Abstract
Objectives
To evaluate the effect of mean platelet volume (MPV) on diabetic retinopathy in patients with type 2 diabetes mellitus.
Materials and methods
In this study, ocular findings and MPV values were retrospectively reviewed in 192 patients with type 2 diabetes mellitus. The patients were classified into four groups according to ocular findings, as follows: group 1, diabetic patients without diabetic retinopathy (n = 70); group 2, diabetic patients with non-proliferative diabetic retinopathy (n = 64); group 3, diabetic patients with proliferative diabetic retinopathy (n = 58); and group 4, healthy controls (n = 100).
Results
A significant difference was found in MPV values between groups 2 and 4 (P = 0.001), between groups 3 and 4 (P = 0.001), and between groups 1 and 4 (P = 0.004). No significant difference was found in MPV values between groups 1 and 2 (P = 0.241) and between groups 2 and 3 (P = 0.460); whereas there was a statistically significant difference between groups 1 and 3 (P = 0.015). The three diabetic groups (groups 1, 2, and 3) were compared with each other. While there was a statistically significant difference between groups 1 and 3 (P = 0.015), there was no significance between groups 2 and 3 (P = 0.46), and between group 1 and 2 (P = 0.241). Logistic regression analysis found a 1.40-fold increase in the risk of retinopathy development (OR: 1.404; P = 0.002) and a 1.46-fold increase in the risk of proliferative diabetic retinopathy (OR: 1.466; P = 0.002) as the MPV value increased.
Conclusions
In diabetic patients, the risk of retinopathy development increases with higher MPV values.
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References
Bancroft AJ, Abel EW, Mclaren M, Belch JJF (2000) Mean platelet volume is a useful parameter: a reproducible routine method using a modified Coulter thrombocytometer. Platelets 11(7):379–387
Kim SW, Ryu GH, Lee I, Koh JJ, Min BG, Lee HK (1995) Adhered platelet morphology in diabetes mellitus. Diabetes Metab 21(1):50–53
Vinik AM, Macagni A (2001) Platelet dysfunction in type 2 diabetes. Diabetes Care 24(8):1476–1485
Smith NM, Pathansali R, Bath PM (1999) Platelets and stroke. Vasc Med 4(3):165–172
Kiliçli Çamur N, Demirtunç R, Konuralp C, Eskiser A, Başaran Y (2005) Could mean platelet volume be a predictive marker for acute myocardial infarction? Med Sci Monit 11(8):387–392
Greisenegger S, Endler G, Hsieh K, Tentschert S, Mannhalter C, Lalouschek W (2004) Is elevated mean platelet volume associated with a worse outcome in patients with acute ischemic cerebrovascular events? Stroke 35(7):1688–1691
Papanas N, Symeonidis G, Maltezos E, Symeonidis G, Maltezos E, Mavridis G, Karavageli E, Vosnakidis T, Lakasas G (2004) Mean platelet volume in patients with type 2 diabetes mellitus. Platelets 15(8):475–478
Hekimsoy Z, Payzin B, Ornek T, Kandogan G (2004) Mean platelet volume in type 2 diabetic patients. J Diabetes Complications 18(3):173–176
Van Leiden HA, Dekker JM, Moll AC, Nijpels G, Heine RJ, Bouter LM, Stehouwer CD, Polak BC (2003) Risk factors for incident retinopathy in a diabetic and nondiabetic population: the Hoorn Study. Arch Ophthalmol 121(2):245–251
Yam JC, Kwok AK (2007) Update on the treatment of diabetic retinopathy. Hong Kong Med J 13(1):46–60
Rodrigues TC, Pecis M, Azevedo MJ, Gross JL (2005) Blood pressure homeostasis and microvascular complications in diabetic patients. Arg Bras Endocrinol Metabol 49(6):882–890
Cai XL, Wang F, Ji LN (2006) Risk factors of diabetic retinopathy in type 2 diabetic patients. Chin Med J 119(10):822–826
Xie XW, Xu L, Wang YX, Jonas JB (2008) Prevalence and associated factors of diabetic retinopathy. The Beijing Eye Study 2006. Graefes Arch Clin Exp Ophthalmol 246(11):1519–1526
Leito CB, Canani LH, Silveiro SP, Gross JL (2007) Ambulatory blood pressure monitoring and type 2 diabetes mellitus. Arg Bras Cardiol 89(5):315–321, 347–354
Li J, Hu YH (2009) Susceptibility genes for diabetic retinopathy. Int J Ophthalmol 2(1):1–6
Bath PM, Butterworth RJ (1996) Platelet size: measurement, physiology and vascular disease. Blood Coagul Fibrinolysis 7(2):157–161
Demirtunç R, Duman D, Basar M (2007) Effects of doxazosin and amlodipine on mean platelet volume and serum serotonin level in patients with metabolic syndrome: a randomised, controlled study. Clin Drug Investig 27(6):435–441
Sharpe PC, Trinick T (1993) Mean platelet volume in diabetus mellitus. Q J Med 86(11):739–742
Tschope D, Langer E, Schauseil S, Rosen P, Kaufmann L, Gries FA (1989) Increased platelet volume—sign of impaired thrombopoiesis in diabetus mellitus. Klin Wochenschr 15(7):253–259
Winocour P (1994) Platelets, vascular disease, and diabetus mellitus. Can J Physiol Pharmacol 72(3):295–303
Hendra TJ, Oswald GA, Yudkin JS (1988) Increased mean platelet volume after acute myocardial infarction relates to diabetes and to cardiac failure. Diabetes Res Clin Pract 5(1):63–69
Aydinli S, Saydam G, Sahin F, Tuzun M, Buyukkececi F (2004) The relationship between mean platelet volume, in-vitro platelet function tests and microvascular complications in type 2 diabetes mellitus. Turk Hematol Oncol J 14:193–199
Ates O, Kiki I, Bilen H, Keles M, Kocer I, Kulacoglu DN, Baykal O (2009) Association of mean platelet volume with the degree of retinopathy in patients with diabetes mellitus. Eur J Gen Med 6(2):99–102
Zhong ZL, Han M, Chen S (2011) Risk factors associated with retinal neovascularization of diabetic retinopathy in type 2 diabetes mellitus. Int J Ophthalmol 4(2):182–185
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Ayhan Tuzcu, E., Arıca, S., Ilhan, N. et al. Relationship between mean platelet volume and retinopathy in patients with type 2 diabetes mellitus. Graefes Arch Clin Exp Ophthalmol 252, 237–240 (2014). https://doi.org/10.1007/s00417-013-2444-y
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DOI: https://doi.org/10.1007/s00417-013-2444-y