Öz
OBJECTIVE: To investigate the effect of strabismus surgery on subfoveal choroidal thickness (CT).
MATERIAL AND METHODS: Measurements of subfoveal CT in patients who underwent strabismus surgery were obtained by enhanced depth imaging optic coherence tomography (EDI-OCT). Patients were grouped as those who had had one rectus muscle surgery (superior; inferior; medial or lateral; or resection or recession) (Group 1) and those who had had inferior oblique muscle surgery (myectomy) (Group 2). The CT in patients was measured preoperatively and at one day and one week postoperatively.
RESULTS: Included in the study were 41 eyes of 41 patients. It was found that the preoperative, first day postoperative, and first week postoperative mean subfoveal CTs in Group 1 were 390.57±89.54 μm, 415.23±91.77 μm, and 394.8±90.97 μm, respectively. The preoperative and first-day postoperative comparison revealed an increase in CT (p=0.002). However, when the first day postoperative and first-week postoperative measurements were compared, a statistically significant decrease was found (p=0.007). In Group 2, the preoperative, first day postoperative, and first week postoperative mean subfoveal CTs were 347.75±83.58 μm, 332.75±84.95 μm, and 332±79.15 μm, respectively. The preoperative and first-day postoperative comparison showed a decrease in CT that was not statistically significant (p=0.532).
CONCLUSIONS: Rectus muscle surgery causes an increase in subfoveal CT, which is possibly caused by the altered choroidal microcirculation mechanical traction during surgery and by postoperative inflammation. We did not see a similar increase in Group 2; this may be due to the relaxation of the inferior oblique muscle’s traction in the macular region and a relatively low level of postoperative inflammation.
Anahtar Kelimeler
Choroidal thickness Strabismus Surgery Optical Coherence Tomography
Kaynakça
- 1. Wei WB, Xu L, Jonas JB, et al. Subfoveal choroidal thickness: The Beijing Eye Study. Ophthalmology. 2013;120(1):175-180.
- 2. Tan CS, Ouyang Y, Ruiz H, et al. Diurnal variation of choroidal thickness in normal, healthy subjects measured by spectral domain optical coherence tomography. Investig Ophthalmol Vis Sci. 2012;53(1):261-266.
- 3. Grossniklaus HE, Green WR. Choroidal neovascularization. Am J Ophthalmol. 2004;137(3):496-503.
- 4. Gomi F, Tano Y. Polypoidal choroidal vasculopathy and treatments. Curr Opin Ophthalmol. 2008;19(3):208-212.
- 5. Iida T, Kishi S, Hagimura N, et al. Persistent and bilateral choroidal vascular abnormalities in central serous chorioretinopathy. Retina. 1999;19(6):508-512.
- 6. Gupta P, Cheung CY, Saw SM, et al. Peripapillary choroidal thickness in young Asians with high myopia. Investig Ophthalmol Vis Sci. 2015;56(3):1475-1481.
- 7. Mintz HR, Waisbourd M, Kessner R, et al. Macular thickness following strabismus surgery as determined by optical coherence tomography. J Pediatr Ophthalmol Strabismus. 2016;53(1):11-15.
- 8. Laviers H, Zambarakji H. Enhanced depth imaging-OCT of the choroid: a review of the current literature. Graefes Arch Clin Exp Ophthalmol. 2014;252(12):1871-1883.
- 9. Wilcox LM, Keough EM, Connally RJ, et al. The contribution of blood flow by the anterior ciliary arteries to the anterior segment in the primate eye. Exp Eye Res. 1980; 30:167–74.
- 10. Kimura M, Nishimura A, Yokogawa H, et al. Subfoveal choroidal thickness change following segmental scleral buckling for rhegmatogenous retinal detachment. Am J Ophthalmol. 2012;154(5):893-900.
- 10. Xu H, Chen M, Forrester JV, et al. Cataract surgery induces retinal pro-inflammatory gene expression and protein secretion. Investig Ophthalmol Vis Sci. 2011;52(1):249-255.
- 11. Tso MO, Shih CY. Experimental macular edema after lens extraction. Investig Ophthalmol Vis Sci. 1977;16(5):381-392.
- 12. Mikhail M, Verran R, Farrokhyar F, et al. Choice of conjunctival incisions for horizontal rectus muscle surgery--a survey of American Association for Pediatric Ophthalmology and Strabismus members. J AAPOS. 2013;17(2):184-187.
- 13. Ersan I, Oltulu R, Altunkaya O, et al. Relationship of inferior oblique overaction to macular and subfoveal choroidal thickness. J AAPOS. 2015;19(1):21-23.
- 14. Inan K, Niyaz L. The effect of strabismus surgery on choroidal thickness. Eur J Ophthalmol. 2018;28(3):268-271.
Öz
AMAÇ: Şaşılık cerrahisinin subfoveal koroid kalınlığı üzerine etkilerini araştırmak.
GEREÇ VE YÖNTEM: Şaşılık cerrahisi geçiren hastaların subfoveal koroid kalınlık (KK) ölçümleri optik koherens tomografi (EDI-OCT) ile elde edildi. Hastalar 1 rektus kas cerrahisi geçirenler (superior; inferior; medial ya da lateral; ve rezeksiyon veya geriletme) (Grup 1) ve inferior oblik kas cerrahisi geçirenler (miyektomi) (Grup 2)olarak sınıflandı. Hastaların preoperatif, postoperatifilk gün ve postoperatif 1. hafta KK ölçümleri kaydedildi.
