Korneanın biyomekanik özelliklerinin farklı glokom tiplerinde Corvis Scheimpflug teknolojisi ile değerlendirilmesi

İbrahim İnan Harbiyeli; Elif Erdem; Anıl Uysal; Hülya Binokay; Meltem Yağmur

doi:10.17826/cumj.1037164

TR EN

Korneanın biyomekanik özelliklerinin farklı glokom tiplerinde Corvis Scheimpflug teknolojisi ile değerlendirilmesi

Öz

Amaç: Bu çalışmanın amacı farklı glokom tiplerinde korneanın biyomekanik özelliklerinin incelenmesi ve kornea biyomekaniği ile demografik ve klinik parametreler arasındaki ilişkinin araştırılmasıdır. Gereç ve Yöntem: Bu retrospektif gözlemsel çalışmaya primer açık açılı glokom (PAAG), psödoeksfoliatif glokom (PEG) ve pigmenter glokom (PG) olguları ve kontrol grubu olarak sağlıklı olgular dahil edildi. Tüm olgulara kapsamlı oftalmolojik muayene yapıldı, bilgisayarlı perimetri incelemesi ve optik koherens tomografi (OKT) verileri kaydedildi. Korneal biyomekanik özellikler Corvis ST® (Oculus, Wetzlar, Almanya) ile değerlendirildi. Bulgular: Çalışmaya yaş ortalaması 61,4±11,4 olan 48 glokom olgusu (25 PAAG, 15 PEG, 8 PG; 48 göz) ve 45,2±9,9 olan 51 sağlıklı gönüllü (51 göz) dahil edildi. Birinci aplanasyon hızı (A1V) ve deformasyon amplitüdü (DA) PAAG olgularında diğer gruplara göre daha düşük bulundu. Ayrıca PAAG grubunda 1. aplanasyondaki sertlik parametresi (SP-A1), kontrol grubu ve PEG grubuna kıyasla daha yüksek bulundu. Glokom olgularında, yaş ile stres gerinim indeksi arasında aynı yönlü glokom süresi ile SP-A1 arasında ise ters yönlü bir ilişki bulundu.. Sonuç: Çalışmamızda korneanın PAAG olgularında PEG ve PG olguları ve sağlıklı kornealara kıyasla deformasyona daha dirençli olduğu bulundu. Psödoeksfoliatif glokom ve PG olguları arasında ve bu olgular ile kontrol grubu arasında kornea biyomekaniği açısından bir fark saptanmadı..

Anahtar Kelimeler

Corvis scheimpflug teknolojisi , kornea biyomekaniği , pigmenter glokom , primer açık açılı glokom , psödoeksfoliatif glokom.

Evaluation of the biomechanical properties of the cornea in different glaucoma types with Corvis Scheimpflug technology

Abstract

Purpose: The aim of this study was to evaluate the biomechanical properties of the cornea in different types of glaucoma and the relationship between corneal biomechanics and demographic and clinical parameters. Materials and Methods: Primary open-angle glaucoma (POAG), pseudoexfoliative glaucoma (PEG) and pigmentary glaucoma (PG) cases and healthy subjects as a control group were included in this retrospective observational study. Detailed ophthalmological examination was performed, computerized perimetry and optical coherence tomography (OCT) data were recorded in all cases. Corneal biomechanical properties were evaluated with Corvis ST® (Oculus, Wetzlar, Germany). Results: Forty-eight glaucoma cases (25 POAG, 15 PEG, 8 PG; 48 eyes) with a mean age of 61.4±11.4 years and 51 healthy volunteers (51 eyes) with a mean age of 45.2±9.9 years were included in the study. First applanation velocity (A1V) and deformation amplitude (DA) were lower in POAG cases than in other groups. In addition, the stiffness parameter (SP-A1) in the 1st applanation was higher in the POAG group compared to the control and PEG groups.. In glaucoma cases, a positive correlation was found between age and stress strain index, and an inverse relationship between glaucoma duration and SP-A1 Conclusion: The cornea was more resistant to deformation in POAG cases compared to PEG and PG cases and healthy corneas. There was no difference in corneal biomechanics between PEG and PG cases, and between these cases and the control group..

Keywords

Corneal biomechanics , Corvis scheimpflug technology , pigmentary glaucoma , primary open angle glaucoma , pseudoexfoliative glaucoma

Kaynakça

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Ayrıntılar

Birincil Dil

Türkçe

Konular

Klinik Tıp Bilimleri

Bölüm

Araştırma Makalesi

Yazarlar

İbrahim İnan Harbiyeli ^*
0000-0003-2586-1096
Türkiye

Elif Erdem
0000-0002-3157-6913
Türkiye

Anıl Uysal
0000-0001-6858-3423
Türkiye

Hülya Binokay Bu kişi benim
0000-0002-0162-4574
Türkiye

Meltem Yağmur
0000-0002-7581-8056
Türkiye

Yayımlanma Tarihi

31 Mart 2022

Gönderilme Tarihi

16 Aralık 2021

Kabul Tarihi

13 Şubat 2022

Yayımlandığı Sayı

Yıl 2022 Cilt: 47 Sayı: 1

DOI

https://doi.org/10.17826/cumj.1037164

IZ

https://izlik.org/JA65HT74HC

MLA

Harbiyeli, İbrahim İnan, vd. “Korneanın biyomekanik özelliklerinin farklı glokom tiplerinde Corvis Scheimpflug teknolojisi ile değerlendirilmesi”. Cukurova Medical Journal, c. 47, sy 1, Mart 2022, ss. 426-35, doi:10.17826/cumj.1037164.

Bu eser Creative Commons Atıf-Gayriticari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.

Korneanın biyomekanik özelliklerinin farklı glokom tiplerinde Corvis Scheimpflug teknolojisi ile değerlendirilmesi

Öz

Anahtar Kelimeler

Evaluation of the biomechanical properties of the cornea in different glaucoma types with Corvis Scheimpflug technology

Abstract

Keywords

Kaynakça

Ayrıntılar

Birincil Dil

Konular

Bölüm

Yazarlar

Yayımlanma Tarihi

Gönderilme Tarihi

Kabul Tarihi

Yayımlandığı Sayı

DOI

IZ

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