Adenotonsiller Hipertrofinin Neden Olduğu Pediatrik OSAS’ın Koroid Kalınlığı Üzerine Etkisi

Amaç: Adenotonsiller hipertrofiye bağlı obstrüktif uyku apne sendromu (OUAS) olan çocuklarda koroid kalınlığındaki değişiklikleri normal kontrol grubundaki değerlerle karşılaştırıp değerlendirmek.Araçlar ve Yöntem: Tek merkezli, vaka kontrol çalışmasına adenotonsiller hipertrofiye bağlı 39 pediatrik OUAS hastası ve 39 yaş ve cinsiyet uyumlu sağlıklı kontrol dahil edildi. Koroid kalınlıkları, gelişmiş optik koherens tomografi kullanılarak değerlendirildi. Koroid kalınlıkları subfoveal, nazal ve temporal bölge olarak ölçüldü. Sferik eküvalan, göz içi basıncı ve aksiyel uzunluk değerleri de ölçüldü.Bulgular: Çalışma ve kontrol gruplar arasında subfoveal, nazal ve temporal bölgenin bölgenin koroid kalınlığı açısından istatistiksel olarak anlamlı bir fark yoktu. İki grup arasında Sferik eküvalan, göz içi basıncı ve aksiyel uzunluk değerlerinde de istatistiksel olarak anlamlı bir fark bulunmadı.Sonuç: Bu sonuçlar adenotonsiller hipertrofinin çocuklarda koroid kalınlığı üzerinde anlamlı derecede bir etkiye neden olmadığını göstermiştir.

Anahtar Kelimeler:

adenotonsiller hipertrofi, koroid kalınlığı, pediatritrik obstrüktif uyku apne sendromu

Does Pediatric OSAS with Adenotonsillar Hypertrophy Impact on the Choroidal Thickness of Children?

Purpose: To determine the changes in choroidal thickness of children with obstructive sleep apnea syndrome (OSAS) as a result of adenotonsillar enlargement versus normal controls.Materials and Methods: This study was consist of 39 pediatric OSAS individuals and 39 age,sex and body mass index-matched healthy children. Choroidal thicknesses of the patients and normal controls were analyzed by enhanced depth imaging optical coherence tomography. The choroidal thicknesses were measured in the subfoveal, nasal, as well as temporal areas. The spherical equivalent, intraocular pressure, and then axial length were additionally measured. Results: Statistically notable difference in the choroidal thicknesses were not found in any areas between the groups. No statistically significant differences were found in between spherical equivalent, intraocular pressure, and axial length values of the two groups. Conclusion: These results show that adenotonsillar hypertrophy does not result in a major impact on choroidal thickness of children

Keywords:

adenotonsillar hypertrophy, choroidal thickness, pediatric obstructive sleep apnea syndrome,

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