Korneal Arkus Senilis Olgularında, Gri Skala ve Spektral Doppler Ultrasonografi ile Karotis Arter Değerlendirilmesi

Öz

ÖZ Amaç: Bu çalışmada korneal arkus senilis olan hastalarda gri skala ultrasonografi ve spektral analizli renkli doppler ultrasonografi ile ana karotis arter değerlendirilmesini amaçladık. Yöntemler: Çalışmaya dahil edilen tüm korneal arkus senilisli hastalara detaylı bir oftalmolojik muayene yapıldıktan sonra tam kan sayımı, kan lipid profili, gri skala ultrasonografi ve spektral analizli renkli doppler ultrasonografi ile ana karotis arter değerlendirilmesi yapıldı. Bulgular: Çalışmaya 32 hastanın 64 gözü dahil edildi. Ortalama yaş 64,9 ±9,52 (49-85) yıl ve kadın erkek oranı 10 (%30) / 22 (%70) idi. Tüm gözlerde arkus senilis bilateral, halka şeklindeydi ve hafif, orta, yoğun arkus senilis oranı sırasıyla %22, %26, %52 idi. Arkus senilisli hastaların kandaki total kolesterol, TG, LDL, VLDL değerleri referans değerlere göre yüksekti. Arkus senilisin yoğunluğu arttıkça ana karotis arter intima-media kalınlığının arttığı gözlendi ve istatistiksel olarak anlamlı bulundu (p<0.05). Arkus senilisli olgularda ana karotis arter gri skala ultrasonografide %61 oranında plak tespit edildi ve bunların %65’i yumuşak karakterliydi. Arkus senilis yoğunluğu ile vücut kitle indeksi, sigara kullanımı, nötrofil-lenfosit oranı ve kan lipid profili arasında bir istatistiksel olarak anlamlı bir ilişki bulunmadı (p>0.05). Sonuç: Korneal arkus senilis olgularında, ana karotis arterde intima-media kalınlığının ve plak oluşumunun arttığı gözlemlendi. Daha fazla hasta sayısına ihtiyaç duymakla beraber, korneal arkus senilisin kardiyovasküler ve serebrovasküler hastalıklar için bağımsız bir risk faktörü olabileceğini söyleyebiliriz. Anahtar Sözcükler: Arkus senilis, Karotis arter, Ultrasonografi

Anahtar Kelimeler

• Arkus senilis
• Karotis arter
• Ultrasonografi

Evaluation of Carotid Artery by Gray Scale and Spectral Doppler Ultrasonography in Cases with Corneal Arcus Senile

Abstract

ABSTRACT Objective: In this study, we aimed to evaluate the common carotid artery by gray scale ultrasonography and spectral analysis color doppler ultrasonography in patients with corneal arcus senilis. Methods: After a detailed ophthalmologic examination of patients who included in the study with corneal arcus senilis, blood count, blood lipid profile, gray scale ultrasonography and spectral analysis color doppler ultrasonography evaluation of common carotid artery were performed. Results: 64 eyes of 32 patients were included in the study. The mean age was 64.69±9.5(49-85) years, and the female to male ratio was 10(30%)/22(70%). In all eyes, the arcus senilis was bilateral and ring-shaped, and the rate of mild, moderate, dense arcus senilis was 22%, 26%, 52%, respectively. Total cholesterol, TG,LDL,VLDL values of the patients with arcus senilis were higher than the reference values. It was observed that intima-media thickness of the common carotid artery increased correlated with the density of the archus senilis and it was found to be statistically significant(p<0.05). In cases with arcus senilis, 61% of plaques were detected in common carotid artery gray scale ultrasonography, and 65% of them had soft character. There was also no statistically significant relationship between arcus senilis density and body mass index, smoking, neutrophil lymphocyte ratio, blood lipid profıle(p>0.05). Conclusion: In corneal arcus senilis cases, it was observed that intima-media thickness and plaque formation increased in the common carotid artery. As well as more patients are needed, we can say that arcus senilis may be an independent risk factor for cardiovascular and cerebrovascular diseases. Key Words: Arcus senilis, Carotid Arteries, Ultrasonography

Keywords

• Arcus senilis
• Carotid Arteries
• Ultrasonography

Kaynakça

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