![]() | Only 14 pages are availabe for public view |
Abstract OCT is an accurate method allows to get informations about deeper structures like the choroid and quantitative measurement of choroidal thickness in normal persons & in diabetic patients and correlates them to visual functions. Recent reports showed successful examination and measurement of choroidal thickness in normal and pathologic states using the Heidelberg Spectralis .Our groups studied the choroidal thickness of 60 eyes with different stages of diabetic retinopathy and 25 eyes of normal person as a control, using a SD-OCT. The choroidal thickness is measured manually perpendicularly from the outer edge of the hyperreflective RPE to the inner sclera (choroid–sclera junction) using the OCT software. Both groups report that the choroid is thickest subfoveally and thin nasally more than temporally. We showed that choroidal thickness decreases as the disease progresses from mild–moderate to severe NPDR to PDR compared to normal subjects. Presence of diabetic macular edema is associated with a significant decrease in the choroidal thickness. There were significant direct relation between choroidal thickness & BCVA; the lower the choroidal thickness the worse the BCVA. Patients with diabetic macular edema presented the lowest mean value of choroidal thickness and the worst BCVA. Best resolutions, high definition, and refined results with EDI-SD-OCT may bring answers with clarity and precision without further definition. OCT is an excellent replacement of invasive exams to detect and evaluate choroidal structural changes, and it may, in the near future, explain the functional changes and the visual results of diabetic retinopathy, diabetic macular edema & diabetic choroidopathy. |