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Acronyms

AAO

American Academy of Ophthalmology

ACCORD

Action to Control Cardiovascular Risk in Diabetes

ACE

Angiotensin-Converting Enzyme

ADA

American Diabetes Association

AGEs

Advanced Glycation End Products

AMPK

5Adenosine Monophosphate-activated Protein Kinase

AOA

American Optometric Association

AOSLO

Adaptive Optics Scanning Laser Ophthalmoscope

ARB

Angiotensin Receptor Blocker

BCVA

Best-Corrected Visual Acuity

BOLT

Bevacizumab or Laser Therapy Study

BRB

Blood-Retinal Barrier

CARDS

Collaborative Atorvastatin Diabetes Study

CME

Cystoid Macular Edema

CRT

Central Retinal Thickness

CSME

Clinically Significant Macular Edema

CT

Choroidal Thickness

CTGF

Connective Tissue Growth Factor

CVD

Cardiovascular Disease

DA VINCI

Phase 2 Primary Results of VEGF Trap-eye in Patients with Diabetic

 

Macular Edema Study

DCCT

Diabetes Control and Complications Trial

DEGAS

Dose-ranging Evaluation of Intravitreal siRNA PF-04523655 for

 

Diabetic Macular Edema Study

DEX

Dexamethasone

DIRECT

Diabetic Retinopathy Candesartan Trial

DiVFuSS

Diabetes Visual Function Supplement Study

DM

Diabetes Mellitus

DME

Diabetic Macular Edema

DR

Diabetic Retinopathy

DRCR.net

Diabetic Retinopathy Clinical Research Network

DRS

Diabetic Retinopathy Study

DRVS

Diabetic Retinopathy Vitrectomy Study

EDI

Enhanced Depth Imaging

xv

xvi

Acronyms

 

 

EDIC

Epidemiology of Diabetes Intervention and Complications Study

ELM

External Limiting Membrane

ERG

Electroretinogram

ERM

Epiretinal Membrane

ETDRS

Early Treatment Diabetic Retinopathy Study

EU

European Union

EUCLID

EURODIAB Controlled Trial of Lisinopril in Insulin-Dependent

 

Diabetes Mellitus

FA

Fluorescein Angiography

FAME

Fluocinolone Acetonide in Patients with Diabetic Macular Edema Study

FDA

Food and Drug Administration

FIELD

Fenofibrate Intervention and Event Lowering in Diabetes Study

GCC

Ganglionar Cell Complex

GIP

Glucose-dependent Insulinotropic Peptide

GLP-1

Glucagon-Like Peptide-1

HbA1c

Glycated/glycosylated Hemoglobin

HDL

High-Density Lipoprotein

HDL-C

High-Density Lipoprotein Cholesterol

IBEME

Intravitreal Triamcinolone versus Bevacizumab for Treatment of

 

Refractory Diabetic Macular Edema Study

IBEPE

Intravitreal Bevacizumab for Persistent New Vessels in Diabetic

 

Retinopathy Study

ICAM-1

Intercellular Adhesion Molecule-1

IL-6

Interleukine-6

ILM

Internal Limiting Membrane

IOP

Intraocular Pressure

IRMA

Intraretinal Microvascular Abnormality

IS/OS

Internal Segment/Outer Segment

IVA

Intravitreal Aflibercept

IVB

Intravitreal Bevacizumab

IVFA

Intravitreal Fluocinolone Acetonide

IVP

Intravitreal Pegaptanib

IVR

Intravitreal Ranibizumab

IVTA

Intravitreal Triamcinolone Acetonide

LDL

Low-Density Lipoprotein

LDL-C

Low-Density Lipoprotein Cholesterol

MATISSE

Dose Escalation Study, and Evaluation of PF-04523655 With/Without

 

Ranibizumab in Diabetic Macular Edema

mETDRS

Modified Early Treatment Diabetic Retinopathy Study

mfERG

Multifocal Electroretinogram

MLP

Macular Laser Photocoagulation

MMG

Mild Macular Grid

MMP-9

Matrix Metallopeptidase 9

MMPs

Metalloproteinases

MPC

Macular Photocoagulation

MVL

Moderate Visual Loss

Acronyms

xvii

 

 

