Rod function in diabetic patients without and with early diabetic retinopathy

Evelyn Longhin, Alma P. Tormene, Elena Olivato, Enrica Convento, Stela Vujosevic, Elisabetta Pilotto, Olympia Kotsafti, Edoardo Midena

Research output: Contribution to journalArticle

Abstract

Purpose: To compare rod function among diabetic patients without and with mild nonproliferative diabetic retinopathy (DR) and healthy controls by means of scotopic microperimetry and dark-adapted electroretinography.Methods: Sixty-one diabetic patients and 30 age-matched controls (control group) underwent complete ophthalmic examination, scotopic microperimetry, and dark-adapted 0.01 electroretinography (DA-ERG).Results: In 32 eyes, DR was absent (no-DR group); in 29 eyes, only microaneurysms were observed (DR group).No statistically significant differences in fixation stability, fixation location, or scotopic sensitivity among the 3 groups were observed.Implicit time and amplitude of the DA-ERG b-wave of no-DR and DR groups were not different from controls.Scotopic microperimetry showed a dense scotoma centered onto the fovea in all subjects, consistent with the rod-free zone.Greater scotopic sensitivity was found in a ring located 8° from the fovea (9.33 ± 1.33 dB).Conclusions: Diabetic patients without DR and with mild nonproliferative DR did not show alterations in rodbased function, as examined by microperimetry and confirmed by DA-ERG.Scotopic microperimetry measures rod-based function and offers additional information in the evaluation of the aspects of involvement of retinal cells in diabetes.

Original languageEnglish
Pages (from-to)418-424
Number of pages7
JournalEuropean Journal of Ophthalmology
Volume26
Issue number5
DOIs
Publication statusPublished - 2016

Keywords

  • Diabetic retinopathy
  • Retinal sensitivity
  • Scotopic microperimetry

ASJC Scopus subject areas

  • Medicine(all)
  • Ophthalmology

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    Longhin, E., Tormene, A. P., Olivato, E., Convento, E., Vujosevic, S., Pilotto, E., Kotsafti, O., & Midena, E. (2016). Rod function in diabetic patients without and with early diabetic retinopathy. European Journal of Ophthalmology, 26(5), 418-424. https://doi.org/10.5301/ejo.5000800