Diabetes complications

Clinical observation and experimental study on the role of choroid‐to‐retina volume ratio in diabetic retinopathy

Diabetes Obes MetabPublished Cross-sectional study and experimental animal study

Authors' conclusion

The study supports the existence of the RBSSR and suggests that CRVR can serve as a potential indicator of RBSSR, highlighting its role in DR pathogenesis.

Study context

Population
Diabetic patients; C57BL/6J mice
Exposure
Diabetic retinopathy (DR) vs NDR eyes; atropine vs control in mice
  • DRn = 125 eyes
  • NDRn = 134 eyesreference
Outcome
Choroid-to-retina volume ratio (CRVR) as an indicator of the retinal blood supply system reserve
Methodological detailsOptical coherence tomography angiography (OCTA) 12 × 12 mm² fovea-centred scans, C57BL/6J mouse models (atropine; streptozotocin-induced early DR)
  • OCTA 12 × 12 mm² fovea-centred scans
  • C57BL/6J mouse models (atropine; streptozotocin-induced early DR)

Main finding

As reported in the abstract

CRVR
  • Low choroid-to-retina volume ratio (CRVR) is a risk factor for DR (logistic regression and AUC analysis), with all AUC values exceeding 0.70
  • DR vs NDR: all p < 0.05

Observational data: associations, not effects.

Further findings

CRVR in mice

Compared with controls, atropine increased the CRVR in mice

Fundus structure and retinal apoptosis in early DR mouse models

Atropine-treated eyes had fewer punctate hyperfluorescent lesions, a tighter outer nuclear layer (ONL) arrangement and reduced apoptosis in the ONL and retinal pigment epithelium

Original publication

Clinical observation and experimental study on the role of choroid‐to‐retina volume ratio in diabetic retinopathy. Diabetes Obes Metab. Published 7 May 2025. doi:10.1111/dom.16444

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