RT info:eu-repo/semantics/article T1 Quantification of microvascular lesions in the central retinal field: Could It predict the severity of diabetic retinopathy? A1 Fernández Carneado, Jimena A1 Almazán Moga, Ana A1 Ramírez Lamelas, Dolores T. A1 Cuscó, Cristina A1 Alonso de la Fuente, José Ignacio A1 Pastor Jimeno, José Carlos A1 López Gálvez, María Isabel A1 Ponsati, Berta K1 Diabetic retinopathy K1 Retinopatía diabética K1 Eye - Diseases K1 Ojo - Enfermedades y defectos K1 Diabetes - Complicaciones y secuelas K1 Ophthalmology K1 Microvascular K1 Clinical utility K1 Medical Research K1 Clinical medicine K1 Medicina clínica - Investigación K1 Public health K1 3201.09 Oftalmología K1 32 Ciencias Médicas K1 3212 Salud Publica AB Diabetic retinopathy (DR) is a neurodegenerative disease characterized by the presence of microcirculatory lesions. Among them, microaneurysms (MAs) are the first observable hallmark of early ophthalmological changes. The present work aims to study whether the quantification of MAs, hemorrhages (Hmas) and hard exudates (HEs) in the central retinal field could have a predictive value on DR severity. These retinal lesions were quantified in a single field NM-1 of 160 retinographies of diabetic patients from the IOBA’s reading center. Samples included different disease severity levels and excluded proliferating forms: no DR (n = 30), mild non-proliferative (n = 30), moderate (n = 50) and severe (n = 50). Quantification of MAs, Hmas, and HEs revealed an increasing trend as DR severity progresses. Differences between severity levels were statistically significant, suggesting that the analysis of the central field provides valuable information on severity level and could be used as a clinical tool to assess DR grading in the eyecare routine. Even though further validation is needed, counting microvascular lesions in a single retinal field can be proposed as a rapid screening system to classify DR patients with different stages of severity according to the international classification. PB MDPI SN 2077-0383 YR 2023 FD 2023 LK https://uvadoc.uva.es/handle/10324/65876 UL https://uvadoc.uva.es/handle/10324/65876 LA eng NO Journal of Clinical Medicine, 2023, Vol. 12, Nº. 12, 3948 NO Producción Científica DS UVaDOC RD 24-nov-2024