Göksu Hande Naz ŞİMDİVAR, Esra SARIGEÇİLİ, Tuğba KURUMOĞLU İNCEKALAN, Habibe KOÇ UÇAR

Oküler biyometrik ölçümler ile pediatrik migren arasında ilişki

Amaç: Bu çalışmada pediatrik migren hastalarında biyometri ölçümlerinin ve ön segment parametrelerinin değerlendirilmesi ve sağlıklı çocuklarla karşılaştırılması amaçlanmıştır. Gereç ve Yöntem: Bu prospektif vaka-kontrol çalışmasına yaş ve cinsiyeti uyumlu 40 pediatrik migren hastası ve 45 sağlıklı çocuk dahil edildi. Ölçümlerden önce tüm katılımcılar tam bir oftalmolojik muayeneden geçirildi. Ön kamara derinliği (ÖKD), vitreus uzunluğu (VU), lens kalınlığı (LK), aksiyel uzunluk (AU), merkezi kornea kalınlığı (MKK), kornea hacmi (KH), ön kamara hacmi (ÖKH), iridokorneal açı (İKA), pupil çapı (PÇ) ve ortalama kornea kırıcılığı (Km) değerlendirildi. Tüm değerlendirmeler ataksız dönemde yapıldı. Fotofobisi olan ve olmayan migrenli hastalarda pupil çapı karşılaştırıldı. Diürnal varyasyondan en az oranda etkilenmek açısından göz içi basınç ölçümleri ve biyometri değerlendirmeleri günün aynı saatlerinde (10:00–12:00) yapıldı. Tüm katılımcıların sağ gözü çalışmaya dahil edildi. Bulgular: Pediatrik migren grubuyla (27 kız, 13 erkek) kontrol grubu (30 kız, 15 erkek) arasında ÖKD, VU, LK, AU, MKK, KH, ÖKH, İKA, PÇ, göz içi basıncı, sferik eşdeğer ve Km ölçümleri bakımından istatistiksel olarak anlamlı farklılık görülmedi. Migren grubu içerisinde fotofobisi olan hastalar ile olmayanların pupil çapları arasında anlamlı farklılık görülmedi. Sonuç: Pediatrik migren hastalarında biyometri, korneal topografi ve keratometri ölçümlerinde sağlıklı çocuklara göre farklılık görülmemektedir. Pediatrik migren ile oküler biyometrik ölçümler arasındaki ilişkiyi incelemek için daha geniş hasta popülasyonlu çalışmalara ihtiyaç vardır.

Association between ocular biometric measurements and pediatric migraine

Purpose: The aim of this study was to evaluate biometry parameters and anterior segment parameters in pediatric migraine patients compared to controls. Materials and Methods: This prospective case-control study included 40 patients and 45 controls. All participants underwent a complete ophthalmological examination followed by measurement of anterior chamber depth (ACD), vitreous chamber depth (VCD), lens thickness (LT), axial length (AL), central corneal thickness (CCT), corneal volume (CV), anterior chamber volume (ACV), iridocorneal angle (ICA), pupil diameter (PD) and mean keratometry (Km). Pupil diameter was compared between patients with and without photophobia. All evaluations were made in attack-free period. Pupil diameter was compared in migraine patients with and without photophobia. Intraocular pressure and biometery measurements were taken at the same time of day (10:00–12:00) in order to minimize the effects of diurnal variation. Right eye measurements were included in the study. Results: The two groups showed no statistical differences in ACD, VCD, LT, AL, CCT, CV, ACV, ICA, PD, IOP, spherical equivalent or Km. There was no difference in PD between patients with and without photophobia . Conclusion: Pediatric migraine patients do not differ from controls in terms of biometry, corneal topography, or keratometry parameters. Studies with larger patient populations are needed to determine the relationship between ocular biometric parameters and migraine.

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