Association of Abnormal Renal Profiles with Subretinal Fluid in Diabetic Macular Edema

Purpose. To investigate the risk factors for subretinal fluid (SRF) in diabetic macular edema (DME). Methods. We reviewed the records of 66 patients with DME. Systemic parameters, including hypertension, glycosylated hemoglobin, serum fasting glucose, total cholesterol, triglycerides, and diabetic k...

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Main Authors: Xiaoyan Zhang, Xiaofeng Hao, Linan Wang, Like Xie
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2022/5581679
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author Xiaoyan Zhang
Xiaofeng Hao
Linan Wang
Like Xie
author_facet Xiaoyan Zhang
Xiaofeng Hao
Linan Wang
Like Xie
author_sort Xiaoyan Zhang
collection DOAJ
description Purpose. To investigate the risk factors for subretinal fluid (SRF) in diabetic macular edema (DME). Methods. We reviewed the records of 66 patients with DME. Systemic parameters, including hypertension, glycosylated hemoglobin, serum fasting glucose, total cholesterol, triglycerides, and diabetic kidney disease, were evaluated. Renal parameters for diabetic kidney disease included serum albumin, serum creatinine, albuminuria, and estimated glomerular filtration rate. Ocular factors included visual acuity and diabetic retinopathy, and the following parameters are evaluated through optical coherence tomography examination: disorganization of the retinal inner layers, loss of ellipsoid zone, central subretinal fluid thickness, central macular thickness, and presence of SRF. Results. Higher albuminuria (odds ratio, 3.431; 95% confidence interval, 1.039–11.334; P=0.043) was associated with the presence of SRF in patients with DME. Lower serum albumin levels (beta = −14.028, se = 6.646, P=0.044) were associated with increased SRF thickness. Conclusions. Poor kidney function was associated with the presence of SRF in DME. Screening for SRF in DME in patients with higher albuminuria and lower serum albumin levels should be routinely performed.
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spelling doaj-art-eada48a7f4e040b4a7f6892443d6e0d62025-08-20T03:21:10ZengWileyJournal of Ophthalmology2090-00582022-01-01202210.1155/2022/5581679Association of Abnormal Renal Profiles with Subretinal Fluid in Diabetic Macular EdemaXiaoyan Zhang0Xiaofeng Hao1Linan Wang2Like Xie3Department of OphthalmologyDepartment of OphthalmologyDepartment of OphthalmologyDepartment of OphthalmologyPurpose. To investigate the risk factors for subretinal fluid (SRF) in diabetic macular edema (DME). Methods. We reviewed the records of 66 patients with DME. Systemic parameters, including hypertension, glycosylated hemoglobin, serum fasting glucose, total cholesterol, triglycerides, and diabetic kidney disease, were evaluated. Renal parameters for diabetic kidney disease included serum albumin, serum creatinine, albuminuria, and estimated glomerular filtration rate. Ocular factors included visual acuity and diabetic retinopathy, and the following parameters are evaluated through optical coherence tomography examination: disorganization of the retinal inner layers, loss of ellipsoid zone, central subretinal fluid thickness, central macular thickness, and presence of SRF. Results. Higher albuminuria (odds ratio, 3.431; 95% confidence interval, 1.039–11.334; P=0.043) was associated with the presence of SRF in patients with DME. Lower serum albumin levels (beta = −14.028, se = 6.646, P=0.044) were associated with increased SRF thickness. Conclusions. Poor kidney function was associated with the presence of SRF in DME. Screening for SRF in DME in patients with higher albuminuria and lower serum albumin levels should be routinely performed.http://dx.doi.org/10.1155/2022/5581679
spellingShingle Xiaoyan Zhang
Xiaofeng Hao
Linan Wang
Like Xie
Association of Abnormal Renal Profiles with Subretinal Fluid in Diabetic Macular Edema
Journal of Ophthalmology
title Association of Abnormal Renal Profiles with Subretinal Fluid in Diabetic Macular Edema
title_full Association of Abnormal Renal Profiles with Subretinal Fluid in Diabetic Macular Edema
title_fullStr Association of Abnormal Renal Profiles with Subretinal Fluid in Diabetic Macular Edema
title_full_unstemmed Association of Abnormal Renal Profiles with Subretinal Fluid in Diabetic Macular Edema
title_short Association of Abnormal Renal Profiles with Subretinal Fluid in Diabetic Macular Edema
title_sort association of abnormal renal profiles with subretinal fluid in diabetic macular edema
url http://dx.doi.org/10.1155/2022/5581679
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AT linanwang associationofabnormalrenalprofileswithsubretinalfluidindiabeticmacularedema
AT likexie associationofabnormalrenalprofileswithsubretinalfluidindiabeticmacularedema