Evidence map›Paper›PMID 29270314›Full record

ArticleInternational journal of retina and vitreous2017

Retinal malperfusion in albuminuric Type 1 diabetes mellitus patients without clinical signs of diabetic retinopathy: a prospective pilot study.

Fernando Korn Malerbi, Caio Vinicius Regatieri, João Roberto de Sa, Paulo Henrique Morales, Michel Eid Farah, Sergio Atala Dib

Open access · goldAbstract read
In one paragraph

Article in International journal of retina and vitreous, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Fernando Korn MalerbiDepartment of Ophthalmology, Federal University of São Paulo, Av Divino Salvador, 398/41, São Paulo, SP 04078-011 Brazil.
Caio Vinicius RegatieriDepartment of Ophthalmology, Federal University of São Paulo, Av Divino Salvador, 398/41, São Paulo, SP 04078-011 Brazil.
João Roberto de SaDepartment of Endocrinology, Federal University of São Paulo, São Paulo, Brazil.
Paulo Henrique MoralesDepartment of Ophthalmology, Federal University of São Paulo, Av Divino Salvador, 398/41, São Paulo, SP 04078-011 Brazil.
Michel Eid FarahDepartment of Ophthalmology, Federal University of São Paulo, Av Divino Salvador, 398/41, São Paulo, SP 04078-011 Brazil.
Sergio Atala DibDepartment of Endocrinology, Federal University of São Paulo, São Paulo, Brazil.
Universidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo report fluorescein angiography findings in a group of albuminuric Type 1 diabetes mellitus (T1DM) patients without diabetic retinopathy.

methodsFifteen albuminuric T1DM patients with normal/near normal estimated glomerular filtration rate without diabetic retinopathy underwent fluorescein angiography; presence of microaneurysms, vascular permeability changes and retinal malperfusion were evaluated.

resultsFluorescein angiography revealed microaneurysms, blood-retinal barrier breakdown and retinal ischemia in 10 (67%) and 11 (73%); 8 (53%) and 9 (60%); 2 (13%) and 5 (33%) of patients at baseline and follow up, respectively. Follow up time averaged 24.6 months, minimum follow up time was 20 months. Patients who presented retinal malperfusion had higher HbA1C and lower estimated glomerular filtration rate.

conclusionsMost albuminuric T1DM patients with a normal fundus exam had angiographic signs of diabetic retinopathy, some presenting retinal malperfusion. Retinal changes may be found with more sensitive testing in these patients, especially with impaired estimated glomerular filtration rate, even if the fundus exam is normal, and fluorescein angiography should be considered. These findings point to a homogenous presentation of the diabetic microangiopathies.

Indexed as

AlbuminuriaDiabetic retinopathyEstimated glomerular filtration rateFluorescein angiographyNephropathyType 1 diabetes mellitus

Identifiers

PMID29270314
PMCPMC5733928
OpenAlexW2769968097

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.