Research Article

Aqueous Humor Cytokine Levels in Diabetic Macular Edema Patients with Cotton-Wool Spots

Table 1

Demographics and clinical characteristics of DME patients classified with retinal morphology.

DME without CWS ()DME with CWS ()

Systemic factorsSex (male : female)32 : 279 : 120.521
Age (years)57.0 [52.5; 63.5]61.0 [55.0; 64.0]0.599
HbA1C (%)0.054
Hypertension23 (38.98%)13 (61.91%)0.119

OCT findingsNumber of HF5.0 [3.0; 10.0]5.0 [4.0; 10.0]0.570
DME type (DRT : CME)35 : 2412 : 91.000
EZ disruption grade(-)39 (66.10%)7 (33.33%)0.038
(+)20 (33.90%)14 (66.67%)

Aqueous humor cytokines and growth factorsICAM-1 (ng/mL)0.00 [0.00; 0.00]0.36 [0.00; 2.87]<0.001
IL-1β (pg/mL)0.00 [0.00; 0.43]0.17 [0.00; 0.17]0.591
IL-6 (pg/mL)7.96 [4.16; 18.64]16.32 [4.98; 31.88]0.281
IL-8 (pg/mL)13.65 [9.77; 23.84]11.37 [8.16; 24.43]0.364
IL-10 (pg/mL)0.65 [0.19; 1.32]0.53 [0.26; 0.93]0.700
IL-17 (pg/mL)1.36 [0.54; 1.96]0.54 [0.00; 2.55]0.356
PlGF (pg/mL)2.85 [1.92; 3.97]2.85 [2.32; 7.70]0.477
VEGF (pg/mL)48.18 [22.62; 80.33]92.73 [59.70; 184.46]0.006

Ocular factorsBaseline BCVA (logMAR)0.50 [0.30; 1.00]0.70 [0.50; 1.00]0.053
BCVA after IVBs (logMAR)0.40 [0.20; 0.70]0.70 [0.40; 1.00]0.006
Baseline CST (μm)353.0 [326.5; 419.5]391.0 [347.0; 574.0]0.054
CST after IVBs (μm)314.0 [286.5; 358.5]313.0 [272.0; 398.0]0.861
DMR (NPDR : PDR)26 : 339 : 121.000

Values are expressed as or median and interquartile range, as appropriate. DME: diabetic macular edema; CWS: cotton-wool spot; HbA1c: glycated hemoglobin; HF: hyperreflective foci; CME: cystoid macular edema; DRT: diffuse retinal thickening; EZ: ellipsoid zone; ICAM: intercellular adhesion molecule; IL: interleukin; PlGF: placental growth factor; VEGF: vascular endothelial growth factor; BCVA: best-corrected visual acuity; IVB: intravitreal bevacizumab; CST: central subfield thickness; DMR: DM retinopathy; NPDR: nonproliferative diabetic retinopathy; PDR: proliferative diabetic retinopathy.