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Exploring retinal and functional markers of diabetic neuropathy

Shahidi, Ayda M., Sampson, Geoff P., Pritchard, Nicola, Edwards, Katie, Russell, Anthony, Malik, Rayaz A. and Efron, Nathan 2010, Exploring retinal and functional markers of diabetic neuropathy, Clinical and experimental optometry, vol. 93, no. 5, pp. 309-323, doi: 10.1111/j.1444-0938.2010.00491.x.

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Title Exploring retinal and functional markers of diabetic neuropathy
Author(s) Shahidi, Ayda M.
Sampson, Geoff P.ORCID iD for Sampson, Geoff P. orcid.org/0000-0003-0145-5691
Pritchard, Nicola
Edwards, Katie
Russell, Anthony
Malik, Rayaz A.
Efron, Nathan
Journal name Clinical and experimental optometry
Volume number 93
Issue number 5
Start page 309
End page 323
Total pages 15
Publisher Wiley-Blackwell
Place of publication Chichester, England
Publication date 2010
ISSN 0816-4622
Keyword(s) diabetes mellitus
optical coherence tomography
peripheral neuropathy
retina
visual fields
visual function
Summary Diabetic peripheral neuropathy (DPN) is one of the most debilitating complications of diabetes. DPN is a major cause of foot ulceration and lower limb amputation. Early diagnosis and management are key factors in reducing morbidity and mortality. Current techniques for clinical assessment of DPN are relatively insensitive for detecting early disease or involve invasive procedures such as skin biopsies. There is a need for less painful, non-invasive, safe evaluation methods. Eye-care professionals already play an important role in the management of diabetic retinopathy but recent studies have indicated that the eye may also be an important site for the diagnosis and monitoring of neuropathy. Corneal nerve morphology is a promising marker of diabetic neuropathy occurring elsewhere in the body. Emerging evidence tentatively suggests that retinal anatomical markers and a range of functional visual indicators could similarly provide useful information regarding neural damage in diabetes, although this line of research is less well established. This review outlines the growing body of evidence supporting a potential diagnostic role for retinal structure and visual functional markers in the diagnosis and monitoring of peripheral neuropathy in diabetes.
Language eng
DOI 10.1111/j.1444-0938.2010.00491.x
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2010, Wiley-Blackwell
Persistent URL http://hdl.handle.net/10536/DRO/DU:30066315

Document type: Journal Article
Collection: School of Health and Social Development
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