ABSENCE OF FOVEAL DEPRESSION AND ITS ASSOCIATION WITH REFRACTIVE STATUS AND STRABISMUS IN CHILDREN WITH HISTORY OF RETINOPATHY OF PREMATURITY

Yıl 2023, Cilt: 86 Sayı: 3, 204 - 210, 26.10.2023

Nihan Aksu Ceylan , Merve Bahar , Kemal Turgay Özbilen , Zafer Cebeci , Mehmet Eren Guner , Nur Kır

https://doi.org/10.26650/IUITFD.1254425

Öz

Objective: To evaluate the foveal depression (FD) status on optical coherence tomography (OCT) and its relationship with strabismus, amblyopia and refractive errors in children with a history of retinopathy of prematurity (ROP).
Material and Method: Medical records were reviewed for demographic data, ocular and medical history, systemic disorders, ophthalmologic and OCT findings. Patients were categorized into two groups according to foveal depression status on OCT: absence of FD (Non-FD Group) and presence of FD (FD Group). Demographic data, refractive errors (RE), strabismus, amblyopia and anisometropia were compared between the groups.
Result: Mean age of the patients was 11.1±2.7 years in the Non-FD group and 10.1±2.9 years in the FD group (p=0.136). Mean gestastional age (GA) at birth and birth weight (BW) of the Non-FD group (28.8±2.7 weeks, 1269.1±455.5 grams) were significantly lower than those of the FD group (30.8±2.1weeks, 1530.8±415.2 grams) (p=0.002 and p=0.02, respectively). Although there was no significant difference between the groups in the mean spherical equivalent (SE) RE (-1.19± 4.86D in the Non-FD group and 0.77±4.08D in the FD group, p=0.09), the distribution of SE refractive errors was significantly different (p=0.001). 54.5% of patients in the Non-FD group had myopia and 72% of the patients in the FD group had hypermetropia. Mild myopia was significantly more in the Non-FD group and mild hypermetropia was significantly more in the FD group (p<0.05 for both). Astigmatism equal or greater than 1.50D was detected in 56.5% of the Non-FD group and 36% of the FD group (p>0.05). There was no significant difference between the groups in the incidence of strabismus, amblyopia and anisometropia (p>0.05).
Conclusion: We detected lower GA and BW in the Non-FD group than those of the FD group. Myopia is more prevalent in patients with a history of ROP and absence of FD than in those with a normal foveal structure.

Anahtar Kelimeler

Retinopathy of prematurity, optical coherence tomography, myopia, astigmatism, strabismus

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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PREMATÜRE RETİNOPATİSİ ÖYKÜSÜ OLAN ÇOCUKLARDA FOVEAL DEPRESYON YOKLUĞUNUN REFRAKTİF KUSURLAR VE ŞAŞILIK İLE İLİŞKİSİ

Öz

Amaç: Prematüre retinopatisi (ROP) öyküsü olan çocuklarda optik koherens tomografide (OKT) foveal depresyon (FD) durumunu ve şaşılık, ambliyopi ve refraktif kusurlar ile ilişkisini değerlendirmek.
Gereç ve Yöntem: ROP öyküsü olan hastaların klinik kayıtlarından; demografik veriler, oküler ve medikal öykü, sistemik hastalıklar, oftalmolojik ve OKT bulguları incelendi. Hastalar OKT’de FD durumuna göre iki gruba ayrıldı: FD yokluğu (Non-FD Grup) ve FD varlığı (FD Grup). Demografik veriler, refraktif kusurlar, şaşılık, ambliyopi ve anizometropi iki grup arasında kaşılaştırıldı.
Bulgular: Hastaların ortalama yaşı; Non-FD grupta 11,1±2,7 yıl, FD grupta 10,1±2,9 yıl idi (p=0,136). Ortalama doğum haftası (DH) ve doğum ağırlığı (DA) Non-FD grupta (28,8±2,7 hafta, 1269,1±455,5 gram) FD gruba göre (30,8±2,1 hafta,1530,8±415,2 gram) anlamlı olarak daha düşüktü (p=0,002, p=0,02). Ortalama sferik ekivalan (SE) refraktif kusurlar gruplar arasında anlamlı farklılık göstermemekle birlikte (Non-FD grupta -1,19±4,86D, FD grupta 0,77±4,08D, p=0,09), SE refraktif kusurların dağılımı anlamlı olarak farklıydı (p=0,001). Non-FD grubun %54,5’inde miyopi, FD grubun %72’sinde hipermetropi mevcuttu. Hafif miyopi Non-FD grupta, hafif hipermetropi FD grupta daha fazla saptandı (p<0,05). Non-FD grubun %56,5’inde, FD grubun %36’sında 1,50D ve üzeri astigmatizma mevcuttu (p>0,05). Şaşılık, ambliyopi ve anizometropi insidasında gruplar arasında anlamlı fark saptanmadı (p>0,05).
Sonuç: FD yokluğu olan hastalarda daha düşük doğum haftası ve doğum ağırlığı saptanmıştır. ROP öyküsü olan hastalarda FD yokluğu eşlik etmesi durumunda, normal foveal yapı gösterenlere göre daha sık miyopi izlenmiştir.

Anahtar Kelimeler

Prematüre retinopatisi, optik koherens tomografi, şaşılık, refraktif bozukluk

Proje Numarası

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Kaynakça

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