PMID- 30736987 OWN - NLM STAT- MEDLINE DCOM- 20190916 LR - 20190916 IS - 1773-0597 (Electronic) IS - 0181-5512 (Linking) VI - 42 IP - 3 DP - 2019 Mar TI - Correlations of blood lipids with early changes in macular thickness in patients with diabetes. PG - 276-280 LID - S0181-5512(18)30537-0 [pii] LID - 10.1016/j.jfo.2018.07.007 [doi] AB - PURPOSE: This study aimed to investigate the correlations of blood lipids with changes in macular volume and thickness in patients with diabetes. METHODS: Central subfield macular thickness (CSMT) and central subfield macular volume (CSMV) were measured in 85 patients with type 2 diabetes (DM2) using spectral-domain optical coherence tomography (SD-OCT). In addition, serum creatinine (Cr), total cholesterol (TC), triglyceride (TG), high-density lipoprotein cholesterol (HDLC), low-density lipoprotein cholesterol (LDLC), glycated hemoglobin (HbA1c), and proteinuria were measured in all patients. RESULTS: The mean CSMT of the 85 patients was 272.8+/-16.9mum, and CSMV was 215.1+/-14.6x10(-3)mm(3). TC, LDLC, HbA1c, and proteinuria were closely correlated to CSMT, and HDLC, HbA1c, and proteinuria were correlated to CSMV. After adjustment for sex, age, DM2 course, proteinuria, and HbA1c, LDLC was significantly correlated to CSMT (95% confidence interval (CI), 1.93-11.05, P=0.008) and CSMV (95% CI, 0.92-8.41, P=0.021); however, HDLC, TC, and TG showed no significant correlation with CSMT or CSMV. CONCLUSIONS: Increased LDLC was closely correlated to changes in CSMT and CSMV in early diabetic patients, and increased CSMT was also accompanied by increased LDLC; therefore, this type of patient would be more likely to develop macular edema. CI - Copyright (c) 2018. Published by Elsevier Masson SAS. FAU - Liang, J AU - Liang J AD - Department of Ophthalmology, Central Hospital of Linyi, Linyi 276400, Shandong, China. FAU - Lei, W AU - Lei W AD - Department of Ophthalmology, Central Hospital of Linyi, Linyi 276400, Shandong, China. FAU - Cheng, J AU - Cheng J AD - Department of Ophthalmology, Central Hospital of Linyi, Linyi 276400, Shandong, China. Electronic address: jintaochengdoc@126.com. LA - eng PT - Journal Article DEP - 20190205 PL - France TA - J Fr Ophtalmol JT - Journal francais d'ophtalmologie JID - 7804128 RN - 0 (Lipids) SB - IM MH - Adult MH - Aged MH - Diabetes Mellitus, Type 2/*complications/diagnosis/*pathology MH - Diabetic Retinopathy/blood/diagnosis/pathology MH - Disease Progression MH - Early Diagnosis MH - Female MH - Humans MH - Lipids/*blood MH - Macula Lutea/diagnostic imaging/*pathology MH - Male MH - Middle Aged MH - Organ Size MH - Retrospective Studies MH - Tomography, Optical Coherence OTO - NOTNLM OT - Diabetic macular edema OT - Diabetic retinopathy OT - Macular thickness OT - OCT OT - Retinopathie diabetique OT - Epaisseur maculaire OT - OEdeme maculaire diabetique EDAT- 2019/02/10 06:00 MHDA- 2019/09/17 06:00 CRDT- 2019/02/10 06:00 PHST- 2017/12/21 00:00 [received] PHST- 2018/07/26 00:00 [revised] PHST- 2018/07/26 00:00 [accepted] PHST- 2019/02/10 06:00 [pubmed] PHST- 2019/09/17 06:00 [medline] PHST- 2019/02/10 06:00 [entrez] AID - S0181-5512(18)30537-0 [pii] AID - 10.1016/j.jfo.2018.07.007 [doi] PST - ppublish SO - J Fr Ophtalmol. 2019 Mar;42(3):276-280. doi: 10.1016/j.jfo.2018.07.007. Epub 2019 Feb 5.