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Refractive Errors and Optical Biometry Parameters Associated with Tilted Disc Syndrome

Year 2018, Volume 40, Issue 1, 14 - 19, 31.01.2018
https://doi.org/10.20515/otd.347932

Abstract

Evaluation and comparison of optical biometry parametres of patients with tilted disc to myopia cases to elucidate the origin of astigmatism. Upon fundoscopic examination 22 right eyes with tilted disc (Group 1) and 21 right eyes with a refractive error of ≥-0,75 (Diopters=D) (Group 2), who were diagnosed between 2014 and 2016 were included. Refraction and optical biometry measurements were obtained and compared 30 minutes after instilling %1 cyclopentholate. The mean age (years) of Group 1 was 41.5±17.6, while it was 26.2±7.8 in group 2. The mean spherical equivalent (D) was -5.10±3.72 in group 1, and -2.81±3.29 in group 2 (p=0.047). The mean cylindrical power (D) was -2.43±1.96 in group 1, and -0.63±0.67 in group 2 (p=0.001). The best corrected visual accuities (logMAR) were significantly lower in group 1 (p=0.001). The mean axial length of group 1 was 25.96±1.47 mm, while in group 2 it was 24.56±1.51 mm (p=0.001). There were no significant differences between two groups regarding lens thickness, anterior chamber depth and keratometry values. The mean keratometric values (D) were; K1: 42.60±1.93 in group 1 and 43.03±1.56 in group 2; K2: 44.46±2.14 in group 1 and 44.03±1,54 in group 2. The mean central corneal thickness (micron) were significantly lower in group 1; 523.82±25.90 (group 1) and 552.10±36.76 (group2) (p=0.006). Considering the fact that the difference between the keratometric values among groups was not significant, we concluded that the link between astigmatism and tilted disc could be due to lenticular and/or retinal changes. 

References

  • 1. Ozsoy E, Gunduz A, Demirel EE, Cumurcu T. Evaluation of Anterior Segment’s Structures in Tilted Disc Syndrome. J Ophthalmol 2016;2016:5185207. 2. Kyung-Ah P, Sung-Eun P, Sei Yeul O. Long-Term Changes in Refractive Error in Children With Myopic Tilted Optic Disc Compared to Children Without Tilted Optic Disc. Invest Ophthalmol Vis Sci. 2013;54(13):7865-7870.
  • 3. Lee KM, Lee EJ, Kim T-W. Lamina cribrosa configuration in tilted optic discs with different tilt axes: a new hypothesis regarding optic disc tilt and torsion. Invest Ophthalmol Vis Sci. 2015;56(5):2958-2967.
  • 4. Hosseini H, Nazziri N, Azarbod P, Giaconi J, Chou T, Caprioli J, Mahdavi KN. Measurement of Optic Disc Vertical Tilt Angle with Spectral Domain Optical Cohorence Tomography and Influincing Factors. Am J Ophthalmol. 2013;156(4):737-744.
  • 5. Vongphanit J, Mitchell P, Wang JJ. Population prevalence of tilted optic disc and the relationship of this sign to refractive error. Am J Ophthalmology. 2002;133(5):679-685.
  • 6. Jonas JB, Kling F, Gründler AE. Optic Disc Shape, Corneal Astigmatisma and Amblyopia. Ophthalmology. 1997;104(11):1934-37.
  • 7. Nakazawa M, Kurotaki J, Ruike H. Longterm Findings in Papillary Cresent Formation in Eyes with Mild or Moderate Myopia. Acta Ophthalmol. 2008;86(6):626-629.
  • 8. Goldschmit E,Fledelius HC. High Myopia Progression and Visual Impairment in a Non-selective Group of Danish 14-Year-Olds Followed Over 40 years. Optom Vis Sci. 2005;82(4):239-243
  • 9. Samarawickrama C, Mitchell P, Tong L, et al. Myopia-related optic disc and retinal changes in adolescent children from Singapore. Ophthalmology. 2011;118(10):2050-2057.
  • 10. Weiss AH. Unilateral high myopia: Optical components, associated factors and visual outcomes. Br J Ophthalmol. 2003;87(8):1025-1031
  • 11. Read SA., Collins MJ, Carney LG. A review of astigmatism and its possible genesis. Clinical and Experimental Optometry. 2007;90(1):15-19.
  • 12. Bozkurt B, İrkeç M, Gedik S, et al. Topographical analysis of corneal astigmatism in patients wih tilted-disc syndrome. Cornea. 2002;21(5):458-62.
  • 13. How ACS, Tan GSW, Chan Y, Wong TTL, Seah SK, Foster PJ, Aung T. Population Prevalence of Tilted and Torted Optic Discs Among an Adult Chinese Population in SingaporeThe Tanjong Pagar Study. Arch Ophthalmol. 2009;127(7):894-899.
  • 14. Gündüz A. Evereklioğlu C. Er H. Lenticular Astigmatism in Tilted Disc Syndrome. J Cataract Refractive Surg. 2002;28(10):1836-1840.
  • 15. Dehghani C, Nowroozzadeh MH, Shankar S, Razeghinejad MR. Ocular Refractive and Biometric Characteristics in Patients with Tilted Disc Syndrome. Optometry. 2010;81(12):688-694.
  • 16. Ornek M, Ozdemir M. Central Corneal Thickness in Tilted Disc Syndrome. Optom Vis Sci. 2008;85(5):E350-352.

