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Comparison of electrical activity of retina between diabetic patients with and without fluid accumulation in the centre of retina

Not yet recruiting
Conditions
Retinal disorders in diseases classified elsewhere,
Registration Number
CTRI/2022/08/044521
Lead Sponsor
Sankara eye hospital Coimbatore
Brief Summary

•Diabetic macular edema(DME) is the most common cause of vision loss in patients with diabetic retinopathy and is increasing in prevelance globally.

•It has been reported that 20% and 14% of subjects with type 1 and 2 diabetes mellitus develop diabetic macular edeme(DME) respectively.

•There is impaired function in the middle and inner layers of the retina in diabetic patients before start of vascular complications. Therefore, there is a need for an objective test for early detection and diagnosis of DR and DME

•Traditional flash ERG (FERG) devices and multifocal ERG (mfERG) devices are time consuming to use, also these devices require pupil dilatation , the use of invasive corneal electrodes and professional analysis

•Recently a portable full-field ERG recording device called the RETeval system was introduced, the advent of which has made it easier to make general judgments about retinal function which has the following advantages:

ü     It is a small , handled device

ü     Non invasive : uses special skin electrode to record the ERG patterns

ü     No need for dilatation of pupil

ü     Testing time for both eyes is <5mins

The DR risk  assessment protocol which is provided by the manufacturer was used. A 30-Hz flicker ERG, as set in the electrophysiological standard by the International Society for Clinical Electrophysiology of  Vision (ISCEV) , will be used to observe the cone cell response.

The study presented herein compares the changes in the flicker electroretinography pattern between diabetic patients with and without diabetic macular edema.

Detailed Description

Not available

Recruitment & Eligibility

Status
Not Yet Recruiting
Sex
All
Target Recruitment
60
Inclusion Criteria

1 ) Age above 18 years 2) Patients diagnosed with type I or type II diabetes mellitus 3) Patient with clear media 4) Patients with confirmed DME having NPDR or PDR – cases 5) Patients with DM(diabetes mellitus) , no DR and DME.

Exclusion Criteria

1 ) Prior history of intravitreal injections 2) Prior history of retinal lasers 3) Significant media opacity 4) Prior history of retinal detachment 5) Prior history of vitrectomy 6) Centre involving diabetic macular edema (that may require imminent treatment) 7) Ocular abnormality that might impact ERG measurements (including more than 3 diopters of myopia).

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
ERG patterns in diabetic patients with and without diabetic macular edemaAt baseline
Secondary Outcome Measures
NameTimeMethod
Best corrected visual acuity(BCVA) and foveal thickness on spectral domain OCT(SD-OCT)

Trial Locations

Locations (1)

Sankara eye hospital, Coimbatore

🇮🇳

Coimbatore, TAMIL NADU, India

Sankara eye hospital, Coimbatore
🇮🇳Coimbatore, TAMIL NADU, India
Shana K
Principal investigator
7772960052
shanakadakot@gmail.com

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