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
Acute Necrotizing Pancreatitis with Gastric Necrosis in a Female with Cerebral Palsy
The coexistence of drug -induced pancreatitis and gastric necrosis is very rare. Many drugs have been associated with pancreatitis and among the antiepileptic drugs; valproic acid has been commonly implicated. Carbamazep...
Case Studies of 17 Patients
Background: Heightened risk of adverse events following opiate discontinuation has been reported. Case studies of 17 patients Findings: This retrospective review of 17 patients suggests an increased risk of adverse event...
Hypoglossal Schwannoma: A Rare Case Report
Hypoglossal schwannomas are rare cranial base neoplasm arising from schwann cells of the XIIth cranial nerve. We report a case of 45 year old lady with history of headache for 2 years and difficulty in swallowing for 1 y...
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...
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...