The Association of Grades of Photoreceptor Inner Segment-Ellipsoid Band Disruption with Severity of Retinopathy in Type 2 Diabetes Mellitus

Journal Title: Journal of Case Reports and Studies - Year 2014, Vol 2, Issue 5

Abstract

A prospective case-control study was undertaken to evaluate the association of inner segment-ellipsoid (ISel) band disruption with severity of diabetic retinopathy on spectral-domain optical coherence tomography. ISel disruption was graded as - grade 0: intact ISel; grade 1: focal disruption (subfoveal ISel disruption) and grade 2: global disruption (ISel disruption involving macular cube). Increased severity of diabetic retinopathy was found to be associated with increase in disruption of ISel (r = 0.49, p < 0.001). ‘Global’ disruption of ISel in proliferative diabetic retinopathy (PDR) (n=40) was significantly higher as compared non proliferative diabetic retinopathy (NPDR) (n=40) (Intact/Focal/Global: 5/25/10 (NPDR) vs. 0/11/29 (PDR), χ2 =19.70; p<0.0001). Decrease in visual acuity was found to be significantly associated with increased disruption of ISel and severity of retinopathy.

Authors and Affiliations

Saxena S

Keywords

Related Articles

Pediatric Patient with a Celiac Crisis (Rare Presentation of a Common Disease) Case Report and Literature Review

Celiac disease (CD) is a systemic chronic immune-mediated disorder that is associated with weight loss, diarrhea, and laboratory abnormalities. Celiac disease (CD) is a disease in which the mucosal lining of the small in...

Unexplained severe lactic acidosis in emergency medicine

A 49-year-old previously healthy man was admitted to the ICU after cardiac arrest following a short history with headache, blurred speech and reduced consciousness. After cardiopulmonary resuscitation perfusion rhythm wa...

Primary Cutaneous Hodgkin Lymphoma: A Rare Disease Variant and Review of the Literature

A 49-year-old man presented with a 2-year history of an enlarging ulcerated plaque over the right forearm with an associated history of pruritus. Skin biopsy demonstrated an infiltrate of lymphocytes in the dermis and su...

Severe Bone Marrow Suppression Associated with Use of Clopidogrel

A 60 year-old male presented with fever, malaise, and myalgias. The patient was admitted 3 weeks prior for acute coronary syndrome, underwent coronary stent placement, and was started on clopidogrel. He denied any chills...

Goldenhar Syndrome: A Perpetual Airway Challenge for the Anaesthesiologist

Patients with Goldenhar syndrome present as difficult airway to the anaesthesiologist due to various craniofacial anomalies like hemifacial microsomia, retrognathia and high arched palate. Also, these patients often unde...

Download PDF file
  • EP ID EP582698
  • DOI 10.15744/2348-9820.2.202
  • Views 93
  • Downloads 0

How To Cite

Saxena S (2014). The Association of Grades of Photoreceptor Inner Segment-Ellipsoid Band Disruption with Severity of Retinopathy in Type 2 Diabetes Mellitus. Journal of Case Reports and Studies, 2(5), 1-5. https://europub.co.uk./articles/-A-582698