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Ergenlik Öncesi Çocuklar ve Orta Yaşlı Erişkinlerde Ön Segment Parametrelerinin Karşılaştırılması

Yıl 2023, Cilt: 25 Sayı: 1, 23 - 31, 30.04.2023
https://doi.org/10.24938/kutfd.1137249

Öz

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.

Kaynakça

  • Huang, J, Pesudovs K, Wen D, Chen S, Wright T, Wang X, et al. Comparison of anterior segment measurements with rotating Scheimpflug photography and partial coherence reflectometry. Journal of cataract and refractive surgery. 2011;37(2):341–8.
  • Gordon MO, Beiser JA, Brandt JD, Heuer DK, Higginbotham EJ, Johnson C, et al. The Ocular Hypertension Treatment Study: baseline factors that predict the onset of primary open-angle glaucoma. Archives of ophthalmology. (Chicago, Ill. : 1960), 2002;120(6):714–830.
  • Brautaset RL, Nilsso, M, Miller WL, Leach NE, Tukler JH, Bergmanson JP. Central and peripheral corneal thinning in keratoconus. Cornea. 2013;32(3):257–61.
  • Domínguez-Vicent A, Monsálvez-Romín D, Aguila-Carrasco AJ, García-Lázaro S, Montés-Micó R. Measurements of anterior chamber depth, white-to-white distance, anterior chamber angle, and pupil diameter using two Scheimpflug imaging devices. Arquivos brasileiros de oftalmologia. 2014;77(4):233–7.
  • Németh J, Fekete O, Pesztenlehrer N. Optical and ultrasound measurement of axial length and anterior chamber depth for intraocular lens power calculation. Journal of cataract and refractive surgery. 2003;29(1):85–8.
  • Olsen T. Calculation of intraocular lens power: a review. Acta ophthalmologica Scandinavica. 2007;85(5):472–85.
  • Lee AC, Qazi MA, Pepose JS. Biometry and intraocular lens power calculation. Current opinion in ophthalmology. 2008;19(1):13–7.
  • Richoz O, Mavrakanas N, Pajic B, Hafezi F. Corneal collagen cross-linking for ectasia after LASIK and photorefractive keratectomy: long-term results. Ophthalmology. 2013;120(7):1354–9.
  • Huang J, Lu W, Savini G, Hu L, Pan C, Wang J, et al. Evaluation of corneal thickness using a Scheimpflug-Placido disk corneal analyzer and comparison with ultrasound pachymetry in eyes after laser in situ keratomileusis. Journal of cataract and refractive surgery. 2013;39(7):1074–80.
  • Savini G, Barboni P, Carbonelli M, Hoffer KJ. Repeatability of automatic measurements by a new Scheimpflug camera combined with Placido topography. Journal of cataract and refractive surgery. 2011;37(10):1809–16.
  • Bayhan HA, Aslan Bayhan S, Can I. Comparison of central corneal thickness measurements with three new optical devices and a standard ultrasonic pachymeter. International journal of ophthalmology. 2014;7(2):302–8.
  • Viswanathan D, Goldberg I, Graham SL. Longitudinal effect of topical antiglaucoma medications on central corneal thickness. Clinical & experimental ophthalmology. 2013;41(4):348–54.
  • Siu A, Herse P. The effect of age on human corneal thickness. Statistical implications of power analysis. Acta ophthalmologica. 1993;71(1):51–6.
  • Rieth S, Engel F, Bühner E, Uhlmann S, Wiedemann P, Foja C. Comparison of data from the rostock cornea module of the heidelberg retina tomograph, the oculus pentacam, and the endothelial cell microscope. Cornea 2010;29(3):314–20.
  • Weizer JS, Stinnett SS, Herndon LW. Longitudinal changes in central corneal thickness and their relation to glaucoma status: an 8 year follow up study. The British journal of ophthalmology. 2006;90(6):732–6.
  • Brandt JD, Gordon MO, Beiser JA, Lin SC, Alexander MY, Kass MA. Ocular Hypertension Treatment Study Group. Changes in central corneal thickness over time: the ocular hypertension treatment study. Ophthalmology. 2008;115(9) :1550–6.
