Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2
Conditions
Keywords
Diabetic retinopathy, Color vision, Contrast sensitivity, Electroretinogram, Flicker-induced vasodilatation, Dynamic Vessel Analyzer
Brief summary
The primary purpose was to assess, in diabetic patients without diabetic retinopathy and control subjects, color vision, contrast sensitivity, electroretinography, and flicker-induced vasodilatation using the Dynamic Vessel Analyzer, in order to specify the earliest impaired retinal cells in diabetes, and gain more insight into diabetic retinopathy pathogenesis.
Detailed description
Type 1 and type 2 diabetic patients with no diabetic retinopathy and no hypertension were compared with sex and age-matched control subjects. Color vision was tested with the desaturated LANTHONY 15-Hue test. Contrast sensitivity was assessed with the Pelli-Robson contrast sensitivity test. Pattern-electroretinogram, Ganzfeld full-field electroretinogram and multifocal electroretinogram were recorded according to the International Society for Clinical Electrophysiology of Vision (ISCEV). Flicker-induced vasodilatation in retinal arteries and veins was assessed using the Dynamic Vessel Analyzer.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* For diabetic patients : * age between 20 and 55 * type 1 or type 2 diabetes mellitus * diabetes duration of more than 5 years * no diabetic retinopathy on fundus examination or fundus photographs * For control subjects : * sex and age matching with the diabetic patients * no diabetes, no familial or personal history of elevated blood sugar
Exclusion criteria
\*For both diabetic patients and control subjects : * presence of cataract or history of cataract surgery * intraocular pressure of more than 21 mmHg * abnormal score on the Ishihara test * other ocular disease * ametropia more than 3 diopters, anisometropia more than 1 diopter, astigmatism more than 1 diopter * systemic hypertension (defined as systolic blood pressure \> 140 mmHg, diastolic blood pressure \> 90 mmHg) * treatment with vasoactive drugs * tobacco consumption of more than 20 cigarettes a day
Countries
France