Diabetic Retinopathy Clinical Trial
Official title:
Neurovascular Coupling in Patients With Early Stage Diabetes Retinopathy
A variety of studies demonstrate that ocular blood flow is altered in diabetes and retinal
perfusion abnormalities have been proposed to contribute to the pathogenesis of diabetic
retinopathy.
Various animal and human studies have demonstrated that retinal and optic nerve blood flow
increase in response to diffuse luminance flicker. Based on studies with ERG, this effect
has been attributed to augmented activity in the retinal ganglion cells and associated axons
indicating a coupling mechanism between neuronal activity and retinal blood flow. Whereas a
variety of studies describe the effects of flickering light on retinal and optic nerve head
blood flow, the knowledge about this coupling in the diabetic retina is sparse.
In view of the fact that neural activity and blood flow are strongly coupled in the human
retina, one could hypothesize that neurodegenerative changes in the retina could contribute
to the vascular dysregulation and in turn lead to changes of ocular perfusion. The
investigators set out to investigate whether the coupling of neural activity and blood flow
is impaired in patients with early stage diabetic retinopathy compared to those in healthy
volunteers.
n/a
Observational Model: Cohort, Time Perspective: Prospective
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