Retinal sensitivity and gaze fixation evaluated by microperimetry in subjects with type 2 diabetes: two independent parameters that explore different neuronal circuits

Background and aims Retinal sensitivity (RS) and gaze fixation (GF) assessed by retinal microperimetry are useful and complementary tools for identifying mild cognitive impairment (MCI) in patients with type 2 diabetes (T2D). The hypothesis is that RS and GF examine different neural circuits: RS dep...

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Veröffentlicht in:Journal of endocrinological investigation 2023-09, Vol.46 (9), p.1875-1880
Hauptverfasser: Ortiz-Zuñiga, A. M., Rojano Toimil, A., Rahnama, K., Lainez, E., Raguer, N., Simó-Servat, O., Hernández, C., Simó, R., Ciudin, A.
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container_end_page 1880
container_issue 9
container_start_page 1875
container_title Journal of endocrinological investigation
container_volume 46
creator Ortiz-Zuñiga, A. M.
Rojano Toimil, A.
Rahnama, K.
Lainez, E.
Raguer, N.
Simó-Servat, O.
Hernández, C.
Simó, R.
Ciudin, A.
description Background and aims Retinal sensitivity (RS) and gaze fixation (GF) assessed by retinal microperimetry are useful and complementary tools for identifying mild cognitive impairment (MCI) in patients with type 2 diabetes (T2D). The hypothesis is that RS and GF examine different neural circuits: RS depends only on the visual pathway while GF reflects white matter complex connectivity networks. The aim of the study is to shed light to this issue by examining the relationship of these two parameters with visual evoked potentials (VEP), the current gold standard to examine the visual pathway. Materials and methods Consecutive T2D patients > 65 years were recruited from the outpatient clinic. Retinal microperimetry (MAIA 3rd generation) and visual evoked potentials (VEP) (Nicolet Viking ED). RS (dB), GF (BCEA63%, BCEA95%) (MAIA) and VEP (Latency P100ms, Amplitude75–100 uV) were analyzed. Results Thirty three patients (45% women, 72.1 ± 4.6 years) were included. VEP parameters significantly correlated with RS but not with GF. Conclusions These results confirm that RS but not GF depends on the visual pathway, reinforcing the concept that they are complementary diagnostic tools. Used together can further increase the value of microperimetry as screening test for identifying T2D population with cognitive impairment.
doi_str_mv 10.1007/s40618-023-02046-y
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M. ; Rojano Toimil, A. ; Rahnama, K. ; Lainez, E. ; Raguer, N. ; Simó-Servat, O. ; Hernández, C. ; Simó, R. ; Ciudin, A.</creator><creatorcontrib>Ortiz-Zuñiga, A. M. ; Rojano Toimil, A. ; Rahnama, K. ; Lainez, E. ; Raguer, N. ; Simó-Servat, O. ; Hernández, C. ; Simó, R. ; Ciudin, A.</creatorcontrib><description>Background and aims Retinal sensitivity (RS) and gaze fixation (GF) assessed by retinal microperimetry are useful and complementary tools for identifying mild cognitive impairment (MCI) in patients with type 2 diabetes (T2D). The hypothesis is that RS and GF examine different neural circuits: RS depends only on the visual pathway while GF reflects white matter complex connectivity networks. The aim of the study is to shed light to this issue by examining the relationship of these two parameters with visual evoked potentials (VEP), the current gold standard to examine the visual pathway. Materials and methods Consecutive T2D patients &gt; 65 years were recruited from the outpatient clinic. Retinal microperimetry (MAIA 3rd generation) and visual evoked potentials (VEP) (Nicolet Viking ED). RS (dB), GF (BCEA63%, BCEA95%) (MAIA) and VEP (Latency P100ms, Amplitude75–100 uV) were analyzed. Results Thirty three patients (45% women, 72.1 ± 4.6 years) were included. VEP parameters significantly correlated with RS but not with GF. Conclusions These results confirm that RS but not GF depends on the visual pathway, reinforcing the concept that they are complementary diagnostic tools. Used together can further increase the value of microperimetry as screening test for identifying T2D population with cognitive impairment.</description><identifier>ISSN: 1720-8386</identifier><identifier>ISSN: 0391-4097</identifier><identifier>EISSN: 1720-8386</identifier><identifier>DOI: 10.1007/s40618-023-02046-y</identifier><identifier>PMID: 36870015</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Cognitive ability ; Diabetes ; Diabetes mellitus (non-insulin dependent) ; Endocrinology ; Internal Medicine ; Latency ; Medicine ; Medicine &amp; Public Health ; Metabolic Diseases ; Neural networks ; Original ; Original Article ; Retina ; Substantia alba ; Visual evoked potentials ; Visual pathways</subject><ispartof>Journal of endocrinological investigation, 2023-09, Vol.46 (9), p.1875-1880</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. 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M.</creatorcontrib><creatorcontrib>Rojano Toimil, A.</creatorcontrib><creatorcontrib>Rahnama, K.</creatorcontrib><creatorcontrib>Lainez, E.</creatorcontrib><creatorcontrib>Raguer, N.</creatorcontrib><creatorcontrib>Simó-Servat, O.</creatorcontrib><creatorcontrib>Hernández, C.</creatorcontrib><creatorcontrib>Simó, R.</creatorcontrib><creatorcontrib>Ciudin, A.