coherence tomography (OCT) measurements were performed in 124 eyes of 62 subjects with diabetes mellitus without clinically retinopathy (study group: 39 female, 23 male, mean age: 55.06 ± 9.77 years) and in 120 eyes of 60 healthy subjects (control group: 35 female, 25 male, mean age: 55.78 ± 10.34 years). Blood biochemistry parameters were analyzed in all cases. The data for central macular thickness (at 1 mm) and the levels of the fasting plasma glucose and glycosylated hemoglobin (HbA1c) were compared in both groups.

Results

The mean central macular thickness was 232.12 ±24.41 μm in the study group and 227.19 ± 29.94 μm in the control group.

The mean HbA1c level was 8.92 ± 2.58% in the study group and 5.07 ± 0.70% in the control group (p=0.001). No statistically significant relationship was found between CMT, HbA1c, and fasting plasma glucose level in either group (p=0.05).

Conclusions

Central macular thickness was not significantly thicker in patients with type 2 diabetes without clinical retinopathy than in healthy subjects.

Keywords:
Diabetes mellitus; Central macular thickness; Glycosylated hemoglobin; Fasting plasma glucose level