The Effects of Nasal Septum Deviation on Ocular Examination Findings: Does Deviated Nasal Septum Cause Impaired Vision?
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Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Duzce University Medical School
Access Rights
info:eu-repo/semantics/openAccess
Abstract
Aim: Nasal obstruction due to nasal septum deviation is associated with systemic diseases such as cardiopulmonary disease, neurological and vascular problems. But the effect of pure nasal deviation on the ocular system has not been precisely investigated. The aim of this study was to analyze the association of nasal septal deviation with ocular examination findings. Material and Methods: Twenty-seven adult patients underwent septoplasty and 31 controls were included in the study. The study group was conducted on patients with pure nasal septum deviation which is significantly obstructing the nasal airway (>50%). In ophthalmological examination; peripapillary retinal nerve fiber layer, macular and choroidal thickness measurements were obtained. The examination findings were compared between the study and control groups. Results: The mean macular thicknesses at nasal-500?m were 305.89±32.79 and 287.87±25.00 in the study and control groups, respectively (p=0.021). The mean macular thicknesses at nasal-1000?m were 353.04±21.28 and 341.16±17.97 in the study and control groups, respectively (p=0.025). The mean thickness of choroid was statistically significantly different at central (p=0.036) and peripheral measurements; nasal-500?m (p=0.020); nasal-1000?m (p=0.001); nasal-1500?m (p<0.001); temporal-500?m (p=0.023) and temporal-1000?m (p=0.045). No statistically significant difference was found between the two groups according to ocular tension, thickness of cornea, keratometry, anterior chamber depth, axial length of cornea, and retinal nerve fiber layer thickness. Conclusion: This is one of the pioneer studies evaluating the ocular examination findings in patients with nasal septum deviation. Our results indicate the increased thickness of both macula and choroid in patients with nasal septum deviation. © 2022, Duzce University Medical School. All rights reserved.
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Keywords
choroid thickness, macular thickness, Nasal septum deviation, ocular asymmetry, adult, allergic rhinitis, anterior eye chamber, apnea hypopnea index, Article, best corrected visual acuity, choroid, choroidal thickness, chronic rhinosinusitis, clinical article, controlled study, cor pulmonale, eye axis length, eye examination, female, gonioscopy, human, hypoventilation, hypoxia, intraocular pressure, keratometry, macular thickness, male, nose obstruction, nose polyp, nose septum, optical coherence tomography, perimetry, polysomnography, retina macula lutea, retinal nerve fiber layer, retinal nerve fiber layer thickness, septoplasty, systemic disease, tonometry, visual acuity, visual impairment
Journal or Series
Düzce Tıp Fakültesi Dergisi
WoS Q Value
Scopus Q Value
Q4
Volume
24
Issue
1
