Functional and anatomical changes in diabetic macular edema after hemodialysis initiation: One-year follow-up multicenter study
Diabetic nephropathy and retinopathy (DR) including diabetic macular edema (DME) are representative microvascular complications of diabetes. We conducted a retrospective multicenter study analyzing records from patients with DR (132 eyes in 70 patients) and end-stage renal diseases (ESRD) who underw...
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| Veröffentlicht in: | Scientific reports 2020-05, Vol.10 (1), p.7788-7788, Article 7788 |
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| creator | Takamura, Yoshihiro Matsumura, Takehiro Ohkoshi, Kishiko Takei, Tatsuhiko Ishikawa, Kunihiro Shimura, Masahiko Ueda, Tetsuo Sugimoto, Masahiko Hirano, Takao Takayama, Kei Gozawa, Makoto Yamada, Yutaka Morioka, Masakazu Iwano, Masayuki Inatani, Masaru |
| description | Diabetic nephropathy and retinopathy (DR) including diabetic macular edema (DME) are representative microvascular complications of diabetes. We conducted a retrospective multicenter study analyzing records from patients with DR (132 eyes in 70 patients) and end-stage renal diseases (ESRD) who underwent hemodialysis for the first time. We demonstrated that the central retinal thickness (CRT) values were significantly decreased (p |
| doi_str_mv | 10.1038/s41598-020-64798-4 |
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We conducted a retrospective multicenter study analyzing records from patients with DR (132 eyes in 70 patients) and end-stage renal diseases (ESRD) who underwent hemodialysis for the first time. We demonstrated that the central retinal thickness (CRT) values were significantly decreased (p < 0.0001), and the best-corrected visual acuity (BCVA) values were improved (p < 0.05) at 1, 3, 6, 9, and 12 months after hemodialysis initiation, in spite of a lack of specific ocular treatments for DME in 93.2% of eyes. We found a significant positive correlation in the rates of CRT changes between right and left eyes. The CRT reductions were greater in eyes with DME type subretinal detachment than in those with spongelike swelling and cystoid macular edema. The visual outcome gain was associated with the CRT reduction at 12 months in the eyes with good initial BCVA (≧20/50). Hemodialysis induction contributed to functional and anatomical improvements after 1 year, independently of initial laboratory values before the hemodialysis.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-020-64798-4</identifier><identifier>PMID: 32385333</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308 ; 692/4022 ; Acuity ; Biomarkers ; Diabetes ; Diabetes mellitus ; Diabetic retinopathy ; Diabetic Retinopathy - diagnostic imaging ; Diabetic Retinopathy - etiology ; Diabetic Retinopathy - pathology ; Diabetic Retinopathy - therapy ; Edema ; End-stage renal disease ; Eye ; Female ; Follow-Up Studies ; Hemodialysis ; Humanities and Social Sciences ; Humans ; Kidney diseases ; Macular Edema - diagnostic imaging ; Macular Edema - etiology ; Macular Edema - pathology ; Macular Edema - therapy ; Male ; Microvasculature ; Middle Aged ; multidisciplinary ; Nephropathy ; Renal Dialysis - adverse effects ; Renal Dialysis - methods ; Retinopathy ; Science ; Science (multidisciplinary) ; Tomography, Optical Coherence</subject><ispartof>Scientific reports, 2020-05, Vol.10 (1), p.7788-7788, Article 7788</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. 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Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c540t-13e0a5c3e235233f8061d8cf25fb629a68d2fe29db45250e0aba03dce3bd99533</citedby><cites>FETCH-LOGICAL-c540t-13e0a5c3e235233f8061d8cf25fb629a68d2fe29db45250e0aba03dce3bd99533</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210956/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210956/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,41120,42189,51576,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32385333$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takamura, Yoshihiro</creatorcontrib><creatorcontrib>Matsumura, Takehiro</creatorcontrib><creatorcontrib>Ohkoshi, Kishiko</creatorcontrib><creatorcontrib>Takei, Tatsuhiko</creatorcontrib><creatorcontrib>Ishikawa, Kunihiro</creatorcontrib><creatorcontrib>Shimura, Masahiko</creatorcontrib><creatorcontrib>Ueda, Tetsuo</creatorcontrib><creatorcontrib>Sugimoto, Masahiko</creatorcontrib><creatorcontrib>Hirano, Takao</creatorcontrib><creatorcontrib>Takayama, Kei</creatorcontrib><creatorcontrib>Gozawa, Makoto</creatorcontrib><creatorcontrib>Yamada, Yutaka</creatorcontrib><creatorcontrib>Morioka, Masakazu</creatorcontrib><creatorcontrib>Iwano, Masayuki</creatorcontrib><creatorcontrib>Inatani, Masaru</creatorcontrib><title>Functional