Study | Groups | N | Age (years) | Sex (M/F) | Diabetes type (1/2) | Duration of diabetes (years) | HbA1c (%) | Exclusion | Type of CCM | Assessment with CCM | |||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
criteria* | NFD | NBD | NFL | TC | |||||||||
Ahmed et al5 | Controls | 64 | 38.9±17.6 | 30/34 | – | – | 5.5±0.4 | √ | LSCM | √ | √ | √ | √ |
No-DPN | 56 | 34.9±14.8 | 27/29 | 56/0 | 17.6±14.0 | 7.4±1.3 | √ | √ | √ | √ | √ | ||
DPN | 33 | 50.0±14.3 | 16/17 | 33/0 | 31.4±13.5 | 8.7±2.1 | √ | √ | √ | √ | √ | ||
Edwards et al6 | Controls | 61 | 52±14 | 27/34 | – | – | 5.4±0.3 | √ | LSCM | √ | √ | √ | |
No-DPN | 143 | 48±16 | 66/77 | 105/38 | 14±12 | 7.8±1.2 | √ | √ | √ | √ | |||
DPN | 88 | 58±9 | 57/31 | 51/37 | 23±14 | 8.2±1.7 | √ | √ | √ | √ | |||
Hertz et al7 | Controls | 20 | 41.4±17.3 | 5/15 | – | – | 5.5±0.4 | N/A | LSCM | √ | √ | √ | √ |
No-DPN | 12 | 42.8±16.9 | 18/8 | 26/0 | 22.7±16.4 | 8.0±1.9 | N/A | √ | √ | √ | √ | ||
DPN | 14 | N/A | √ | √ | √ | √ | |||||||
Kallinikos et al8 | Controls | 18 | 57.8±11.5 | N/A | – | – | <6.5 | N/A | SSCM | √ | |||
DPN | 18 | 57.8±12.8 | N/A | 7/11 | 22.9±6.3 | 8.1±1.2 | √ | √ | |||||
Malik et al9 | Controls | 18 | 57.8±11.5 | N/A | – | – | <6.5 | N/A | SSCM | √ | √ | √ | |
DPN | 18 | 57.8±12.8 | N/A | 7/11 | 22.9±6.3 | 8.1±1.2 | √ | √ | √ | √ | |||
Mehra et al10 | Controls | 15 | 46±3 | N/A | – | – | N/A | N/A | SSCM | √ | √ | √ | √ |
DPN | 20 | 41±1 | N/A | 20/0 | 27±2 | 8.9±1.4 | N/A | √ | √ | √ | √ | ||
Petropoulos et al11 | Controls | 55 | 51.7±11.4 | 28/27 | – | – | 5.5±0.3 | √ | LSCM | √ | √ | √ | |
No-DPN | 86 | 50.4±14.1 | 108/78 | N/A | 24.2±21.2 | 7.7±1.6 | √ | √ | √ | √ | |||
DPN | 100 | N/A | 34.4±17.3 | 7.9±1.6 | √ | √ | √ | √ | |||||
Pritchard et al12 | Controls | 154 | 46±15 | 70/84 | – | – | 5.5±0.3 | √ | LSCM | √ | √ | ||
No-DPN | 168 | 43±16 | 85/83 | 168/0 | 20±15 | 8.0±1.2 | √ | √ | √ | ||||
DPN | 74 | 57±11 | 41/33 | 74/0 | 34±16 | 8.6±1.8 | √ | √ | √ | ||||
Quattrini et al13 | Controls | 15 | 55.0±18.5 | 6/9 | – | – | – | √ | SSCM | √ | √ | √ | |
No-DPN | 10 | 53.5±10.2 | 6/4 | 3/7 | 16.7±14.0 | 7.2±1.3 | √ | √ | √ | √ | |||
DPN | 44 | 59.1±11.0 | 36/8 | 13/31 | 21.2±12.1 | 8.0±1.8 | √ | √ | √ | √ | |||
Sivaskandarajah et al14 | Controls | 64 | 38.3±16.4 | 34/30 | – | – | 5.6±0.4 | √ | LSCM | √ | √ | √ | √ |
No-DPN | 63 | 32.7±13.6 | 29/34 | 63/0 | 17.3±12.2 | 7.5±1.2 | √ | √ | √ | √ | √ | ||
DPN | 33 | 48.5±13.7 | 14/19 | 33/0 | 32.3±13.1 | 8.4±1.6 | √ | √ | √ | √ | √ | ||
Tavakoli et al15 | Controls | 17 | 55±19.8 | 8/9 | – | – | <6.5 | √ | SSCM | √ | √ | √ | |
No-DPN | 34 | 55±11.1 | 19/15 | 2/32 | 10.7±10.6 | 8.1±1.2 | √ | √ | √ | √ | |||
DPN | 67 | 58.9±11.3 | 54/13 | 15/52 | 17.0±12.3 | 8.1±1.4 | √ | √ | √ | √ | |||
Tavakoli et al16 | Controls | 18 | 57.0±12.7 | 10/8 | – | – | 5.7±0.4 | √ | SSCM | √ | √ | √ | √ |
DPN | 25 | 52.0±10.0 | 20/5 | 15/10 | 26.5±12.5 | 8.1±1.5 | √ | √ | √ | √ | √ | ||
Xue et al17 | Controls | 10 | 48.6±7.8 | 5/5 | – | – | – | N/A | LSCM | √ | √ | √ | |
No-DPN | 20 | 56.3±8.9 | 12/8 | 0/20 | 8.4±5.1 | 7.1±1.3 | N/A | √ | √ | √ | |||
DPN | 25 | 52.0±10.6 | 15/10 | 0/25 | 9.2±6.7 | 7.9±1.6 | N/A | √ | √ | √ |
Data are presented as mean±SD for age, duration of diabetes and HbA1c.
The patients with DPN met the international diagnostic criteria for DPN.1 Cases of peripheral neuropathy were defined according to established consensus criteria using nerve conduction studies and clinical examination.
*The exclusion criteria was described in the article, for example, patients with any other known cause of neuropathy or previous corneal abnormality were excluded.
CCM, corneal confocal microscopy; DPN, diabetic peripheral neuropathy; HbA1c, glycated haemoglobin; LSCM, laser-scanning confocal microscope; N/A, not applicable for this group; NBD, corneal nerve branch density; NFD, corneal nerve fibre density; NFL, corneal nerve fibre length; No-DPN, diabetes without diabetic peripheral neuropathy; SSCM, slit-scanning confocal microscope; TC, tortuosity coefficient.