  • Hashemi H, Asgari S, Emamian MH, Mehravaran S, Fotouhi A. Five year changes in central and peripheral corneal thickness: The Shahroud Eye Cohort Study. Contact lens & anterior eye : the journal of the British Contact Lens Association. 2016;39(5):331–5.
  • Orucoglu F, Akman M, Onal S. Analysis of age, refractive error and gender related changes of the cornea and the anterior segment of the eye with Scheimpflug imaging. Contact lens & anterior eye : the journal of the British Contact Lens Association. 2015;38(5):345–50.
  • Foster PJ, Baasanhu J, Alsbirk PH, Munkhbayar D, Uranchimeg D, Johnson GJ. Central corneal thickness and intraocular pressure in a Mongolian population. Ophthalmology. 1998;105(6): 969–73.
  • Valdez-García JE, Hernandez-Camarena JC, Lozano-Ramírez JF, Zavala J, Loya-García D, Merayo-Lloves J. Correlation of age, corneal curvature and spherical equivalent with central corneal thickness. Revista Mexicana de Oftalmología. 2017;91(4):172-6.
  • Elsheikh A, Wang D, Brown M, Rama P, Campanelli M, Pye D. Assessment of corneal biomechanical properties and their variation with age. Current eye research. 2007;32(1):11-9.
  • Kanai A, Kaufman HE. Electron microscopic studies of corneal stroma: aging changes of collagen fibers. Annals of ophthalmology. 1973;5(3).
  • Malik NS, Moss SJ, Ahmed N, Furth AJ, Wall RS, Meek KM. Ageing of the human corneal stroma: structural and biochemical changes. Biochim Biophys Acta. 1992;1138:222-8.
  • Bhardwaj V, Rajeshbhai GP. Axial length, anterior chamber depth-a study in different age groups and refractive errors. Journal of clinical and diagnostic research : JCDR. 2013;7(10):2211–2.
  • Sng CC, Foo LL, Cheng CY, Allen JC, Jr He M, Krishnaswamy G, et al. Determinants of anterior chamber depth: the Singapore Chinese Eye Study. Ophthalmology. 2012;119(6):1143–50.
  • Friedman DS, Gazzard G, Foster P, Devereux J, Broman A, Quigley H, et al. Ultrasonographic biomicroscopy, Scheimpflug photography, and novel provocative tests in contralateral eyes of Chinese patients initially seen with acute angle closure. Archives of ophthalmology (Chicago, Ill. : 1960). 2003;121(5):633–42.
  • Praveen MR, Vasavada AR, Shah SK, Shah CB, Patel UP, Dixit NV, et al. Lens thickness of Indian eyes: impact of isolated lens opacity, age, axial length, and influence on anterior chamber depth. Eye (London, England). 2009;23(7):1542–8.
  • Sheppard AL, Davies LN. The effect of ageing on in vivo human ciliary muscle morphology and contractility. Investigative ophthalmology & visual science. 2011;52(3):1809–16.
  • Saw SM, Carkeet A, Chia KS, Stone RA, Tan DT. Component dependent risk factors for ocular parameters in Singapore Chinese children. Ophthalmology. 2002;109(11):2065–71.
  • Gordon RA, Donzis PB. Refractive development of the human eye. Archives of ophthalmology (Chicago, Ill.: 1960). 1985;103(6):785–9.
  • Kazancı L, Eren S, Aydın E, Yüksel B. Evaluation of cornea and anterior chamber measurements using Sirius® topographer in adults. Glokom-Katarakt. 2016;11(4):225-9.
  • Shimizu Y, Nakakura S, Nagasawa T, Okamoto A, Tabuchi H, Kiuchi Y. Comparison of the anterior chamber angle structure between children and adults. Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus. 2017;21(1):57–62.
  • Hayashi K, Sato T, Sasaki H, Hirata A, Yoshimura K. Sex-related differences in corneal astigmatism and shape with age. Journal of cataract and refractive surgery. 2018;44(9):1130-9.

