Diabetic Renal-Retinal Syndrome and Inflammatory Markers of Acute Phase

Francisco Jesús Sepúlveda-Cañamar, Raúl Treviño Hernández, Joaquín Darío Treviño Baéz, Jesús H. González Cortés

Ophtalmology and Nephrology Services, Unidad Médica de Atención Ambulatoria, Instituto Mexicano del Seguro Social, San Pedro Garza García, México.
Ophtalomology Department of Universidad Autónoma de Nuevo León, San Nicolás de los Garza, Mexico.
Universidad Juárez del Estado de Durango, Durango, México.

DOI: 10.4236/jdm.2014.43028                

Abstract

Objective: To determine the association between the acute inflammatory markers and Diabetic Renal-Retinal Syndrome in our patients. Methods: A total of 44 patients were included in this transverse (cross sectional), observational, analytical, and comparative study. Two groups of patients were created. Results: In patients with chronic renal failure, stages 3, 4, or 5 (scale 1 to 5) were identified and divided into two groups: Group I (Patients with concomitant diabetic retinopathy stabilized with photocoagulation) 22 patients. Group II (Patients with progression of retinopathy, after photocoagulation, in the form of intraocular bleeding) 22 patients. The number of patients with chronic renal failure in stage 3 was: Group I; 16. In Group II; 12 patients (OR: 1.0). Stage 4: Group I; 4 patients. Group II: 3 patients (OR: 1.0, CI 95%; 0.3843 - 2.021). Stage 5: Group I; 2 patients. Group II; 7 patients (OR: 1.8148, CI 95%; 1.0448 - 3.1523; Chi-squared (x²) 2.7450, p = 0.097). t-Test found statistical significance in Erythrocyte Sedimentation Rate (ESR): p < 0.0001 (CI 95%; 7.8959 - 23.2515); R = 0.56 p = 0.001; and OR = 1.959 (CI 95%; 1.193 - 3.217). By non-parametric tests, C-reactive protein with binomial test showed p < 0.001. ESR showed p < 0.001 with U of Mann Whitney. Conclusions: With this study revealed a possible association of inflammatory markers with Diabetic Renal-Retinal Syndrome.

Keywords

Diabetic Renal-Retinal Syndrome, Erythrocyte Sedimentation Rate, C-Reactive Protein

Conflicts of Interest

The authors declare no conflicts of interest.

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