Analysis of Retinal Nerve Fibre Layer Thickness with HtrAlc andBlood sugar levels in Type 2 Diabetes Mellitus patients without clinical diabetic retinopathy
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Objectives: The purpose of this study is to determine the correlation of retinal nerve fibre layer (RNFL) thickness with glycosylated haemoglobin (HbA1c) and blood sugar levels among Type 2 diabetic patients without clinical diabetic retinopathy. Methodology: This is a cross-sectional study involving 40 patients- Type 2 Diabetic patients without any evidence of diabetic retinopathy. A total of 80 eyes were observed. Evaluation of thickness of retinal nerve fibre layer along a 3.4mm diameter circle centred on the optic nerve head using SD-OCT in diabetic patients without clinical retinopathy. Comparison of the RNFL between patients with HbA1c <6, 6-7, >7 & with fasting blood sugar & post prandial blood sugar levels & which quadrant is maximally affected. Results: The decrease in the thickness in the average RNFL thickness is affected by raised HbA1c levels, raised, Fasting Blood Sugar (FBS) & Post Prandial Blood Sugar (PPBS) levels (poor glycemic control). Conclusion: Non proliferative Diabetic Retinopathy in type 2 Diabetes mellitus patients appears to have thinner RNFL thickness and is significantly correlated with high level of fasting & post prandial blood sugar levels & glycosylated haemoglobin levels.Abstract
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