Tilte (Eğik) Disk Sendromunda Kırılma Kusuru ve Optik Biyometri Özellikleri

Year 2018, Volume 40, Issue 1, 14 - 19, 31.01.2018
https://doi.org/10.20515/otd.347932

Abstract

Tilte diskli olgulardaki optik biyometri ölçümlerinin, miyop olgularla karşılaştırılarak astigmatizma değerlerin kaynağının değerlendirilmesi.2014-2016 yılları arasında, fundus muayenesinde tilte disk saptanan 22 hastanın sağ gözü (Grup 1) ile -0,75 (Diyoptri=D) ve üzeri miyopik refraksiyon kusuru saptanan 21 hastanın sağ gözü (Grup 2) dahil edildi. %1’lik siklopentolat uygulamasından 30 dk. sonra, refraksiyon ve optik biyometri ölçümleri yapıldı. Grup 1 ve 2 için elde edilen veriler karşılaştırıldı. Grup 1’in ortalama yaşı (yıl) 41,5±17,6 iken, grup 2’nin 26,2±7,8 idi. Ortalama siferik değerler (D) grup 1’de -5,10±3,72, grup 2’de -2,81±3,29 saptandı (p=0,047). Ortalama silindirik değerler (D) grup 1’de -2,43±1,96, grup 2’de -0,63±0,67 idi (p=0,001). En iyi düzeltilmiş görme keskinliği (EİDGK) (logMAR) grup 1’de anlamlı düzeyde düşüktü (p=0,001). Ortalama aksiyel uzunluk grup1’de 25,96±1,47, grup 2’de ise 24,56±1,51 olarak bulundu (p=0,001). İki grup arasında lens kalınlığı, ön kamara derinliği ve keratometri değerleri (D) açısından anlamlı fark yoktu. Grup 1 K1 değerleri 42,60±1,93, grup 2 ise 43,03±1,56; grup 1 K2 değerleri 44,46±2,14, grup 2 ise 44,03±1,54 olarak bulundu. Ortalama merkezi kornea kalınlığı (mikron) grup 1’de anlamlı olarak düşüktü; 523,82±25,90’e, 552,10±36,76 (p=0,006). Astigmatizma ile eğik optik disk görünümü arasındaki ilişkinin, keratometri değerlerimize yansımamış olması nedeniyle, astigmatizmanın lense ve/veya retinaya bağlı farklılıklardan ortaya çıkabileceğini düşünüyoruz.

