alexa Retinal vascular integrity following correction of diabetic ketoacidosis in children and adolescents
Ophthalmology

Ophthalmology

Journal of Clinical & Experimental Ophthalmology

Author(s): Martin SL, Hoffman WH, Marcus DM, Passmore GG, Dalton RR

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Objective Increased permeability of the cerebral microvasculature occurs during the treatment of diabetic ketoacidosis (DKA). Microvascular changes consistent with diabetic retinopathy have been reported prior to and after the treatment of DKA. This study evaluated the structural and functional aspects of the retina immediately following the correction of DKA. Methods Seven young patients had comprehensive ophthalmologic examinations, including fluorescein angiography, within 24 h after the correction of severe DKA (pH <7.2). Results None of the patients had clinical, photographic, or angiographic evidence of a retinal abnormality. Conclusion The blood–retinal barrier (BRB) does not experience the same degree of perturbation as the blood–brain barrier (BBB) does and may be a protected site during the insult of DKA and its treatment. The greater stability of the retinal microvasculature may be due to the increased number of pericytes in the BRB in comparison with the BBB.

This article was published in Journal of Diabetes and Its Complications and referenced in Journal of Clinical & Experimental Ophthalmology

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