</creatorcontrib><title>Retinal sensitivity and gaze fixation evaluated by microperimetry in subjects with type 2 diabetes: two independent parameters that explore different neuronal circuits</title><title>Journal of endocrinological investigation</title><addtitle>J Endocrinol Invest</addtitle><addtitle>J Endocrinol Invest</addtitle><description>Background and aims Retinal sensitivity (RS) and gaze fixation (GF) assessed by retinal microperimetry are useful and complementary tools for identifying mild cognitive impairment (MCI) in patients with type 2 diabetes (T2D). The hypothesis is that RS and GF examine different neural circuits: RS depends only on the visual pathway while GF reflects white matter complex connectivity networks. The aim of the study is to shed light to this issue by examining the relationship of these two parameters with visual evoked potentials (VEP), the current gold standard to examine the visual pathway. Materials and methods Consecutive T2D patients &gt; 65 years were recruited from the outpatient clinic. Retinal microperimetry (MAIA 3rd generation) and visual evoked potentials (VEP) (Nicolet Viking ED). RS (dB), GF (BCEA63%, BCEA95%) (MAIA) and VEP (Latency P100ms, Amplitude75–100 uV) were analyzed. Results Thirty three patients (45% women, 72.1 ± 4.6 years) were included. VEP parameters significantly correlated with RS but not with GF. Conclusions These results confirm that RS but not GF depends on the visual pathway, reinforcing the concept that they are complementary diagnostic tools. 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M. ; Rojano Toimil, A. ; Rahnama, K. ; Lainez, E. ; Raguer, N. ; Simó-Servat, O. ; Hernández, C. ; Simó, R. ; Ciudin, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-62a0616e9aa321bd6034f31f199d88d489e4149c5fb5ae565cd5985c9e01cbd13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Cognitive ability</topic><topic>Diabetes</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Endocrinology</topic><topic>Internal Medicine</topic><topic>Latency</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Metabolic Diseases</topic><topic>Neural networks</topic><topic>Original</topic><topic>Original Article</topic><topic>Retina</topic><topic>Substantia alba</topic><topic>Visual evoked potentials</topic><topic>Visual pathways</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ortiz-Zuñiga, A. M.</creatorcontrib><creatorcontrib>Rojano Toimil, A.</creatorcontrib><creatorcontrib>Rahnama, K.</creatorcontrib><creatorcontrib>Lainez, E.</creatorcontrib><creatorcontrib>Raguer, N.</creatorcontrib><creatorcontrib>Simó-Servat, O.</creatorcontrib><creatorcontrib>Hernández, C.</creatorcontrib><creatorcontrib>Simó, R.</creatorcontrib><creatorcontrib>Ciudin, A.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of endocrinological investigation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ortiz-Zuñiga, A. M.</au><au>Rojano Toimil, A.</au><au>Rahnama, K.</au><au>Lainez, E.</au><au>Raguer, N.</au><au>Simó-Servat, O.</au><au>Hernández, C.</au><au>Simó, R.</au><au>Ciudin, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Retinal sensitivity and gaze fixation evaluated by microperimetry in subjects with type 2 diabetes: two independent parameters that explore different neuronal circuits</atitle><jtitle>Journal of endocrinological investigation</jtitle><stitle>J Endocrinol Invest</stitle><addtitle>J Endocrinol Invest</addtitle><date>2023-09-01</date><risdate>2023</risdate><volume>46</volume><issue>9</issue><spage>1875</spage><epage>1880</epage><pages>1875-1880</pages><issn>1720-8386</issn><issn>0391-4097</issn><eissn>1720-8386</eissn><abstract>Background and aims Retinal sensitivity (RS) and gaze fixation (GF) assessed by retinal microperimetry are useful and complementary tools for identifying mild cognitive impairment (MCI) in patients with type 2 diabetes (T2D). The hypothesis is that RS and GF examine different neural circuits: RS depends only on the visual pathway while GF reflects white matter complex connectivity networks. The aim of the study is to shed light to this issue by examining the relationship of these two parameters with visual evoked potentials (VEP), the current gold standard to examine the visual pathway. Materials and methods Consecutive T2D patients &gt; 65 years were recruited from the outpatient clinic. Retinal microperimetry (MAIA 3rd generation) and visual evoked potentials (VEP) (Nicolet Viking ED). RS (dB), GF (BCEA63%, BCEA95%) (MAIA) and VEP (Latency P100ms, Amplitude75–100 uV) were analyzed. Results Thirty three patients (45% women, 72.1 ± 4.6 years) were included. VEP parameters significantly correlated with RS but not with GF. Conclusions These results confirm that RS but not GF depends on the visual pathway, reinforcing the concept that they are complementary diagnostic tools. Used together can further increase the value of microperimetry as screening test for identifying T2D population with cognitive impairment.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>36870015</pmid><doi>10.1007/s40618-023-02046-y</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-0475-3096</orcidid><orcidid>https://orcid.org/0000-0001-5622-0203</orcidid><oa>free_for_read</oa></addata></record>
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subjects Cognitive ability
Diabetes
Diabetes mellitus (non-insulin dependent)
Endocrinology
Internal Medicine
Latency
Medicine
Medicine & Public Health
Metabolic Diseases
Neural networks
Original
Original Article
Retina
Substantia alba
Visual evoked potentials
Visual pathways
title Retinal sensitivity and gaze fixation evaluated by microperimetry in subjects with type 2 diabetes: two independent parameters that explore different neuronal circuits
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