and anatomical changes in diabetic macular edema after hemodialysis initiation: One-year follow-up multicenter study</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>Diabetic nephropathy and retinopathy (DR) including diabetic macular edema (DME) are representative microvascular complications of diabetes. We conducted a retrospective multicenter study analyzing records from patients with DR (132 eyes in 70 patients) and end-stage renal diseases (ESRD) who underwent hemodialysis for the first time. We demonstrated that the central retinal thickness (CRT) values were significantly decreased (p < 0.0001), and the best-corrected visual acuity (BCVA) values were improved (p < 0.05) at 1, 3, 6, 9, and 12 months after hemodialysis initiation, in spite of a lack of specific ocular treatments for DME in 93.2% of eyes. We found a significant positive correlation in the rates of CRT changes between right and left eyes. The CRT reductions were greater in eyes with DME type subretinal detachment than in those with spongelike swelling and cystoid macular edema. The visual outcome gain was associated with the CRT reduction at 12 months in the eyes with good initial BCVA (≧20/50). Hemodialysis induction contributed to functional and anatomical improvements after 1 year, independently of initial laboratory values before the hemodialysis.</description><subject>692/308</subject><subject>692/4022</subject><subject>Acuity</subject><subject>Biomarkers</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetic retinopathy</subject><subject>Diabetic Retinopathy - diagnostic imaging</subject><subject>Diabetic Retinopathy - etiology</subject><subject>Diabetic Retinopathy - pathology</subject><subject>Diabetic Retinopathy - therapy</subject><subject>Edema</subject><subject>End-stage renal disease</subject><subject>Eye</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hemodialysis</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Kidney diseases</subject><subject>Macular Edema - diagnostic imaging</subject><subject>Macular Edema - etiology</subject><subject>Macular Edema - pathology</subject><subject>Macular Edema - therapy</subject><subject>Male</subject><subject>Microvasculature</subject><subject>Middle Aged</subject><subject>multidisciplinary</subject><subject>Nephropathy</subject><subject>Renal Dialysis - adverse effects</subject><subject>Renal Dialysis - methods</subject><subject>Retinopathy</subject><subject>Science</subject><subject>Science (multidisciplinary)</subject><subject>Tomography, Optical Coherence</subject><issn>2045-2322</issn><issn>2045-2322</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kU1v1DAQhi1ERatt_wAHZIkLl4A_4mzMAQlVFJAq9QJny7EnXVdOvNgJ1Z7460xIKaWHWrI81jzzejwvIS85e8uZbN-VmivdVkywqqm3GNXPyIlgtaqEFOL5g_iYnJVyw3ApoWuuX5BjKWSrpJQn5NfFPLoppNFGakeP205pCA6vbmfHayg0jNQH28EUHB2sm6PNFDwMltp-gkx3MCQE4qGEBQ5TsIvge3o1QnUApPsUY7qt5j0d5ogyMC51ZZr94ZQc9TYWOLs7N-T7xadv51-qy6vPX88_XlZO1WyquARmlZMgpBJS9i1ruG9dL1TfNULbpvWiB6F9VyuhGMKdZdI7kJ3XGr-6IR9W3f3cDeCXFrKNZp_DYPPBJBvM_5kx7Mx1-mm2gjOtGhR4cyeQ048ZymSGUBzEaEdIczGixvnKhqstoq8foTdpzjjhlWJ6K9HCDREr5XIqJUN_3wxnZrHYrBYbtNj8sdjUWPTq4TfuS_4aioBcgYIptC__e_sJ2d9PirR5</recordid><startdate>20200508</startdate><enddate>20200508</enddate><creator>Takamura, Yoshihiro</creator><creator>Matsumura, Takehiro</creator><creator>Ohkoshi, Kishiko</creator><creator>Takei, Tatsuhiko</creator><creator>Ishikawa, Kunihiro</creator><creator>Shimura, Masahiko</creator><creator>Ueda, Tetsuo</creator><creator>Sugimoto, Masahiko</creator><creator>Hirano, Takao</creator><creator>Takayama, Kei</creator><creator>Gozawa, Makoto</creator><creator>Yamada, Yutaka</creator><creator>Morioka, Masakazu</creator><creator>Iwano, Masayuki</creator><creator>Inatani, Masaru</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>88I</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200508</creationdate><title>Functional