Ankilozan Spondilitli Hastalarda Retina ve Koroid Kalınlığının Sedimentasyon Hızı ile İlişkisi

Yıl 2018, , 775 - 781, 30.12.2018

İsa Yuvacı , Mahmut Atum , Emine Pangal Nurettin Bayram Emel Güler Fatmagül Ülkü Demir

https://doi.org/10.31832/smj.470668

Öz

Amaç:
Sistemik olarak aktif, göz tutulumu bulunmayan Ankilozan Spondiltlilerde (AS)
eritrosit sedimentasyon hızı (ESR) ile retina ve kororidal kalınlık bağlantısının
araştırılması.

Gereç
ve Yöntem: Romatoloji kliniğinde AS tanısı ile takip edilen, göz bölümüne
konsülte edilen, göz tutulumu bulumayan kişilerile demografik olarak bunlara
benzer göz kliniğinde takip edilen normal kişiler çalışmaya alındı. Kan testi
sonrası göz muayenesi ve OCT ölçümü 1 saat içerisinde yapıldı. Merkezi makula
kalınlığı(CMT), merkezi subfoveal koroid kalınlığı(CSCT), retina sinirlifi
kalınlığı(RNFL), OCT cihazı ile ölçüldü. Çıkan sonuçlar, SPSS programı ile
kontrol grubu ve AS’liler arasında ve AS’liler de kendi içinde, sedimentasyon
hızına göre değerlendirildi.

Bulgular ve Sonuç: AS’li hastaların
ortalama yaşı 35.8 ve ortalama hastalık süreleri 6.38 yıl idi. Ortalama ESR
seviyesi 18.2 mm/H idi. Sırasıyla ortalama olarak CSCT 321.00µ, CMT 255.56µ ve RNFL 99.87µ kalınlığında idiler. Kontrol grubunda ise
sırasıyla bu değerler 317.21µ,
259.02µ ve
100.98µ kalınlığında idi. CSCT,
CMT ve RNFL kalınlıkları bakımından AS'liler ve normal grup arasında fark
izlenmedi. AS'li hastalar ESR seviyesine göre kendi aralarında kıyaslandığında
ise bu verilerin hiçbirinin ESR ile bağlantısı kurulamadı. Çalışmamızda göz
tutulumu olmayan, sistemik olarak aktif AS’lilerde ESR seviyesi ile retina ve
koroid kalınlık bağlantısı araştırıldı ve herhangi bir bağlantı kurulamadı.

Anahtar Kelimeler

ESR, AS, koroid

The Investigation of the Relationship Between Retinal and Choroidal Thickness By Sedimentation Rate for Patients with Ankylosing Spondylitis

Öz

Objective: The investigation of the relationship
between retinal and choroidal thickness with Erythrocyte Sedimentation Rate(ESR)
for systematically active ankylosing spondylitis patients without ocular
involvement.

 

Materials and Methods:
Among the patients being followed-up with a diagnosis of AS in the rheumatology
clinic, those with proper conditions who required eye consultation and normal
people demographically similar to these patients being inspected in the eye
section were included in the study. After blood test, eye examination and OCT
measurements were performed within one hour. Central macular thickness(CMT), central
subfoveal choroidal thickness(CSCT), and retinal nerve fiber layer(RNFL)
thickness were measured with OCT. Results were obtained with SPSS evaluated for
patients with AS compared to normal people and within the group with AS according
to ESR level.

 

Results and Conclusion: The mean age of
participating patients was 35.8, mean of disease duration was 6.38 years and
average ESR level was 18.2mm/H. Average CSCT thickness of patients with AS was
321.00µ,
average CMT thickness was 255.56µ and
average RNFL thickness was 99.87µ. CSCT,
CMT and RNFL thickness of control group
participants were as follows: 317.21µ, 259.02µ and 100.98µ. No significant difference was observed with
regard to CSCT, CMT and RNFL thickness values between patients with AS and the
control group. When patients with AS were evaluated
among themselves, a connection between ESR level and CSCT, CMT and RNFL
thickness could not be established. In our
study, we could not establish a connection between ESR level and CSCT, CMT, and
RNFL.

Anahtar Kelimeler

ESR, AS, choroid

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