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Retinal neurodegeneration in metabolic syndrome:a spectral optical coherence tomography study

International Journal of Ophthalmology(English edition) 2023年第2期16卷 224-232页

作者： Evrim Polat Ekrem Celik mesut togac Afsun Sahin Department of Ophthalmology Tekirdag City HospitalTekirdag 59100Turkey Department of Ophthalmology Tekirdag Namik Kemal UniversityFaculty of MedicineTekirdag 59100Turkey Department of Ophthalmology Koc University Medical SchoolIstanbul 34010Turkey Research Center for Translational Medicine Koc UniversityIstanbul 34450Turkey

AIM:To evaluate the effects of metabolic syndrome(Met S)on retinal neurodegeneration by optical coherence tomography(OCT).METHODS:Patients diagnosed as Met S were compared with the age and sex-matched healthy control group(CG).Waist circumference measurements,fasting serological biochemical tests,and systemic blood pressures of all participants were *** Met S group was divided into 3 subgroups according to the number of Met S components:hypertension,diabetes mellitus,dyslipidemia(low-,high-density lipoprotein,hypertriglyceridemia),and visceral obesity findings;3-component Met S3,4-component Met S4,and all-component Met *** patients underwent complete eye examination and spectral OCT retinal ***:Totally 58 eyes of 58 patients were included in the Met S group and 63 eyes of 63 age and sex-matched healthy subjects were included in *** S group was composed of 22 subjects in Met S3,21 subjects in Met S4,and 15 subjects in the Met S5 *** foveal thickness(Met S,218.7±23.1μm vs CG,228.8±21.9μm,P=0.015),mean inferior(Met S,283.4±17.0μm vs CG,288.7±38.4μm,P=0.002),superior(Met S,287.0±18.5μm vs CG 297.3±17.1μm,P=0.001),nasal(Met S 287.3±16.7μm vs CG 297.9±13.9μm,P=0.000)and temporal(274.5±17.6μm vs CG 285.6±13.6μm,P=0.000)thickness in the 3 mm Early Treatment of Diabetic Retinopathy Study(ETDRS)circle was significantly lower in the Met S *** was no statistically significant difference in the mean inferior,superior,nasal,and temporal thickness of 6 mm ETDRS circle,total macular volume,peripapillary and macular retinal nerve fiber layer,macular ganglion cell layer with inner plexiform layer,and ganglion cell *** statistically significant difference was found in these values between the Met S3,Met S4,and the Met S5 ***:A significant reduction in central macular region thickness in Met S is detected and macular thickness is more susceptible to Met S induced neurodegeneration than peripapillary retinal nerve fiber

关键词： metabolic syndrome retinal neurodegeneration hypertension diabetes mellitus dyslipidemia optical coherence tomography

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