Ergenlik Öncesi Çocuklar ve Orta Yaşlı Erişkinlerde Ön Segment Parametrelerinin Karşılaştırılması

Year 2023, Volume: 25 Issue: 1, 23 - 31, 30.04.2023

Mustafa Duran

https://doi.org/10.24938/kutfd.1137249

Abstract

Amaç: Ergenlik öncesi çocukluklarda ve orta yaşlı erişkinlerdeki ön segment parametreleri, ön/ arka keratometri ve korneal astigmat değerlerinin karşılaştırılması.

Gereç ve Yöntemler: Toplam 100 kişinin (50 çocuk ve 50 erişkin) sağ göz ölçümleri çalışmaya dahil edildi. Katılımcıların santral kornea kalınlığı (CCT), aköz derinliği (AD), ön kamera hacmi (ACV), iridokorneal açı (ICA), ön/ arka keratometri (ant.K/post.K) değerleri ve korneal astigmat (Cast.) değerleri kaydedildi. Gruplar kendi aralarında karşılaştırıldı, grup içinde de cinsiyet yönünden istatistiksel olarak karşılaştırıldı.

Bulgular: Çocukların yaş ortalaması 7.82±1.45, erişkinlerin yaş ortalaması 53.84±6.81 idi. Gruplar arasında yaş, CCT, AD, ACV, ICA, ön korneal astigmat (ant.Cast.) ve arka dik K (post.K2) değerleri açısından anlamlı fark vardı. Çocuk grubunda erkek ve kızlar arasında AD ve ICA arasında anlamlı fark vardı (sırasıyla p=0.036, p=0.005). Erişkin grubunda erkek ve kadınlar arasında ACV ve ICA arasında anlamlı fark vardı (sırasıyla p=0.012, p=0.006). Korelasyon analizinde CCT, AD, ACV, ICA ve post.K2’in yaşla negatif yönde, ant.Cast.’ın pozitif yönde ilişkisi bulundu.

Sonuç: Çalışmamızda CCT ve ön segment parametrelerinin erişkin grupta anlamlı olarak daha düşük olduğu görüldü. Bu durum kadınlarda daha belirgindi. Bu farklılıkların korneal hastalıkların tanı ve takip edilmesinde, refraktif cerrahiye karar verme ve cerrahi çeşidinin belirlenmesinde ayrıca glokom tanı ve takibinde dikkate alınmasında fayda vardır.

Keywords

Aköz derinliği, ön kamera hacmi, santral kornea kalınlığı, keratometri

COMPARISON OF ANTERIOR SEGMENT PARAMETERS IN PREADOLESCENT CHILDREN AND MIDDLE AGED ADULTS

Abstract

Objective: Comparison of anterior segment parameters, anterior/posterior keratometry, and corneal astigmatism values ​​in preadolescent children and middle-aged adults.

Material and Methods: Right eye measurements from a total of 100 subjects (50 children and 50 adults) were included in the study. Central corneal thickness (CCT), aqueous depth (AD), anterior camera volume (ACV), iridocorneal angle (ICA), anterior/posterior keratometry (ant.K/post.K) values, ​​and corneal astigmatism (Cast.) values ​​were recorded. The groups were compared between themselves, and they were compared in terms of sex within each group.

Results: The mean age of the children was 7.82±1.45 and the mean age of the adults was 53.84±6.81. There were significant differences between the groups in terms of age and CCT, AD, ACV, ICA, anterior corneal astigmatism (ant.Cast.), and posterior vertical K (post.K2) values. There were significant differences in AD and ICA between males and females among the children (p=0.036, p=0.005, respectively). There were also significant differences in ACV and ICA between males and females among the adults (p=0.012, p=0.006, respectively). In the correlation analysis, CCT, AD, ACV, ICA, and post.K2 were negatively correlated with age, while ant.Cast. was positively correlated.

Conclusion: In our study, CCT and anterior segment parameters were significantly lower in adults. This situation was more evident in women. It is useful to consider these differences in the diagnosis and follow-up of corneal diseases, in deciding on refractive surgery, and in determining the type of surgery, as well as in the diagnosis and follow-up of glaucoma.

Keywords

Aqueous depth, anterior chamber volume, central corneal thickness, keratometry

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