Retinal Nerve Fiber Layer Loss in Patients With Type 2 Diabetes and Diabetic Neuropathy
Hae-Young Lopilly Park, Ju‐Young Shin, Jae‐Hyung Lee, Chan Kee Park
Abstract
Hae-Young Lopilly Park, Ju‐Young Shin, Jae‐Hyung Lee, Chan Kee Park
Abstract
Retinal nerve fiber layer (RNFL) loss is commonly observed in patients with diabetes and has correlations with the stage of diabetic retinopathy (DR) (1). However, several reports have shown RNFL loss in patients with diabetes independent of DR, suggesting that the function of neuronal cells in the retina is compromised even before the appearance of overt microvascular changes (2–4). We hypothesized that RNFL loss in patients with diabetes without overt DR may represent a distinct type of diabetic neuropathy. Analyses of the status of peripheral neuropathy and cardiac autonomic neuropathy (CAN) were compared according to the location (superior or inferior) of RNFL loss in patients with type 2 diabetes without DR. We performed a retrospective review of all patients with type 2 diabetes who underwent assessment of …
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Retinal nerve fiber layer (RNFL) loss is commonly observed in patients with diabetes and has correlations with the stage of diabetic retinopathy (DR) (1). However, several reports have shown RNFL loss in patients with diabetes independent of DR, suggesting that the function of neuronal cells in the retina is compromised even before the appearance of overt microvascular changes (2–4). We hypothesized that RNFL loss in patients with diabetes without overt DR may represent a distinct type of diabetic neuropathy. Analyses of the status of peripheral neuropathy and cardiac autonomic neuropathy (CAN) were compared according to the location (superior or inferior) of RNFL loss in patients with type 2 diabetes without DR. We performed a retrospective review of all patients with type 2 diabetes who underwent assessment of …
Key concepts: Medicine, Diabetes mellitus, Type 2 diabetes, Nerve fiber layer, Diabetic retinopathy, Retinal, Ophthalmology, Peripheral neuropathy