Corneal confocal microscopy detects improvement in corneal nerve morphology with an improvement in risk factors for diabetic neuropathy

M. Tavakoli, P. Kallinikos, A. Iqbal, A. Herbert, H. Fadavi, N. Efron, A. J M Boulton, R. A. Malik

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Aim We have assessed whether corneal confocal microscopy can be used to detect alterations in nerve morphology following an improvement in risk factors associated with diabetic neuropathy. Methods Twenty-five patients with diabetes with mild to moderate neuropathy and 18 control subjects underwent corneal confocal microscopy to quantify corneal nerve fibre (density, branch density, length and tortuosity) at baseline and after 24months from first visit. This was not planned as an intervention trial and was simply an observational follow-up. Results At baseline, nerve fibre density (18.8±2.1 vs. 46.0±3.8number/mm 2, P=0.001), nerve branch density (6.9±1.5 vs. 35.6±6.7number/mm 2, P
    Original languageEnglish
    Pages (from-to)1261-1267
    Number of pages6
    JournalDiabetic Medicine
    Volume28
    Issue number10
    DOIs
    Publication statusPublished - Oct 2011

    Keywords

    • Corneal confocal microscopy
    • Corneal nerves
    • Diabetic neuropathy
    • Risk factors

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