Turkiye Klinikleri Journal of Ophthalmology

.: ORIGINAL RESEARCH
Pterjiyum Hastalarında Gözyaşı Menisküsünün Optik Koherens Tomografi ile Değerlendirilmesi: Olgu Kontrol Araştırması
Evaluation of Tear Meniscus in Pterygium Patients with Optical Coherence Tomography: A Case-Control Study
Halit ÖCALa , Erbil SEVENb , Serek TEKİNb , Muhammed BATURb
aSağlık Bilimleri Üniversitesi Tıp Fakültesi, Van Eğitim ve Araştırma Hastanesi, Göz Hastalıkları AD, Van, Türkiye
bVan Yüzüncü Yıl Üniversitesi Tıp Fakültesi, Göz Hastalıkları AD, Van, Türkiye
Turkiye Klinikleri J Ophthalmol. 2025;34(2):50-5
doi: 10.5336/ophthal.2024-106489
Article Language: TR
Full Text
ÖZET
 Amaç: Pterjiyum hastalarında gözyaşı menisküsünün sağlıklı bireyler ile ön segment optik koherens tomografi (ÖS-OKT) ile karşılaştırmak. Pterjiyum dokusunun gözyaşı menüsküsüne etkisini, klasik kuru göz testleri [Oküler Yüzey Hastalık İndeksi (OSDİ) anketi, gözyaşı kırılma zamanı, Schirmer I testi] ile karşılaştırarak ortaya koymak. Gereç ve Yöntemler: Çalışma tek merkezli, prospektif bir klinik araştırma şeklinde yapıldı. Helsinki Deklarasyonu prensiplerine uygun hazırlanan, yerel etik kurulu onayı sonrası katılımcılar bilgilendirilerek onam formu alındı. Çalışmaya pterjiyumlu 50 ve sağlıklı 48 bireyin tek gözü dâhil edildi. OSDİ anketi yapıldıktan sonra ÖS-OKT ile gözyaşı menisküs ölçümü, gözyaşı kırılma zamanı ve Schirmer I testi yapıldı. Bulgular: Pterjiyum ve kontrol grubundaki katılımcıların OSDİ anketi (p=0,515), gözyaşı menisküs yüksekliği (p=0,489), derinliği (p=0,316) ve alanı (p=0,067) açısından anlamlı fark saptanmadı. Ancak pterjiyumlu grupta gözyaşı menisküs ölçümlerinin daha düşük olduğu görüldü. Benzer şekilde gözyaşı kırılma zamanı (p=0,481) ve Schirmer I testi (p=0,892) açısından da istatistiksel olarak anlamlı bir fark bulunmadı. Sonuç: Pterjiyum ve kontrol grubundaki katılımcıların ayrıntılı oküler klinik parametreleri karşılaştırıldı. ÖS-OKT ile gözyaşı menüsküs ölçümünün, klasik kuru göz testleri ile olumlu korelasyonunu teyit edilerek, pterjiyum dokusu ile gözyaşı menüsküsü arasındaki ilişkiye katkısının olabileceği ortaya koyuldu.

Anahtar Kelimeler: Pterjiyum; kuru göz sendromu; ön segment optik koherens tomografi; Schirmer I testi
ABSTRACT
 Objective: To compare the tear meniscus in patients with pterygium with healthy individuals using anterior segment optical coherence tomography (AS-OCT). To reveal the effect of pterygium tissue on the tear meniscus by comparing it with classical dry eye tests [Ocular Surface Disease Index (OSDİ) questionnaire, tear break-up time, Schirmer I test]. Material and Methods: The study was conducted as a single-center, prospective clinical trial. The study was prepared in accordance with the Declaration principle of Helsinki, and after the approval of the local ethics committee, the participants were informed and a consent form was obtained. One eye of 50 individuals with pterygium and 48 healthy individuals was included in the study. After the OSDİ questionnaire, tear meniscus measurement, tear break-up time and Schirmer I test were performed using AS-OCT. Results: No significant difference was found between the participants in the pterygium and control groups in terms of OSDİ questionnaire (p=0.515), tear meniscus height (p=0.489), depth (p=0.316) and area (p=0.067). However, tear meniscus measurements were lower in the pterygium group. Similarly, no statistically significant difference was found in terms of tear break-up time (p=0.481) and Schirmer I test (p=0.892). Conclusion: Detailed ocular clinical parameters of the participants in the pterygium and control groups were compared. The positive correlation of tear meniscus measurement with AS-OCT with classical dry eye tests was confirmed, and it was revealed that it may contribute to the relationship between pterygium tissue and tear meniscus.

Keywords: Pterygium; dry eye syndrome; anterior segment optical coherence tomography; Schirmer I test
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