NPDR

Non-Proliferative Diabetic Retinopathy

NSAID

Non-Steroidal Anti-Inflammatory Drug

NV/NVs

New Vessels

NVD

Neovascularization of the Disc

NVE

Neovascularization Elsewhere

NVI

Neovascularization of the Iris

NVG

Neovascular Glaucoma

OCT

Optical Coherence Tomography

OLE

Open-Label Extension

ONL

Outer Nuclear Layer

OPL

Outer Plexiform Layer

PASCAL

Pattern Scan Laser

PDR

Proliferative Diabetic Retinopathy

PEDF

Pigment Epithelium-Derived Factor

P-VEP

Pattern Visual Evoked Potentials

PGF

Placental Growth Factor

PKC

Protein Kinase C

PKC-DRS

Protein Kinase C Beta Inhibitor Diabetic Retinopathy Study

PKC-DRS2

Protein Kinase C Diabetic Retinopathy Study 2

PKC-β

β-isoform of PKC

POC1

Proof-of-Concept 1

POC2

Proof-of-Concept 2

PPAR

Peroxisome Proliferator-Activated Receptor

PPV

Pars Plana Vitrectomy

PRN

Pro Re Nata

PRP

Panretinal Photocoagulation

PVD

Posterior Vitreous Detachment

RAGEs

Receptors for Advanced Glycation End Products

RAS

Renin-Angiotensin System

RASS

Renin-Angiotensin System Study

RBX

Ruboxistaurin

RCT

Randomized Clinical Trial

RD

Retinal Detachment

READ-1

Ranibizumab for Edema of the Macula in Diabetes Study 1

READ-2

Ranibizumab for Edema of the Macula in Diabetes Study 2

RESOLVE

Safety and Efficacy of Ranibizumab in Diabetic Macular Edema

 

with Center Involvement Study

RESTORE

Ranibizumab Monotherapy or Combined with Laser versus Laser

 

Monotherapy for Diabetic Macular Edema Study

RIDE

Ranibizumab Injection in Subjects with Clinically Significant

 

Macular Edema (ME) with Center Involvement Secondary to

 

Diabetes Mellitus Study

RISE

Ranibizumab Injection in Subjects with Clinically Significant

 

Macular Edema (ME) with Center Involvement Secondary

 

to Diabetes Mellitus Study

RNFL

Retinal Nerve Fiber Layer

xviii

Acronyms

 

 

ROCK

RhoA/Rho kinase

RPE

Retinal Pigment Epithelium

SD-OCT

Spectral-Domain Optical Coherence Tomography

SDRT

Sponge-like Diffuse Retinal Thickening

siRNA

Small-interfering RNA

SLO

Scanning Laser Ophthalmoscopy

SMVL

Severe and Moderate Visual Loss

sRAGE

Soluble Receptor for Advanced Glycation End Product

SRD

Serous Retinal Detachment

SVL

Severe Visual Loss

T1DM

Type 1 Diabetes Mellitus

T2DM

Type 2 Diabetes Mellitus

TGF-ß2

Transforming Growth Factor-ß2

TNF

Tumor Necrosis Factor

TNF-α

Tumor Necrosis Factor α

TRD

Traction Retinal Detachment

UKPDS

United Kingdom Prospective Diabetes Study

US

Ultrasonography

VAS

Visual Analog Scale

VCAM-1

Vascular Cell Adhesion Molecule-1

VEGF

Vascular Endothelium Growth Factor

VH

Vitreous Hemorrhage

VLDL

Very Low-Density Lipoprotein

VMA

Vitreo-Macular Adhesion

VMT

Vitreo-Macular Traction

VTDR

Vision-Threatening Diabetic Retinopathy

WESDR

Wisconsin Epidemiologic Study of Diabetic Retinopathy

Epidemiology, Risk Factors,

1

and Pathophysiology

of Diabetic Retinopathy

Neelakshi Bhagat and Marco Attilo Zarbin

Contents

1.1

Introduction.......................................................................................................................

2

1.2

Epidemiology....................................................................................................................

2

1.3

Risk Factors ......................................................................................................................

3

 

1.3.1 Duration of Diabetes Mellitus...............................................................................

3

 

1.3.2

Glycemic Control ..................................................................................................

4

 

1.3.3

Hypertension .........................................................................................................

5

 

1.3.4

Ethnic Differences .................................................................................................

6

 

1.3.5

Obesity ..................................................................................................................

6

 

1.3.6

Socioeconomic Status ...........................................................................................

7

 

1.3.7

Other Risk Factors ................................................................................................

7

1.4

Pathophysiology................................................................................................................

8

Conclusion

.................................................................................................................................

13

References..................................................................................................................................

 

13

N. Bhagat, MD, MPH, FACS

Institute of Ophthalmology and Visual Science, New Jersey Medical School, Rutgers University, Room 6156, Doctors Office Center Suite 6100, 90 Bergen Street, Newark, NJ 07103, USA e-mail: bhagatne@umdnj.edu, Bhagatne@rutgers.edu

M.A. Zarbin, MD, PhD (*)

Institute of Ophthalmology and Visual Science, New Jersey Medical School, Rutgers University, Room 6156, Doctors Office Center Suite 6100, 90 Bergen Street, Newark, NJ 07103, USA

Department of Ophthalmology, University Hospital, Room 6156, Doctors Office Center, 90 Bergen Street, Newark, NJ 07103, USA e-mail: zarbin@earthlink.net

F. Bandello et al. (eds.), Clinical Strategies in the Management of Diabetic Retinopathy,

1

DOI 10.1007/978-3-642-54503-0_1, © Springer-Verlag Berlin Heidelberg 2014