References

  • 1. Ozsoy E, Gunduz A, Demirel EE, Cumurcu T. Evaluation of Anterior Segment’s Structures in Tilted Disc Syndrome. J Ophthalmol 2016;2016:5185207. 2. Kyung-Ah P, Sung-Eun P, Sei Yeul O. Long-Term Changes in Refractive Error in Children With Myopic Tilted Optic Disc Compared to Children Without Tilted Optic Disc. Invest Ophthalmol Vis Sci. 2013;54(13):7865-7870.
  • 3. Lee KM, Lee EJ, Kim T-W. Lamina cribrosa configuration in tilted optic discs with different tilt axes: a new hypothesis regarding optic disc tilt and torsion. Invest Ophthalmol Vis Sci. 2015;56(5):2958-2967.
  • 4. Hosseini H, Nazziri N, Azarbod P, Giaconi J, Chou T, Caprioli J, Mahdavi KN. Measurement of Optic Disc Vertical Tilt Angle with Spectral Domain Optical Cohorence Tomography and Influincing Factors. Am J Ophthalmol. 2013;156(4):737-744.
  • 5. Vongphanit J, Mitchell P, Wang JJ. Population prevalence of tilted optic disc and the relationship of this sign to refractive error. Am J Ophthalmology. 2002;133(5):679-685.
  • 6. Jonas JB, Kling F, Gründler AE. Optic Disc Shape, Corneal Astigmatisma and Amblyopia. Ophthalmology. 1997;104(11):1934-37.
  • 7. Nakazawa M, Kurotaki J, Ruike H. Longterm Findings in Papillary Cresent Formation in Eyes with Mild or Moderate Myopia. Acta Ophthalmol. 2008;86(6):626-629.
  • 8. Goldschmit E,Fledelius HC. High Myopia Progression and Visual Impairment in a Non-selective Group of Danish 14-Year-Olds Followed Over 40 years. Optom Vis Sci. 2005;82(4):239-243
  • 9. Samarawickrama C, Mitchell P, Tong L, et al. Myopia-related optic disc and retinal changes in adolescent children from Singapore. Ophthalmology. 2011;118(10):2050-2057.
  • 10. Weiss AH. Unilateral high myopia: Optical components, associated factors and visual outcomes. Br J Ophthalmol. 2003;87(8):1025-1031
  • 11. Read SA., Collins MJ, Carney LG. A review of astigmatism and its possible genesis. Clinical and Experimental Optometry. 2007;90(1):15-19.
  • 12. Bozkurt B, İrkeç M, Gedik S, et al. Topographical analysis of corneal astigmatism in patients wih tilted-disc syndrome. Cornea. 2002;21(5):458-62.
  • 13. How ACS, Tan GSW, Chan Y, Wong TTL, Seah SK, Foster PJ, Aung T. Population Prevalence of Tilted and Torted Optic Discs Among an Adult Chinese Population in SingaporeThe Tanjong Pagar Study. Arch Ophthalmol. 2009;127(7):894-899.
  • 14. Gündüz A. Evereklioğlu C. Er H. Lenticular Astigmatism in Tilted Disc Syndrome. J Cataract Refractive Surg. 2002;28(10):1836-1840.
  • 15. Dehghani C, Nowroozzadeh MH, Shankar S, Razeghinejad MR. Ocular Refractive and Biometric Characteristics in Patients with Tilted Disc Syndrome. Optometry. 2010;81(12):688-694.
  • 16. Ornek M, Ozdemir M. Central Corneal Thickness in Tilted Disc Syndrome. Optom Vis Sci. 2008;85(5):E350-352.

