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Comparison of serum and vitreous TGF-β1 levels in proliferative diabetic retinopathy with and without panretinal photocoagulation laser therapy

  • Habibah Setyawati Muhiddin ,
  • Rosmiaty Zainal Abidin ,
  • Budu . ,
  • Junaedi Sirajuddin ,
  • Itzar Chaidir Islam ,
  • Andi Muhammad Ichsan ,


Abstract

Introduction: A long-term diabetic retinopathy will cause an increase in several growth factors expression like Transforming Growth Factor β (TGF-β). This multipotent cytokine is involved in the process of endothelial cell proliferation. Therefore, this study aims to observe the relationship between TGF-β1 levels in serum and vitreous fluid of Proliferative Diabetic Retinopathy (PDR) patients given Pan Retinal Photocoagulation (PRP) laser therapy.

Method: This was a cross-sectional study involving 14 patients with PDR. TGF-β1 levels of vitreous and peripheral blood were measured using Enzyme-linked Immunosorbent Assay (ELISA) method. The data were statistically analyzed using SPSS software for Windows ver. 23.0 for Mann-Whitney and the Spearman correlation test.

Results: Our subjects consisted of 57.1% males with a mean age of 51.8 years, where dyslipidemia was the most common comorbid disease. Mean serum TGF-β1 level was 12,821.43 ± 5,253.16 pg/ml, while the mean value in vitreous was 3,692.86 ± 333.89 pg/ml. Meanwhile, there was no significant difference in serum and vitreous TGF-β1 levels between subjects with and without PRP laser therapy (p>0.05).

Conclusion: There was no significant correlation between TGF-β1 levels in proliferative diabetic retinopathy patients with and without panretinal photocoagulation laser therapy. However, there was a decreasing trend in TGF-β1 levels in the vitreous fluid, indicating that PRP laser therapy has a positive effect on preventing the formation of neovascularization in the eye.

Keywords: Medicine Ophthalmology

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How to Cite

Muhiddin, H. S., Abidin, R. Z., ., B., Sirajuddin, J., Islam, I. C., & Ichsan, A. M. (2022). Comparison of serum and vitreous TGF-β1 levels in proliferative diabetic retinopathy with and without panretinal photocoagulation laser therapy. Bali Medical Journal, 11(1), 429–433. https://doi.org/10.15562/bmj.v11i1.3225
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Habibah Setyawati Muhiddin
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Rosmiaty Zainal Abidin
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Budu .
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Junaedi Sirajuddin
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Itzar Chaidir Islam
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Andi Muhammad Ichsan
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