There is much evidence that localized low grade inflammatory processes may contribute to the microvascular complications of type 1 and type 2 diabetes mellitus including sight-threatening diabetic retinopathy. Some biomarkers for inflammation have been found to be elevated in diabetes patients and correlations between those biomarkers and the severity of diabetic complications have been found in the last years. The relation between this low grade inflammation and the microvascular changes observed in diabetic retinopathy is, however, not well characterized. In the present study patients with different stages of non-proliferative diabetic retinopathy will be included. Several markers of inflammation will be measured from blood samples. These markers will be related to vascular factors including flicker-induced vasodilatation as a marker of endothelial dysfunction and perifoveal leukocyte velocity and density as measured with the blue field entoptic phenomenon. In addition, the ophthalmologic status of the patients will be assessed according to the Modified Airlie House classification. A multiple regression model will be employed to study the association between the different methods.
Study Type
OBSERVATIONAL
Enrollment
33
Determination of cytokine plasma levels (ELISA)
performed once
ETDRS charts
performed once
7 + 1 standard fields
Assessment of retinal vessel reactivity to stimulation with flickering light
performed once
Department of Clinical Pharmacology, Medical University of Vienna
Vienna, Austria
Plasma biomarkers for inflammation (CRP, TNF-α, IL-6, vWF, e-Selektin)
Time frame: 1 day
Perifoveal white cell blood flow (Blue field entoptic technique)
Time frame: 1 day
Retinal vessel reactivity to flicker stimulation (Retinal Vessel Analyzer)
Time frame: 1 day
Arteriolar to venous ratio
Time frame: 1 day
Capillary blood glucose
Time frame: 1 day
Stage of diabetic retinopathy
Time frame: 1 day
Visual acuity
Time frame: 1 day
Intraocular pressure
Time frame: 1 day
Systolic/diastolic arterial blood pressure, pulse rate
Time frame: 1 day
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