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Pupillary light responses in type 1 and type 2 diabetics with and without retinopathy

Acta Ophthalmologica Jan 23, 2020

Ba-Ali S, et al. - Researchers carried out a cross-sectional, comparative study between June 2016 and March 2017 at the Department of Ophthalmology, Rigshospitalet, Glostrup, Denmark to evaluate the function of rod/cones and melanopsin in T1DM and T2DM with and without non-proliferative diabetic retinopathy (NPDR). For this investigation, pupillometry was performed on 22 healthy controls and four diabetic groups: 12 T1DM patients without NPDR and 12 with moderate NPDR, and 16 T2DM patients without NPDR and 12 with moderate NPDR. The melanopsin-mediated late redilation phase of postillumination pupillary light response (PIPRLate) to blue light was the primary outcome. The mixed rod/cone and melanopsin responses, that are maximal pupil constriction and the early redilation phase of PIPR (PIPREarly), were the secondary outcomes. In diabetics with or without NPDR, neither PIPREarly nor PIPRLate was significantly reduced as compared with healthy controls. The reduced maximal constrictions of pupils in diabetics with NPDR suggest decreased response of mixed rod/cone and melanopsin.
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