and anatomical changes in diabetic macular edema after hemodialysis initiation: One-year follow-up multicenter study</title><author>Takamura, Yoshihiro ; Matsumura, Takehiro ; Ohkoshi, Kishiko ; Takei, Tatsuhiko ; Ishikawa, Kunihiro ; Shimura, Masahiko ; Ueda, Tetsuo ; Sugimoto, Masahiko ; Hirano, Takao ; Takayama, Kei ; Gozawa, Makoto ; Yamada, Yutaka ; Morioka, Masakazu ; Iwano, Masayuki ; Inatani, Masaru</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c540t-13e0a5c3e235233f8061d8cf25fb629a68d2fe29db45250e0aba03dce3bd99533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>692/308</topic><topic>692/4022</topic><topic>Acuity</topic><topic>Biomarkers</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetic retinopathy</topic><topic>Diabetic Retinopathy - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Scientific reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takamura, Yoshihiro</au><au>Matsumura, Takehiro</au><au>Ohkoshi, Kishiko</au><au>Takei, Tatsuhiko</au><au>Ishikawa, Kunihiro</au><au>Shimura, Masahiko</au><au>Ueda, Tetsuo</au><au>Sugimoto, Masahiko</au><au>Hirano, Takao</au><au>Takayama, Kei</au><au>Gozawa, Makoto</au><au>Yamada, Yutaka</au><au>Morioka, Masakazu</au><au>Iwano, Masayuki</au><au>Inatani, Masaru</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Functional and anatomical changes in diabetic macular edema after hemodialysis initiation: One-year follow-up multicenter study</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><addtitle>Sci Rep</addtitle><date>2020-05-08</date><risdate>2020</risdate><volume>10</volume><issue>1</issue><spage>7788</spage><epage>7788</epage><pages>7788-7788</pages><artnum>7788</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>Diabetic nephropathy and retinopathy (DR) including diabetic macular edema (DME) are representative microvascular complications of diabetes. We conducted a retrospective multicenter study analyzing records from patients with DR (132 eyes in 70 patients) and end-stage renal diseases (ESRD) who underwent hemodialysis for the first time. We demonstrated that the central retinal thickness (CRT) values were significantly decreased (p < 0.0001), and the best-corrected visual acuity (BCVA) values were improved (p < 0.05) at 1, 3, 6, 9, and 12 months after hemodialysis initiation, in spite of a lack of specific ocular treatments for DME in 93.2% of eyes. We found a significant positive correlation in the rates of CRT changes between right and left eyes. The CRT reductions were greater in eyes with DME type subretinal detachment than in those with spongelike swelling and cystoid macular edema. The visual outcome gain was associated with the CRT reduction at 12 months in the eyes with good initial BCVA (≧20/50). Hemodialysis induction contributed to functional and anatomical improvements after 1 year, independently of initial laboratory values before the hemodialysis.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32385333</pmid><doi>10.1038/s41598-020-64798-4</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | 692/308 692/4022 Acuity Biomarkers Diabetes Diabetes mellitus Diabetic retinopathy Diabetic Retinopathy - diagnostic imaging Diabetic Retinopathy - etiology Diabetic Retinopathy - pathology Diabetic Retinopathy - therapy Edema End-stage renal disease Eye Female Follow-Up Studies Hemodialysis Humanities and Social Sciences Humans Kidney diseases Macular Edema - diagnostic imaging Macular Edema - etiology Macular Edema - pathology Macular Edema - therapy Male Microvasculature Middle Aged multidisciplinary Nephropathy Renal Dialysis - adverse effects Renal Dialysis - methods Retinopathy Science Science (multidisciplinary) Tomography, Optical Coherence |
| title | Functional and anatomical changes in diabetic macular edema after hemodialysis initiation: One-year follow-up multicenter study |
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