Turkiye Klinikleri Journal of Ophthalmology

.: ORIGINAL RESEARCH
Gözyaşı Film Kırılma Zamanının Yeni Nesil ve Geleneksel Yöntemlerle Ölçülerek Karşılaştırılması
Comparison of Tear Film Breaking Time Measured Using New Generation and Traditional Methods
Ali MEŞENa, Kamil YAVUZERb
aKahramanmaraş Sütçü İmam Üniversitesi Sağlık Uygulama ve Araştırma Hastanesi, Göz Hastalıkları ABD, Kahramanmaraş, TÜRKİYE
bSağlık Bilimleri Üniversitesi Van Eğitim ve Araştırma Hastanesi, Göz Hastalıkları ABD, Van, TÜRKİYE
Turkiye Klinikleri J Ophthalmol. 2021;30(1):24-9
doi: 10.5336/ophthal.2020-76066
Article Language: TR
Full Text
ÖZET
 Amaç: Kuru göz semptomları olan hastalarda, fluoresein gözyaşı kırılma zamanı ile noninvaziv gözyaşı kırılma zamanı (NIGKZ)nın karşılaştırılması amaçlanmıştır. Gereç ve Yöntemler: Çalışmaya kuru göz semptomları olan 200 hasta dâhil edildi. Tüm olgulara ayrıntılı oftalmik muayene yapıldıktan sonra Scheimpflug topografi (CSO Sirius topografi, İtalya) cihazı ile NI-GKZ ölçümü yapıldı. Ardından fluoresein kırılma zamanı ölçümü yapılarak, elde edilen veriler kaydedildi. Tüm gözlere Schirmer testi yapıldı ve oküler yüzey boyanma skorlarına bakıldı. Bulgular: Çalışmaya, 59 erkek 141 kadın hasta dâhil edildi. Çalışmaya alınan hastaların yaş ortalaması 32,71±12,28 (yıl) idi. Fluoresein kırılma zamanı ortalaması, 4,14±3,84 sn olarak saptandı. Topografik olarak gözyaşı filminin ilk kırıldığı zaman 4,32±2,75 sn, son kırıldığı zaman ise 10,6±4,01 sn ve tüm gözyaşı filmi kırılmalarının ortalaması ise 7,37±3,10 sn olarak saptandı. Fluoresein kırılma zamanı ve gözyaşının topografik ölçümde ilk kırıldığı zamanı arasında istatistiksel olarak anlamlı bir fark olmadığı saptandı (p=0,114). Sonuç: Gözyaşı film tabakasının kırılmasını ölçebilen kornea topografi cihazları, gözyaşı film tabakasının değerlendirilmesinde konvansiyonel yöntemlere alternatif olabilir. Kornea topografi cihazları ile yapılan gözyaşı kırılma zamanı ölçümünün invaziv olmaması ve aynı zamanda gözyaşı film tabakasının kırılma haritasını dokümente etmesi konvansiyonel yöntemlere avantajları olarak sayılabilir.

Anahtar Kelimeler: Kuru göz sendromu; gözyaşı film tabakası; gözyaşı kırılma zamanı; kornea topografisi; Scheimpflug kamera
ABSTRACT
 Objective: We aimed to compare fluorescein tear break-up time with non-invasive tear break-up time (NI-BUT) in patients who have dry eye symptoms. Material and Methods: 200 patients with dry eye symptoms were included in the study. After detailed ophthalmic examination, non-invasive tear break up time. measurements performed by Scheimpflug topography device (Sirius topographer, CSO, İtaly) and fluorescein tear film break up time measurements were recorded. Schirmer test and ocular surface staining scores were applied to all eyes. Results: 59 male and 141 female patients were included in this study. The average age of the patients was 32.71±12.28 (year). Fluorescein break-up time of the patient population was 4.14±3.84 seconds on average. Topographically, mean first tear film break-up time was 4.32±2.75 seconds,mean last tear film break-up time was 10.6±4.01 seconds and the average tear film breakup time was 7.37±3.10 seconds. A statistically significant difference was not found between fluorescein break-up time and first non-invasive break up time. (p=0.114). Conclusion: Corneal topography devices which can measure tear film breaking can be an alternative to conventional methods for evaluating tear film layer. The advantage of measurement by corneal topography is being non-invasive, as well as documenting the refraction map of the tear film layer.

Keywords: Dry eye syndrome; tear film layer; tear break-up time; corneal topography; Schempflug camera
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