Evidence map›Paper›PMID 42243767›Full record

ArticleBMC ophthalmology2026

Early retinal, optic disc and choriocapillaris microvascular alterations in children with type 1 diabetes without clinical retinopathy: an OCTA-based case-control study.

Semih Bolat, Ömer Anıl Sönmez, Hatice Nur Topuz, Mehmet Özbaş

Abstract read
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Article in BMC ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Semih BolatDepartment of Ophthalmology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Zuhuratbaba Mah., Dr. Tevfik Sağlam Cd. No: 11, 34147, Bakırköy/İstanbul, Turkey. semihbolat96@gmail.com.ORCID http://orcid.org/0009-0002-7050-0695
Ömer Anıl SönmezDepartment of Ophthalmology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Zuhuratbaba Mah., Dr. Tevfik Sağlam Cd. No: 11, 34147, Bakırköy/İstanbul, Turkey.
Hatice Nur TopuzDepartment of Ophthalmology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Zuhuratbaba Mah., Dr. Tevfik Sağlam Cd. No: 11, 34147, Bakırköy/İstanbul, Turkey.
Mehmet ÖzbaşDepartment of Ophthalmology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Zuhuratbaba Mah., Dr. Tevfik Sağlam Cd. No: 11, 34147, Bakırköy/İstanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess retinal, optic disc, and choriocapillaris microvascular changes in children with type 1 diabetes mellitus (T1DM) using optical coherence tomography angiography (OCTA). MATERIALS AND

methodsThis cross-sectional study included 154 children, comprising 77 children with T1DM and 77 healthy controls. One eye from each participant was analyzed. OCTA was used to evaluate vessel density in the superficial and deep capillary plexuses, foveal avascular zone area, radial peripapillary capillary vessel density, and choriocapillaris non-perfused area (NPCA) ratios. Foveal thickness and subfoveal choroidal thickness were measured using optical coherence tomography. Age, sex, body mass index, and HbA1c levels were recorded for all participants, along with disease duration and daily insulin dose in the T1DM group.

resultsSuperficial capillary plexus vessel density and foveal avascular zone parameters did not differ significantly between the T1DM and control groups (p > 0.05). Deep capillary plexus vessel density was also comparable between groups across most regions; however, superior hemi-area vessel density was higher in the T1DM group on unadjusted analysis (p < 0.05). Radial peripapillary capillary vessel density in the peripapillary region and whole-image analysis showed no significant differences between groups (p > 0.05). In contrast, intrapapillary vessel density was lower in children with T1DM (p < 0.05). Choriocapillaris NPCA ratio and foveal thickness were increased in the T1DM group (p < 0.05), while subfoveal choroidal thickness showed no significant difference between groups (p > 0.05).

conclusionChildren with T1DM without clinical retinopathy may show early microvascular alterations on OCTA, particularly increased central choriocapillaris non-perfusion and reduced intrapapillary vessel density. These findings support the potential value of OCTA in detecting preclinical ocular microvascular involvement in pediatric T1DM before clinically detectable retinopathy develops.

Indexed as

ChoroidDiabetes Mellitus, Type 1Optic DiskRetinal VesselsTomography, Optical CoherenceAdolescentCapillariesCase-Control StudiesChildCross-Sectional StudiesDiabetic RetinopathyFemaleFluorescein AngiographyHumansMaleMicrovesselsChoriocapillarisOptical coherence tomography angiographyPediatric diabetesType 1 diabetes mellitus

Identifiers

PMID42243767
PMCPMC13238078

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.