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

Yıl 2023, Cilt: 25 Sayı: 1, 23 - 31, 30.04.2023
https://doi.org/10.24938/kutfd.1137249

Öz

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.

Kaynakça

  • Huang, J, Pesudovs K, Wen D, Chen S, Wright T, Wang X, et al. Comparison of anterior segment measurements with rotating Scheimpflug photography and partial coherence reflectometry. Journal of cataract and refractive surgery. 2011;37(2):341–8.
  • Gordon MO, Beiser JA, Brandt JD, Heuer DK, Higginbotham EJ, Johnson C, et al. The Ocular Hypertension Treatment Study: baseline factors that predict the onset of primary open-angle glaucoma. Archives of ophthalmology. (Chicago, Ill. : 1960), 2002;120(6):714–830.
  • Brautaset RL, Nilsso, M, Miller WL, Leach NE, Tukler JH, Bergmanson JP. Central and peripheral corneal thinning in keratoconus. Cornea. 2013;32(3):257–61.
  • Domínguez-Vicent A, Monsálvez-Romín D, Aguila-Carrasco AJ, García-Lázaro S, Montés-Micó R. Measurements of anterior chamber depth, white-to-white distance, anterior chamber angle, and pupil diameter using two Scheimpflug imaging devices. Arquivos brasileiros de oftalmologia. 2014;77(4):233–7.
  • Németh J, Fekete O, Pesztenlehrer N. Optical and ultrasound measurement of axial length and anterior chamber depth for intraocular lens power calculation. Journal of cataract and refractive surgery. 2003;29(1):85–8.
  • Olsen T. Calculation of intraocular lens power: a review. Acta ophthalmologica Scandinavica. 2007;85(5):472–85.
  • Lee AC, Qazi MA, Pepose JS. Biometry and intraocular lens power calculation. Current opinion in ophthalmology. 2008;19(1):13–7.
  • Richoz O, Mavrakanas N, Pajic B, Hafezi F. Corneal collagen cross-linking for ectasia after LASIK and photorefractive keratectomy: long-term results. Ophthalmology. 2013;120(7):1354–9.
  • Huang J, Lu W, Savini G, Hu L, Pan C, Wang J, et al. Evaluation of corneal thickness using a Scheimpflug-Placido disk corneal analyzer and comparison with ultrasound pachymetry in eyes after laser in situ keratomileusis. Journal of cataract and refractive surgery. 2013;39(7):1074–80.
  • Savini G, Barboni P, Carbonelli M, Hoffer KJ. Repeatability of automatic measurements by a new Scheimpflug camera combined with Placido topography. Journal of cataract and refractive surgery. 2011;37(10):1809–16.
  • Bayhan HA, Aslan Bayhan S, Can I. Comparison of central corneal thickness measurements with three new optical devices and a standard ultrasonic pachymeter. International journal of ophthalmology. 2014;7(2):302–8.
  • Viswanathan D, Goldberg I, Graham SL. Longitudinal effect of topical antiglaucoma medications on central corneal thickness. Clinical & experimental ophthalmology. 2013;41(4):348–54.
  • Siu A, Herse P. The effect of age on human corneal thickness. Statistical implications of power analysis. Acta ophthalmologica. 1993;71(1):51–6.
  • Rieth S, Engel F, Bühner E, Uhlmann S, Wiedemann P, Foja C. Comparison of data from the rostock cornea module of the heidelberg retina tomograph, the oculus pentacam, and the endothelial cell microscope. Cornea 2010;29(3):314–20.
  • Weizer JS, Stinnett SS, Herndon LW. Longitudinal changes in central corneal thickness and their relation to glaucoma status: an 8 year follow up study. The British journal of ophthalmology. 2006;90(6):732–6.
  • Brandt JD, Gordon MO, Beiser JA, Lin SC, Alexander MY, Kass MA. Ocular Hypertension Treatment Study Group. Changes in central corneal thickness over time: the ocular hypertension treatment study. Ophthalmology. 2008;115(9) :1550–6.
  • Hashemi H, Asgari S, Emamian MH, Mehravaran S, Fotouhi A. Five year changes in central and peripheral corneal thickness: The Shahroud Eye Cohort Study. Contact lens & anterior eye : the journal of the British Contact Lens Association. 2016;39(5):331–5.
  • Orucoglu F, Akman M, Onal S. Analysis of age, refractive error and gender related changes of the cornea and the anterior segment of the eye with Scheimpflug imaging. Contact lens & anterior eye : the journal of the British Contact Lens Association. 2015;38(5):345–50.
  • Foster PJ, Baasanhu J, Alsbirk PH, Munkhbayar D, Uranchimeg D, Johnson GJ. Central corneal thickness and intraocular pressure in a Mongolian population. Ophthalmology. 1998;105(6): 969–73.
  • Valdez-García JE, Hernandez-Camarena JC, Lozano-Ramírez JF, Zavala J, Loya-García D, Merayo-Lloves J. Correlation of age, corneal curvature and spherical equivalent with central corneal thickness. Revista Mexicana de Oftalmología. 2017;91(4):172-6.
  • Elsheikh A, Wang D, Brown M, Rama P, Campanelli M, Pye D. Assessment of corneal biomechanical properties and their variation with age. Current eye research. 2007;32(1):11-9.
  • Kanai A, Kaufman HE. Electron microscopic studies of corneal stroma: aging changes of collagen fibers. Annals of ophthalmology. 1973;5(3).
  • Malik NS, Moss SJ, Ahmed N, Furth AJ, Wall RS, Meek KM. Ageing of the human corneal stroma: structural and biochemical changes. Biochim Biophys Acta. 1992;1138:222-8.
  • Bhardwaj V, Rajeshbhai GP. Axial length, anterior chamber depth-a study in different age groups and refractive errors. Journal of clinical and diagnostic research : JCDR. 2013;7(10):2211–2.
  • Sng CC, Foo LL, Cheng CY, Allen JC, Jr He M, Krishnaswamy G, et al. Determinants of anterior chamber depth: the Singapore Chinese Eye Study. Ophthalmology. 2012;119(6):1143–50.
  • Friedman DS, Gazzard G, Foster P, Devereux J, Broman A, Quigley H, et al. Ultrasonographic biomicroscopy, Scheimpflug photography, and novel provocative tests in contralateral eyes of Chinese patients initially seen with acute angle closure. Archives of ophthalmology (Chicago, Ill. : 1960). 2003;121(5):633–42.
  • Praveen MR, Vasavada AR, Shah SK, Shah CB, Patel UP, Dixit NV, et al. Lens thickness of Indian eyes: impact of isolated lens opacity, age, axial length, and influence on anterior chamber depth. Eye (London, England). 2009;23(7):1542–8.
  • Sheppard AL, Davies LN. The effect of ageing on in vivo human ciliary muscle morphology and contractility. Investigative ophthalmology & visual science. 2011;52(3):1809–16.
  • Saw SM, Carkeet A, Chia KS, Stone RA, Tan DT. Component dependent risk factors for ocular parameters in Singapore Chinese children. Ophthalmology. 2002;109(11):2065–71.
  • Gordon RA, Donzis PB. Refractive development of the human eye. Archives of ophthalmology (Chicago, Ill.: 1960). 1985;103(6):785–9.
  • Kazancı L, Eren S, Aydın E, Yüksel B. Evaluation of cornea and anterior chamber measurements using Sirius® topographer in adults. Glokom-Katarakt. 2016;11(4):225-9.
  • Shimizu Y, Nakakura S, Nagasawa T, Okamoto A, Tabuchi H, Kiuchi Y. Comparison of the anterior chamber angle structure between children and adults. Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus. 2017;21(1):57–62.
  • Hayashi K, Sato T, Sasaki H, Hirata A, Yoshimura K. Sex-related differences in corneal astigmatism and shape with age. Journal of cataract and refractive surgery. 2018;44(9):1130-9.
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Özgün Araştırma
Yazarlar

