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March 18, 2026PeerJ0 citationsOpen Access

Retrospective evaluation of choroidal and retinal changes in patients with diabetic peripheral neuropathy but no diabetic retinopathy

RDRaşit DİLEK

Key Points

  • The study aims to compare retinal and choroidal measurements between patients with diabetic peripheral neuropathy and healthy controls.
  • Compared ganglion cell-inner plexiform layer, retinal nerve fiber layer, central macular thickness, subfoveal choroidal thickness, and choroidal vascular index.
  • Participants included patients with diabetic peripheral neuropathy without diabetic retinopathy and healthy controls.
  • Statistical analysis used to determine significant differences between groups for various measurements.
  • No significant difference in central macular thickness, retinal nerve fiber layer, or subfoveal choroidal thickness between groups.
  • Significant reductions in inferior and inferonasal ganglion cell-inner plexiform layer measurements in patients with diabetic neuropathy.
  • Significant differences in luminal area and total choroidal area were noted, with no change in stromal area.

Abstract

Purpose To compare macular and choroidal findings in patients with diabetic peripheral neuropathy but no diabetic retinopathy with healthy patients. Method We compared the ganglion cell-inner plexiform layer (GCIPL), retinal nerve fiber layer (RNFL), central macular thickness (CMT), subfoveal choroidal thickness (SFCT) and choroidal vascular index (CVI) measurements in patients with diabetic peripheral neuropathy (DPN) without diabetic retinopathy (DR) with healthy individuals. Results Mean CMT, RNFL and SFCT values were compared in the study and control groups. There was no statistically significant difference between the groups ( p = 0.139, 0.372, and 0.594, respectively). The mean, minimum, superonasal, superior, superotemporal, inferotemporal, inferior and inferonasal GCIPL values were compared in the study group. Only the inferior and inferonasal sectors showed a significant difference ( p = 0.012 and 0.023, respectively), while no difference was found in the other sectors ( p > 0.05). Mean stromal area (SA), luminal area (LA) and total choroidal area (TCA) values were compared in the study and control groups. While a significant difference was found between the study and control groups in LA and TCA ( p = 0.009 and p = 0.008, respectively), no significant difference was found in SA ( p = 0.121). The CVI was 0.68850 in the study group and 0.68575 in the control group, and no significant difference was found between the groups ( p = 0.456). Conclusion The results obtained demonstrated a statistically significant increase in LA and TCA in the study group, although CVI remained constant. Furthermore, a statistically significant decrease in GCIPL thickness in the inferior and inferonasal sectors of the study group was identified.

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Cite This Study

Raşit DİLEK (2026) studied this question.

synapsesocial.com/papers/69ba422e4e9516ffd37a2254https://doi.org/10.7717/peerj.20662
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