Gebelik Trimesterine Göre Ön Segment Parametrelerinin ve Retina Sinir Lifi Tabaka Kalınlığının Değerlendirilmesi
Küçük Resim Yok
Tarih
2018
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Duzce University
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Gebeliğin ön segment parametreleri ve retina sinir lifi kalınlığı (RNFL) üzerindeki etkilerini incelemek. Gereç ve Yöntem: Bu prospektif çalışma, 122’si tekil gebe ve 49’u gebe olmayan kadınlar arasında yürütüldü. Göz içi basıncı (GİB) Goldman Aplanasyon Tonometresi ile ölçüldü. Santral kornea kalınlığı (SKK), aksiyel uzunluk (AxL) ve ön kamara derinliği ölçümleri (ÖKD) Echoscan US 500 ile yapıldı. RNFL kalınlığının ayrıntılı olarak araştırılması için optik koherens tomografi kullanıldı. Normal dağılım grupları arasında bir karşılaştırma yapmak için One Way ANOVA testi kullanıldı.Bulgular: Yaşa bakımından istatistiksel olarak anlamlı fark yoktu. GİB, birinci trimesterde 16.0 mmHg, 2. trimesterde 14.6 mmHg, 3. trimesterde 13.6 mmHg ve gebe olmayanlarda 15.56 mmHg idi. İstatistiksel olarak, 2. ve 3. trimesterlerin bulguları 1. trimesterden anlamlı olarak farklıydı (p = 0.033, p = 0.001, sırasıyla). Gebe olmayan kadınlarda 542 μm iken, trimestere gore SKK ortalaması sırasıyla 554 μm, 564 μm ve 552 μm idi. 2. ve 3. trimesterdeki gebeliklerin ve gebe olmayan kadınların SKK ortalamaları arasındaki fark istatistiksel olarak anlamlıydı (p = 0.022, p = 0.041, sırasıyla). Dört RNFL'nin ortalama kalınlığının karşılaştırılması, gebe ve gebe olmayan arasında fark göstermedi. Sonuç: Gebelik esnasında, GİB’de azalma ile SKK’da bir artış bulundu. ÖKD, AxL ve RNFL kalınlık ölçümlerinin hamilelik ile birlikte değişmediği de tespit edildi.
Objective: To analyze the effects of pregnancy on anterior segment parameters and retinal nerve fiber layer (RNFL) thickness . Methods: The study designed prospectively conducted among 122 singleton pregnant women and 49 non-pregnant women. Intraocular pressure (IOP) was measured via the Goldman applanation tonometry. Central corneal thickness (CCT), axial lenght (AxL) and anterior chamber depth (ACD) measurement were performed with Echoscan US 500. For investigating the thickness of RNFL in detail, the optical coherence tomography was used. One Way ANOVA test was used to make a comparison between normal distribution groups. Results: There was no statistically significant difference regarding age. The IOP were 16.0 mmHg in the 1st trimester, 14.6 mmHg in the 2nd trimester, 13.6 mmHg in the 3rd trimester and 15.56 mmHg in the non-pregnant. Statistically, the findings of the 2nd and the 3rd trimester were significantly different from that of the 1st trimester (p = 0.033, p = 0.001, respectively). CCT averages were 554 μm, 564 μm and 552 μm, respectively, according to the trimester, while it was 542 μm in non-pregnant women. The difference between CCT averages between pregnancies in the 2nd and 3rd trimesters and non-pregnant women was statistically significant (p = 0.022, p = 0.041, respectively). The comparison of average thickness of four RNFL showed no difference between the pregnant and non-pregnant. Conclusion: During gestation, there was an increase in CCT with a decrease in IOP. We also determined that the ACD, AxL, and RNFL thickness measurements do not change with pregnancy.
Objective: To analyze the effects of pregnancy on anterior segment parameters and retinal nerve fiber layer (RNFL) thickness . Methods: The study designed prospectively conducted among 122 singleton pregnant women and 49 non-pregnant women. Intraocular pressure (IOP) was measured via the Goldman applanation tonometry. Central corneal thickness (CCT), axial lenght (AxL) and anterior chamber depth (ACD) measurement were performed with Echoscan US 500. For investigating the thickness of RNFL in detail, the optical coherence tomography was used. One Way ANOVA test was used to make a comparison between normal distribution groups. Results: There was no statistically significant difference regarding age. The IOP were 16.0 mmHg in the 1st trimester, 14.6 mmHg in the 2nd trimester, 13.6 mmHg in the 3rd trimester and 15.56 mmHg in the non-pregnant. Statistically, the findings of the 2nd and the 3rd trimester were significantly different from that of the 1st trimester (p = 0.033, p = 0.001, respectively). CCT averages were 554 μm, 564 μm and 552 μm, respectively, according to the trimester, while it was 542 μm in non-pregnant women. The difference between CCT averages between pregnancies in the 2nd and 3rd trimesters and non-pregnant women was statistically significant (p = 0.022, p = 0.041, respectively). The comparison of average thickness of four RNFL showed no difference between the pregnant and non-pregnant. Conclusion: During gestation, there was an increase in CCT with a decrease in IOP. We also determined that the ACD, AxL, and RNFL thickness measurements do not change with pregnancy.
Açıklama
Anahtar Kelimeler
Health Care Administration, Sağlık Kurumları Yönetimi
Kaynak
Konuralp Medical Journal
WoS Q Değeri
Scopus Q Değeri
Cilt
10
Sayı
2
