Gebelik Trimesterine Göre Ön Segment Parametrelerinin ve Retina Sinir Lifi Tabaka Kalınlığının Değerlendirilmesi

Yıl 2018, Cilt: 10 Sayı: 2, 213 - 217, 15.08.2018

Kuddusi Teberik Alper Başbuğ Hakan Sağlam Musa Karaarslan Murat Kaya

https://doi.org/10.18521/ktd.359032

Cited By: 1

Öz

Amaç: Gebeliğin ön segment
parametreleri ve retina sinir lifi kalınlığı (RNFL) üzerindeki etkilerini
incelemek.

Gereç
ve Yöntem: Bu prospektif çalışma, 122’si
tekil gebe ve 49’u gebe olmayan kadınlar arasında yürütüldü. Göz içi basıncı
(GİB) Goldman Aplanasyon Tonometresi ile ölçüldü. Santral kornea kalınlığı
(SKK), aksiyel uzunluk (AxL) ve ön kamara derinliği ölçümleri (ÖKD) Echoscan US
500 ile yapıldı. RNFL kalınlığının ayrıntılı olarak
araştırılması için optik koherens tomografi kullanıldı. Normal dağılım grupları
arasında bir karşılaştırma yapmak için One Way ANOVA testi kullanıldı.

Bulgular: Yaşa bakımından
istatistiksel olarak anlamlı fark yoktu. GİB, birinci trimesterde 16.0 mmHg, 2.
trimesterde 14.6 mmHg, 3. trimesterde 13.6 mmHg ve gebe olmayanlarda 15.56 mmHg
idi. İstatistiksel olarak, 2. ve 3. trimesterlerin bulguları 1. trimesterden anlamlı olarak farklıydı (p = 0.033, p = 0.001, sırasıyla).
Gebe olmayan kadınlarda 542 μm iken, trimestere gore SKK ortalaması sırasıyla
554 μm, 564 μm ve 552 μm idi. 2. ve 3. trimesterdeki gebeliklerin ve gebe
olmayan kadınların SKK ortalamaları arasındaki fark
istatistiksel olarak anlamlıydı (p = 0.022, p = 0.041, sırasıyla). Dört
RNFL'nin ortalama kalınlığının karşılaştırılması, gebe ve gebe olmayan arasında
fark göstermedi.

Sonuç: Gebelik esnasında,
GİB’de azalma ile SKK’da bir artış bulundu. ÖKD, AxL
ve RNFL kalınlık ölçümlerinin hamilelik ile birlikte değişmediği de tespit
edildi.

Anahtar Kelimeler

Santral Kornea Kalınlığı, Göz İçi Basıncı, Retina Sinir Lifi Tabakası Kalınlığı, Optik Koherens Tomografİ

Evaluation of Anterior Segment Parameters and Retinal Nerve Fiber Layer Thickness According to Pregnancy Trimester

Öz

Objective: To analyze the effects of
pregnancy on anterior segment parameters and retinal nerve fiber layer (RNFL) thickness
.

Methods: The
study designed prospectively conducted among 122 singleton pregnant women and
49 non-pregnant women. Intraocular
pressure (IOP) was measured via the
Goldman applanation tonometry. Central corneal
thickness (CCT), axial lenght (AxL) and anterior chamber depth (ACD)
measurement were performed with Echoscan
US 500. For investigating the thickness of
RNFL in detail, the optical coherence tomography was used. One Way ANOVA test
was used to make a comparison between normal distribution groups.

Results: There was no
statistically significant difference regarding age. The IOP were 16.0 mmHg in
the 1^st trimester, 14.6 mmHg in the 2^nd trimester, 13.6
mmHg in the 3^rd trimester and 15.56 mmHg in the non-pregnant.
Statistically, the findings of the 2^nd and the 3^rd
trimester were significantly different from that of the 1^st
trimester (p = 0.033, p = 0.001, respectively). CCT averages
were 554 μm, 564 μm and 552 μm, respectively, according to the trimester, while
it was 542 μm in non-pregnant women. The difference between CCT averages
between pregnancies in the 2^nd and 3^rd trimesters and
non-pregnant women was statistically significant (p = 0.022, p = 0.041,
respectively). The comparison of average thickness of four RNFL showed no
difference between the pregnant and non-pregnant.

Conclusion:
During gestation, there was
an increase in CCT with a decrease in IOP. We also determined that the ACD,
AxL, and RNFL thickness measurements do not change with pregnancy.

Anahtar Kelimeler

central corneal thickness, intraocular pressure, retinal nerve fiber layer thickness

Kaynakça

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