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2018 ; 4
(ä): 12
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Resistive index of ophthalmic artery correlates with retinal pigment epithelial
alterations on spectral domain optical coherence tomography in diabetic
retinopathy
#MMPMID29657836
Khatri M
; Saxena S
; Kaur A
; Bhasker SK
; Kumar M
; Meyer CH
Int J Retina Vitreous
2018[]; 4
(ä): 12
PMID29657836
show ga
BACKGROUND: Retinal pigment epithelium (RPE) plays a significant role in
maintenance of integrity of retinal photoreceptors and choriocapillaries. RPE
derives its blood supply through ophthalmic artery (OA) via choriocapillaries.
RPE topographic alterations have been observed to be associated with severity of
retinopathy. The present study was undertaken to assess the correlation between
resistive index (RI) of the OA with RPE topographic alterations on
Spectral-Domain optical coherence tomography (SD-OCT), to our knowledge, it is
for the first time. METHODS: A tertiary care center based cross-sectional study
was undertaken after informed consent. Sample size was calculated using 95%
confidence interval. Seventy five consecutive cases of type 2 diabetes mellitus
between the ages of 40 and 70 years were included. The cases were divided into
three groups according to Early Treatment Diabetic Retinopathy Study
classification: diabetes mellitus with no retinopathy (No DR) (n?=?24);
non-proliferative diabetic retinopathy (n?=?27); and proliferative diabetic
retinopathy (n?=?24). Healthy control subjects of similar age group were included
(n?=?24). RI in OA was studied using Color Doppler imaging. Grades of RPE
topographic alterations and retinal photoreceptor ellipsoid zone (EZ) disruption
were studied using SD-OCT. Data was analysed using Chi square (?(2)) test,
analysis of variance (ANOVA), Pearson correlation analysis and Neuman-Keuls test.
RESULTS: LogMAR best corrected visual acuity was found to increase significantly
with the severity of DR (F?=?105.74, p?0.001). ANOVA revealed a significant
increase in RI of OA (F?=?14.23, p?0.001) with severity of diabetic
retinopathy. ?(2) test revealed significant increase in grades of RPE alterations
(?(2)?=?71.83, p?0.001) and EZ disruption (?(2)?=?60.59, p?0.001) with the
severity of diabetic retinopathy. Pearson correlation analyses revealed a
significant positive correlation between RI of OA with grades of RPE alterations
(r?=?0.48, p?0.001) and also between grades of RPE alterations and EZ
disruption (r?=?0.82, p?0.001). CONCLUSIONS: Decrease in ocular blood flow
resulting from an increase in RI of OA correlates with severity of DR and grades
of topographic alterations in RPE. Integrity of EZ was observed to be dependent
on RPE.