BULGULAR: Çalışmaya 41 hastanın 41 gözü dahil edildi. Grup 1’deki preoperatif, postoperatif birinci gün ve birinci hafta ortalama subfoveal KK’ların sırasıyla 390.57 ± 89.54 μm, 415.23 ± 91.77 μm ve 394.8 ± 90.97 μm olduğu tespit edildi. Grup 1’de preoperatif ve postoperatif ilk gün karşılaştırıldığında KK’da bir artış olduğu izlendi (p = 0.002). Ayrıca, grup 1’de postoperatif ilk gün ve 1.hafta karşılaştırıldığında, istatistiksel olarak anlamlı bir düşüş bulundu (p = 0.007). Grup 2’de preoperatif, postoperatif ilk gün ve postoperatif 1. hafta ortalama subfoveal KK’ları sırasıyla 347.75 ± 83.58 μm, 332.75 ± 84.95 μm ve 332 ± 79.15 μm idi. Preoperatif ve postoperatif ilk gün KK’ları karşılaştırıldığında istatistiksel olarak anlamlı olmayan bir düşüş gösterdi (p = 0.532).
SONUÇ: Rektus kası cerrahisi subfoveal KK’da artışa neden olmaktadır, bunun cerrahi sırasındaki mekanik traksiyon, değişen koroid mikrosirkülasyon ve postoperatif inflamasyona bağlı olduğunu düşünmekteyiz. Grup 2’de benzer bir artış görmememizin nedeni; inferior oblik kasın maküler bölgedeki traksiyonunun gevşemesi ve nispeten düşük bir postoperatif inflamasyon nedeniyle olabilir.
Anahtar Kelimeler
Kaynakça
- 1. Wei WB, Xu L, Jonas JB, et al. Subfoveal choroidal thickness: The Beijing Eye Study. Ophthalmology. 2013;120(1):175-180.
- 2. Tan CS, Ouyang Y, Ruiz H, et al. Diurnal variation of choroidal thickness in normal, healthy subjects measured by spectral domain optical coherence tomography. Investig Ophthalmol Vis Sci. 2012;53(1):261-266.
- 3. Grossniklaus HE, Green WR. Choroidal neovascularization. Am J Ophthalmol. 2004;137(3):496-503.
- 4. Gomi F, Tano Y. Polypoidal choroidal vasculopathy and treatments. Curr Opin Ophthalmol. 2008;19(3):208-212.
- 5. Iida T, Kishi S, Hagimura N, et al. Persistent and bilateral choroidal vascular abnormalities in central serous chorioretinopathy. Retina. 1999;19(6):508-512.
- 6. Gupta P, Cheung CY, Saw SM, et al. Peripapillary choroidal thickness in young Asians with high myopia. Investig Ophthalmol Vis Sci. 2015;56(3):1475-1481.
- 7. Mintz HR, Waisbourd M, Kessner R, et al. Macular thickness following strabismus surgery as determined by optical coherence tomography. J Pediatr Ophthalmol Strabismus. 2016;53(1):11-15.
- 8. Laviers H, Zambarakji H. Enhanced depth imaging-OCT of the choroid: a review of the current literature. Graefes Arch Clin Exp Ophthalmol. 2014;252(12):1871-1883.
- 9. Wilcox LM, Keough EM, Connally RJ, et al. The contribution of blood flow by the anterior ciliary arteries to the anterior segment in the primate eye. Exp Eye Res. 1980; 30:167–74.
- 10. Kimura M, Nishimura A, Yokogawa H, et al. Subfoveal choroidal thickness change following segmental scleral buckling for rhegmatogenous retinal detachment. Am J Ophthalmol. 2012;154(5):893-900.
- 10. Xu H, Chen M, Forrester JV, et al. Cataract surgery induces retinal pro-inflammatory gene expression and protein secretion. Investig Ophthalmol Vis Sci. 2011;52(1):249-255.
- 11. Tso MO, Shih CY. Experimental macular edema after lens extraction. Investig Ophthalmol Vis Sci. 1977;16(5):381-392.
- 12. Mikhail M, Verran R, Farrokhyar F, et al. Choice of conjunctival incisions for horizontal rectus muscle surgery--a survey of American Association for Pediatric Ophthalmology and Strabismus members. J AAPOS. 2013;17(2):184-187.
- 13. Ersan I, Oltulu R, Altunkaya O, et al. Relationship of inferior oblique overaction to macular and subfoveal choroidal thickness. J AAPOS. 2015;19(1):21-23.
- 14. Inan K, Niyaz L. The effect of strabismus surgery on choroidal thickness. Eur J Ophthalmol. 2018;28(3):268-271.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Makaleler-Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 27 Ağustos 2019 |
| Kabul Tarihi | 3 Temmuz 2019 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 20 Sayı: 1 |
Kaynak Göster
Cited By
Short-term Effect of Strabismus Surgery on Choroidal Vasculature
Journal of Pediatric Ophthalmology & Strabismus
https://doi.org/10.3928/01913913-20230721-02
Short-term effects of horizontal muscle operations on anterior and posterior segment parameters in strabismus patients
Journal of Health Sciences and Medicine
https://doi.org/10.32322/jhsm.1233550
Effect of inferior oblique muscle myomectomy on choroidal and macular thicknesses in strabismus
Photodiagnosis and Photodynamic Therapy
https://doi.org/10.1016/j.pdpdt.2023.103283