Details

Primary Language English
Subjects Health Care Sciences and Services
Journal Section ORİJİNAL MAKALE
Authors

Dilruba Koseoglu This is me
Eskişehir Osmangazi Üniversitesi, Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Eskişehir, Türkiye
Türkiye


Huseyin Gursoy


Muzaffer Bilgin
0000-0002-6072-6466


Ertugrul Colak

Publication Date January 31, 2018
Published in Issue Year 2018, Volume 40, Issue 1

Cite

Bibtex @research article { otd347932, journal = {Osmangazi Tıp Dergisi}, issn = {1305-4953}, eissn = {2587-1579}, address = {}, publisher = {Eskişehir Osmangazi University}, year = {2018}, volume = {40}, pages = {14 - 19}, doi = {10.20515/otd.347932}, title = {Refractive Errors and Optical Biometry Parameters Associated with Tilted Disc Syndrome}, key = {cite}, author = {Koseoglu, Dilruba and Gursoy, Huseyin and Bilgin, Muzaffer and Colak, Ertugrul} }
APA Koseoglu, D. , Gursoy, H. , Bilgin, M. & Colak, E. (2018). Refractive Errors and Optical Biometry Parameters Associated with Tilted Disc Syndrome . Osmangazi Tıp Dergisi , 40 (1) , 14-19 . DOI: 10.20515/otd.347932
MLA Koseoglu, D. , Gursoy, H. , Bilgin, M. , Colak, E. "Refractive Errors and Optical Biometry Parameters Associated with Tilted Disc Syndrome" . Osmangazi Tıp Dergisi 40 (2018 ): 14-19 <https://dergipark.org.tr/en/pub/otd/issue/35765/347932>
Chicago Koseoglu, D. , Gursoy, H. , Bilgin, M. , Colak, E. "Refractive Errors and Optical Biometry Parameters Associated with Tilted Disc Syndrome". Osmangazi Tıp Dergisi 40 (2018 ): 14-19
RIS TY - JOUR T1 - Refractive Errors and Optical Biometry Parameters Associated with Tilted Disc Syndrome AU - Dilruba Koseoglu , Huseyin Gursoy , Muzaffer Bilgin , Ertugrul Colak Y1 - 2018 PY - 2018 N1 - doi: 10.20515/otd.347932 DO - 10.20515/otd.347932 T2 - Osmangazi Tıp Dergisi JF - Journal JO - JOR SP - 14 EP - 19 VL - 40 IS - 1 SN - 1305-4953-2587-1579 M3 - doi: 10.20515/otd.347932 UR - https://doi.org/10.20515/otd.347932 Y2 - 2017 ER -
EndNote %0 Osmangazi Journal of Medicine Refractive Errors and Optical Biometry Parameters Associated with Tilted Disc Syndrome %A Dilruba Koseoglu , Huseyin Gursoy , Muzaffer Bilgin , Ertugrul Colak %T Refractive Errors and Optical Biometry Parameters Associated with Tilted Disc Syndrome %D 2018 %J Osmangazi Tıp Dergisi %P 1305-4953-2587-1579 %V 40 %N 1 %R doi: 10.20515/otd.347932 %U 10.20515/otd.347932
ISNAD Koseoglu, Dilruba , Gursoy, Huseyin , Bilgin, Muzaffer , Colak, Ertugrul . "Refractive Errors and Optical Biometry Parameters Associated with Tilted Disc Syndrome". Osmangazi Tıp Dergisi 40 / 1 (January 2018): 14-19 . https://doi.org/10.20515/otd.347932
AMA Koseoglu D. , Gursoy H. , Bilgin M. , Colak E. Refractive Errors and Optical Biometry Parameters Associated with Tilted Disc Syndrome. Osmangazi Tıp Dergisi. 2018; 40(1): 14-19.
Vancouver Koseoglu D. , Gursoy H. , Bilgin M. , Colak E. Refractive Errors and Optical Biometry Parameters Associated with Tilted Disc Syndrome. Osmangazi Tıp Dergisi. 2018; 40(1): 14-19.
IEEE D. Koseoglu , H. Gursoy , M. Bilgin and E. Colak , "Refractive Errors and Optical Biometry Parameters Associated with Tilted Disc Syndrome", Osmangazi Tıp Dergisi, vol. 40, no. 1, pp. 14-19, Jan. 2018, doi:10.20515/otd.347932

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