Type 1 diabetes

Corneal Confocal Microscopy Abnormalities in Children and Adolescents With Type 1 Diabetes

Endocr PractPublished Cross-sectional study

Authors' conclusion

CCM was able to detect corneal nerve loss in children with and without abnormalities in TDT and NCS.

Study context

Population
Children and adolescents with T1D without neuropathic symptoms or signs, and healthy controls
Exposure
Corneal confocal microscopy (CCM) vs thermal detection thresholds (TDT) testing and nerve conduction studies (NCS) for detecting neuropathy in children with T1D
Outcome
Neuropathy abnormalities in T1DM by test

Main finding

As reported in the abstract

NCS abnormalities in T1DM
18 (35%)
Abnormal TDT (small fiber dysfunction) in T1DM
13 (25.5%)
CCM abnormalities in T1DM
25 (49%)
CCM abnormal among T1DM with abnormal TDT
12/13, 92%
CCM abnormal among T1DM with abnormal NCS
16/18, 88%
CCM abnormal among T1DM with normal TDT
13/38 (34%)
CCM abnormal among T1DM with normal NCS
9/33 (27%)

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Corneal Confocal Microscopy Abnormalities in Children and Adolescents With Type 1 Diabetes. Endocr Pract. Published 19 June 2023. doi:10.1016/j.eprac.2023.06.004

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