Mustafa Duran 0000-0002-3178-2880

Erken Görünüm Tarihi 30 Nisan 2023
Yayımlanma Tarihi 30 Nisan 2023
Gönderilme Tarihi 28 Haziran 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 25 Sayı: 1

Kaynak Göster

APA Duran, M. (2023). COMPARISON OF ANTERIOR SEGMENT PARAMETERS IN PREADOLESCENT CHILDREN AND MIDDLE AGED ADULTS. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, 25(1), 23-31. https://doi.org/10.24938/kutfd.1137249
AMA Duran M. COMPARISON OF ANTERIOR SEGMENT PARAMETERS IN PREADOLESCENT CHILDREN AND MIDDLE AGED ADULTS. Kırıkkale Üni Tıp Derg. Nisan 2023;25(1):23-31. doi:10.24938/kutfd.1137249
Chicago Duran, Mustafa. “COMPARISON OF ANTERIOR SEGMENT PARAMETERS IN PREADOLESCENT CHILDREN AND MIDDLE AGED ADULTS”. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 25, sy. 1 (Nisan 2023): 23-31. https://doi.org/10.24938/kutfd.1137249.
EndNote Duran M (01 Nisan 2023) COMPARISON OF ANTERIOR SEGMENT PARAMETERS IN PREADOLESCENT CHILDREN AND MIDDLE AGED ADULTS. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 25 1 23–31.
IEEE M. Duran, “COMPARISON OF ANTERIOR SEGMENT PARAMETERS IN PREADOLESCENT CHILDREN AND MIDDLE AGED ADULTS”, Kırıkkale Üni Tıp Derg, c. 25, sy. 1, ss. 23–31, 2023, doi: 10.24938/kutfd.1137249.
ISNAD Duran, Mustafa. “COMPARISON OF ANTERIOR SEGMENT PARAMETERS IN PREADOLESCENT CHILDREN AND MIDDLE AGED ADULTS”. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 25/1 (Nisan 2023), 23-31. https://doi.org/10.24938/kutfd.1137249.
JAMA Duran M. COMPARISON OF ANTERIOR SEGMENT PARAMETERS IN PREADOLESCENT CHILDREN AND MIDDLE AGED ADULTS. Kırıkkale Üni Tıp Derg. 2023;25:23–31.
MLA Duran, Mustafa. “COMPARISON OF ANTERIOR SEGMENT PARAMETERS IN PREADOLESCENT CHILDREN AND MIDDLE AGED ADULTS”. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, c. 25, sy. 1, 2023, ss. 23-31, doi:10.24938/kutfd.1137249.
Vancouver Duran M. COMPARISON OF ANTERIOR SEGMENT PARAMETERS IN PREADOLESCENT CHILDREN AND MIDDLE AGED ADULTS. Kırıkkale Üni Tıp Derg. 2023;25(1):23-31.

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