Inter-Eye Agreement in Measurement of Retinal Vascular Fractal Dimension in Patients with Type 1 Diabetes Mellitus.
Ophthalmic Epidemiol
; 23(2): 131-5, 2016.
Article
em En
| MEDLINE
| ID: mdl-26950285
ABSTRACT
PURPOSE:
To investigate inter-eye agreement in retinal vascular fractal dimension (FD) in patients with type 1 diabetes.METHODS:
In a cross-sectional study, both eyes were exained in 178 patients with type 1 diabetes. All vessels in a zone 0.5-2.0 disc diameters from the optic disc were traced and FD calculated with the box-counting method using SIVA-Fractal semiautomatic software. The modified Early Treatment Diabetic Retinopathy Study (ETDRS) scale was used to grade diabetic retinopathy (DR). Pitman's test of difference in variance was used to calculated inter-eye agreement in FD according to level of DR.RESULTS:
Mean age and duration of diabetes was 37.0 years and 29.5 years, respectively, and 49.4% of participants were male. Mean FD of right and left eyes was 1.4540 and 1.4472, respectively. FD did not differ between eyes in patients with no or non-proliferative DR (NPDR) in both eyes. This was true for patients with the same level of DR in both eyes (n = 74, p = 0.73), as well as for patients in which the ETDRS level of DR between the eyes differed by 1 (n = 43, p = 0.99) or more (n = 9, p = 0.53). In patients treated for proliferative DR in one eye, FD was significantly lower in this eye compared to the other (n = 10, p = 0.03).CONCLUSION:
FD did not differ significantly between the two eyes of patients with no DR or NPDR, despite differences in severity of DR.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Vasos Retinianos
/
Fractais
/
Diabetes Mellitus Tipo 1
/
Retinopatia Diabética
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article