Pathophysiological Changes of Retinal Inner Layers in Diabetic Macular Edema
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Diabetic macular edema (DME) remains the major cause of vision loss in the highly prevalent type 2 diabetes. Retinal inner layers comprise of 4 layers, namely; ganglion cell layer -inner plexiform layer complex, inner nuclear layer and outer plexiform layer. Spectral domain optical coherence tomography (SD-OCT) is a non-invasive imaging tool for in vivo cross-sectional retinal histology. SD-OCT is an important tool in diagnosing and managing a patient with DME. Disorganization of retinal inner layers (DRIL) is defined as the failure to ascertain any of the inner retinal layers' boundaries. DRIL has been found to be a predictor of visual acuity (VA) in DME. Serial OCT scans demonstrating changes in DRIL correlate with the severity of diabetic retinopathy (DR). Many artificial intelligence softwares can read SD-OCT and identify DRIL to screen patients of DR.Abstract
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