Retinal Nerve Fiber Layer Decrease during Glycemic Control in Type 2 Diabetes

Purpose. To assess an effect of glycemic control on retinal nerve fiber layer (RNFL) in type 2 diabetes mellitus. Methods. Thirty-eight eyes of 38 patients with type 2 diabetes undergoing blood glucose regulation were enrolled. All patients were examined at (1) initial visit, (2) 1 month, (3) 2 mon...

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Main Authors: Masahiko Sugimoto, Mikio Sasoh, Masashi Ido, Chisato Narushima, Yukitaka Uji
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2010/569215
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author Masahiko Sugimoto
Mikio Sasoh
Masashi Ido
Chisato Narushima
Yukitaka Uji
author_facet Masahiko Sugimoto
Mikio Sasoh
Masashi Ido
Chisato Narushima
Yukitaka Uji
author_sort Masahiko Sugimoto
collection DOAJ
description Purpose. To assess an effect of glycemic control on retinal nerve fiber layer (RNFL) in type 2 diabetes mellitus. Methods. Thirty-eight eyes of 38 patients with type 2 diabetes undergoing blood glucose regulation were enrolled. All patients were examined at (1) initial visit, (2) 1 month, (3) 2 months, and (4) 4-month after the initial examination. On each occasion, glycosylated hemoglobin (HbA1c) levels and optical coherence tomography (OCT) scanning for RNFL thickness were evaluated. 360 degree circular OCT scans with a diameter of 3.4 mm centered on the optic disc were performed. Results. Significant RNFL decrease was seen in the superior area between initial and 4 months examination (𝑃=.043). The relationship between the changes in HbA1c and the changes in RNFL thickness was observed in superior, temporal, and inferior area (𝑃<.05) at 4 months. Conclusions. This study suggests that the glycemic control affects RNFL within 4 months.
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spelling doaj-art-8e09b725a20f442ab0b7d147c6b65e2f2025-08-20T03:37:57ZengWileyJournal of Ophthalmology2090-004X2090-00582010-01-01201010.1155/2010/569215569215Retinal Nerve Fiber Layer Decrease during Glycemic Control in Type 2 DiabetesMasahiko Sugimoto0Mikio Sasoh1Masashi Ido2Chisato Narushima3Yukitaka Uji4Department of Ophthalmology, School of Medicine, Mie University, 2-174, Edobashi, Tsu, Mie 514-8507, JapanDepartment of Ophthalmology, School of Medicine, Mie University, 2-174, Edobashi, Tsu, Mie 514-8507, JapanDepartment of Ophthalmology, Yamada Red Cross Hospital, 810, Takamuku, Misono, Ise, Mie 516-0805, JapanDepartment of Ophthalmology, School of Medicine, Mie University, 2-174, Edobashi, Tsu, Mie 514-8507, JapanDepartment of Ophthalmology, School of Medicine, Mie University, 2-174, Edobashi, Tsu, Mie 514-8507, JapanPurpose. To assess an effect of glycemic control on retinal nerve fiber layer (RNFL) in type 2 diabetes mellitus. Methods. Thirty-eight eyes of 38 patients with type 2 diabetes undergoing blood glucose regulation were enrolled. All patients were examined at (1) initial visit, (2) 1 month, (3) 2 months, and (4) 4-month after the initial examination. On each occasion, glycosylated hemoglobin (HbA1c) levels and optical coherence tomography (OCT) scanning for RNFL thickness were evaluated. 360 degree circular OCT scans with a diameter of 3.4 mm centered on the optic disc were performed. Results. Significant RNFL decrease was seen in the superior area between initial and 4 months examination (𝑃=.043). The relationship between the changes in HbA1c and the changes in RNFL thickness was observed in superior, temporal, and inferior area (𝑃<.05) at 4 months. Conclusions. This study suggests that the glycemic control affects RNFL within 4 months.http://dx.doi.org/10.1155/2010/569215
spellingShingle Masahiko Sugimoto
Mikio Sasoh
Masashi Ido
Chisato Narushima
Yukitaka Uji
Retinal Nerve Fiber Layer Decrease during Glycemic Control in Type 2 Diabetes
Journal of Ophthalmology
title Retinal Nerve Fiber Layer Decrease during Glycemic Control in Type 2 Diabetes
title_full Retinal Nerve Fiber Layer Decrease during Glycemic Control in Type 2 Diabetes
title_fullStr Retinal Nerve Fiber Layer Decrease during Glycemic Control in Type 2 Diabetes
title_full_unstemmed Retinal Nerve Fiber Layer Decrease during Glycemic Control in Type 2 Diabetes
title_short Retinal Nerve Fiber Layer Decrease during Glycemic Control in Type 2 Diabetes
title_sort retinal nerve fiber layer decrease during glycemic control in type 2 diabetes
url http://dx.doi.org/10.1155/2010/569215
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AT masashiido retinalnervefiberlayerdecreaseduringglycemiccontrolintype2diabetes
AT chisatonarushima retinalnervefiberlayerdecreaseduringglycemiccontrolintype2diabetes
AT yukitakauji retinalnervefiberlayerdecreaseduringglycemiccontrolintype2diabetes