Assessment of neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and mean platelet volume in patients with diabetic retinopathy

Objective: The objective of this study was to assess the role of inflammation in the pathogenesis of diabetic retinopathy (DR) using the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and mean platelet volume (MPV) and to compare these parameter levels between DR and non-D...

Full description

Saved in:
Bibliographic Details
Main Authors: Trisha Ghosh, Sanjay Kumar Daulat Thakur, Premangshu Ghosh, Trina Sengupta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Journal of Clinical Ophthalmology and Research
Subjects:
Online Access:https://journals.lww.com/10.4103/jcor.jcor_97_24
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832087255525621760
author Trisha Ghosh
Sanjay Kumar Daulat Thakur
Premangshu Ghosh
Trina Sengupta
author_facet Trisha Ghosh
Sanjay Kumar Daulat Thakur
Premangshu Ghosh
Trina Sengupta
author_sort Trisha Ghosh
collection DOAJ
description Objective: The objective of this study was to assess the role of inflammation in the pathogenesis of diabetic retinopathy (DR) using the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and mean platelet volume (MPV) and to compare these parameter levels between DR and non-DR (NDR) subjects. Materials and Methods: A cross-sectional study was conducted among 60 patients with a definite diagnosis of type 2 diabetes mellitus attending the ophthalmology outpatient department of a tertiary care hospital. We obtained blood samples from all individuals who participated in the study to investigate these parameters. Results: Sixty subjects were included in this study: 30 in the DR group and 30 in the NDR group. The mean NLR, PLR, and MPV levels were higher in DR subjects than in NDR subjects (NLR: 2.49 ± 0.82 in DR group vs. 1.94 ± 0.75 in NDR group, P = 0.003; PLR: 114.82 ± 5.08 in DR group vs. 104.5 ± 6.73 in NDR group, P = 0.01; and MPV: 11.08 ± 1.28 in DR group vs. 9.92 ± 1.63 in NDR group, P = 0.003). Conclusion: The higher NLR, PLR, and MPV levels found in patients with DR may indicate that subclinical systemic inflammation may be associated with DR. Understanding the potential association between NLR, PLR, MPV, and DR holds promise in providing valuable clinical information for the early detection and effective management of DR. Moreover, unraveling the underlying mechanisms linking these ratios with the pathophysiology of DR could contribute to the development of targeted screening and therapeutic interventions.
format Article
id doaj-art-be7199bed81e455aa694f5c39dd369e6
institution Kabale University
issn 2320-3897
2320-3900
language English
publishDate 2025-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Clinical Ophthalmology and Research
spelling doaj-art-be7199bed81e455aa694f5c39dd369e62025-02-06T06:38:52ZengWolters Kluwer Medknow PublicationsJournal of Clinical Ophthalmology and Research2320-38972320-39002025-01-01131657010.4103/jcor.jcor_97_24Assessment of neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and mean platelet volume in patients with diabetic retinopathyTrisha GhoshSanjay Kumar Daulat ThakurPremangshu GhoshTrina SenguptaObjective: The objective of this study was to assess the role of inflammation in the pathogenesis of diabetic retinopathy (DR) using the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and mean platelet volume (MPV) and to compare these parameter levels between DR and non-DR (NDR) subjects. Materials and Methods: A cross-sectional study was conducted among 60 patients with a definite diagnosis of type 2 diabetes mellitus attending the ophthalmology outpatient department of a tertiary care hospital. We obtained blood samples from all individuals who participated in the study to investigate these parameters. Results: Sixty subjects were included in this study: 30 in the DR group and 30 in the NDR group. The mean NLR, PLR, and MPV levels were higher in DR subjects than in NDR subjects (NLR: 2.49 ± 0.82 in DR group vs. 1.94 ± 0.75 in NDR group, P = 0.003; PLR: 114.82 ± 5.08 in DR group vs. 104.5 ± 6.73 in NDR group, P = 0.01; and MPV: 11.08 ± 1.28 in DR group vs. 9.92 ± 1.63 in NDR group, P = 0.003). Conclusion: The higher NLR, PLR, and MPV levels found in patients with DR may indicate that subclinical systemic inflammation may be associated with DR. Understanding the potential association between NLR, PLR, MPV, and DR holds promise in providing valuable clinical information for the early detection and effective management of DR. Moreover, unraveling the underlying mechanisms linking these ratios with the pathophysiology of DR could contribute to the development of targeted screening and therapeutic interventions.https://journals.lww.com/10.4103/jcor.jcor_97_24diabetic retinopathymean platelet volumeneutrophil-to-lymphocyte ratioplatelet-to-lymphocyte ratio
spellingShingle Trisha Ghosh
Sanjay Kumar Daulat Thakur
Premangshu Ghosh
Trina Sengupta
Assessment of neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and mean platelet volume in patients with diabetic retinopathy
Journal of Clinical Ophthalmology and Research
diabetic retinopathy
mean platelet volume
neutrophil-to-lymphocyte ratio
platelet-to-lymphocyte ratio
title Assessment of neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and mean platelet volume in patients with diabetic retinopathy
title_full Assessment of neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and mean platelet volume in patients with diabetic retinopathy
title_fullStr Assessment of neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and mean platelet volume in patients with diabetic retinopathy
title_full_unstemmed Assessment of neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and mean platelet volume in patients with diabetic retinopathy
title_short Assessment of neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and mean platelet volume in patients with diabetic retinopathy
title_sort assessment of neutrophil to lymphocyte ratio platelet to lymphocyte ratio and mean platelet volume in patients with diabetic retinopathy
topic diabetic retinopathy
mean platelet volume
neutrophil-to-lymphocyte ratio
platelet-to-lymphocyte ratio
url https://journals.lww.com/10.4103/jcor.jcor_97_24
work_keys_str_mv AT trishaghosh assessmentofneutrophiltolymphocyteratioplatelettolymphocyteratioandmeanplateletvolumeinpatientswithdiabeticretinopathy
AT sanjaykumardaulatthakur assessmentofneutrophiltolymphocyteratioplatelettolymphocyteratioandmeanplateletvolumeinpatientswithdiabeticretinopathy
AT premangshughosh assessmentofneutrophiltolymphocyteratioplatelettolymphocyteratioandmeanplateletvolumeinpatientswithdiabeticretinopathy
AT trinasengupta assessmentofneutrophiltolymphocyteratioplatelettolymphocyteratioandmeanplateletvolumeinpatientswithdiabeticretinopathy