Akut santral seröz koryoretinopatide potansiyel bir belirteç olarak trigliserit-glikoz indeksi

Year 2025, Volume: 50 Issue: 3, 586 - 593, 30.09.2025

Ali Osman Gündoğan , Naciye Tora , Selman Belviranlı , Mehmet Adam , Günhal Şatırtav , Refik Oltulu

https://doi.org/10.17826/cumj.1625502

Abstract

Amaç: Bu çalışmada akut santral seröz koryoretinopatili (SSKR) hastalarda, kronik SSKR'de ve sağlıklı kontrollerde trigliserid-glukoz indeksi (TGI) düzeylerini karşılaştırmak ve TGI'nin akut SSKR riskini göstermedeki değerini değerlendirmek amaçlanmıştır.
Gereç ve Yöntem: Bu retrospektif çalışmaya 20 akut SSKR hastası, 20 kronik SSKR hastası ve 40 sağlıklı kontrol dahil edildi. TGİ, açlık plazma trigliseridler düzeyi ve açlık plazma glukozu kullanılarak hesaplandı ve değerler gruplar arasında karşılaştırıldı. Akut SSKR ve kontrol grupları arasında optimal TGI cut-off değerininin ve bu değerin sensitivite ve spesifitesinin hesaplanması için ROC eğrisi kullanıldı.
Bulgular: Gruplar arasında yaş ve cinsiyet açısından istatistiksel olarak anlamlı farklılık tespit edilmedi. TGI değeri kontrol grubunda 8.480.29, akut SSKR grubunda 8.910.34, kronik SSKR grubunda 8.590.40 olarak bulundu. (akut SSKR grubu ile kontrol grubu için p<0,001; kronik SSKR grubuna ile kontrol grubu için p=0,703; kronik SSKR grubuna ile akut SSKR grubu için p=0,011) Kontrol ve akut SSKR grupları arasında TGI için optimum ROC cutoff değeri %75 duyarlılık ve %85 özgüllük ile 8.74 olarak hesaplanmıştır. (AUC: 0.835, p<0.001, %95CI 0.719-0.951)
Sonuç: Akut SSKR hastalarında kardiyovasküler hastalıklar açısından dikkatli olunması gerektiğini göstermektedir. Ayrıca rutin kan analizi ile kolayca ölçülebilen bu biyobelirteç, SSKR’nin akut formuyla ilişkili potansiyel bir gösterge olabililir.

Keywords

Santral Seröz Koryoretinopati , Trigliserid , Glukoz , Trigliserid-Glukoz İndeksi , Kan-Lipid Profili

Triglyceride-glucose index as a potential biomarker in acute central serous chorioretinopathy

Abstract

Purpose: The aim of this study is to compare triglyceride-glucose index (TGI) levels in patients with acute central serous chorioretinopathy (CSCR), chronic CSCR, and healthy controls, and to the value of TGI in indicating the risk of acute CSCR.
Materials and Methods: This retrospective study included 20 patients with acute CSCR, 20 patients with chronic CSCR, and 40 healthy controls. The TGI was calculated using fasting plasma triglyceride and glucose levels, and values were compared between groups. A receiver operating characteristic (ROC) curve was used to calculate the optimal TGI cut-off value, sensitivity, and specificity between the acute CSCR and control groups.
Results: There were no statistically significant differences between the groups in terms of age and sex. The TGI value was 8.48±0.29 in the control group, 8.91±0.34 in the acute CSCR group, and 8.59±0.40 in the chronic CSCR group (p<0.001 for control vs. acute CSCR; p=0.703 for control vs. chronic CSCR; p=0.011 for acute vs. chronic CSCR). The optimal ROC cut-off value of TGI between the control and acute CSCR groups was calculated as 8.74 with 75% sensitivity and 85% specificity (AUC: 0.835, p<0.001, 95% CI 0.719-0.951).
Conclusion: Caution should be exercised in patients with acute CSCR regarding the presence of underlying cardiovascular disease. Additionally, this biomarker, which can be easily measured through routine blood testing, may serve as a potentia

Keywords

Central Serous Chorioretinopathy , Triglyceride , Glucose , Triglyceride-Glucose Index , Blood-Lipid Profile

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