Turkiye Klinikleri Journal of Ophthalmology

.: ORIGINAL RESEARCH
Oküler Tutulumu Olmayan Behçet Hastalarının Arka Segment Bulgularının Değerlendirilmesi: Kesitsel Araştırma
Evaluation of Posterior Segment Findings in Behçet's Patients Without Ocular Involvement: Cross-Sectional Research
Neşe ARSLANa, Tolga BİÇERa, Naciye KABATAŞa, Cem ÖZİŞLERb
aSağlık Bilimleri Üniversitesi Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, Ankara, Türkiye
bSağlık Bilimleri Üniversitesi Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Romatoloji Kliniği, Ankara, Türkiye
Turkiye Klinikleri J Ophthalmol. 2022;31(3):158-63
doi: 10.5336/ophthal.2021-86265
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, oküler tutulum hikâyesi olmayan Behçet hastalarının iç ve dış retinal katmanların ve koroid kalınlıklarının sağlıklı kişiler ile karşılaştırılmasıdır. Gereç ve Yöntemler: Behçet hastalığı olan, göz tutulumu olmayan 33 hastanın 64 gözü ile 34 kontrolün 68 gözü çalışmaya dâhil edildi. Spektral domain optik koherens tomografi ile arka segment ölçümleri yapıldı. İç retinal ve dış retinal tabaka kalınlıkları foveal, parafoveal ve perifoveal bölgede temporal, nazal, superior ve inferior olmak üzere toplam 9, koroid kalınlıkları foveal, nazal ve temporal yönlerde parafoveal ve perifoveal olmak üzere 5 noktadan ölçüldü. Ortalama retina sinir lifi tabakası (RSLT) ve ganglion hücre kompleksi (GHK) kalınlıkları ölçüldü ve sonuçlar gruplar arasında karşılaştırıldı. Bulgular: Hastaların ortalama tanı süresi 11,54±7,2 yıl idi. Hasta ve kontrol grupları arasında yaş ortalamaları ve kadın-erkek oranı açısından anlamlı bir fark bulunmadı (p>0,05). İç retina tabakasında fovea ve temporal parafoveal hariç, dış retina tabakasında ise nazal parafoveal, superior parafoveal ve inferior parafoveal segmentler hariç tum segmentlerde anlaml ̈ ı incelme görüldü (p0,05). Sonuç: Çalışmamızda retina iç ve dış katmanlarında, RSLT ve GHK ölçumlerinde incelme görülürken koroid kal ̈ ınlığının etkilenmediği saptanmıştır. Bu bulgulara göre göz tutulumu olmayan Behçet hastalarında, RSLT ve GHK kalınlıklarının koroide göre daha erken dönemde etkilendiği düşünülmektedir.

Anahtar Kelimeler: Behçet hastalığı; ganglion hücre kompleksi; koroid; retina; retina sinir lifi tabakası
ABSTRACT
 Objective: Comparison of inner and outer retinal layers and choroidal thicknesses of Behçet's patients without a history of ocular involvement with healthy individuals. Material and Methods: Sixty four eyes of 33 patients with Behçet's disease without ocular involvement and 68 eyes of 34 controls were included in the study. Posterior segment measurements were made with spectral domain-optical coherence tomography. Inner retinal and outer retinal layer thicknesses were measured from a total of 9 points in the foveal, parafoveal and perifoveal regions as temporal, nasal, superior and inferior, and choroidal thicknesses were measured from 5 points in the foveal, nasal and temporal directions as parafoveal and perifoveal. Mean retina nerve fibre layer (RNFL) and ganglion cell complex (GCC) thicknesses were measured and results were compared between groups. Results: The mean duration of diagnosis of the patients was 11.54±7.2 years. There was no significant difference between the patient and control groups in terms of mean age and male-female ratio (p>0.05). Significant thinning was observed in all segments except the fovea and temporal parafoveal in the inner retinal layer, and in all segments except the nasal parafoveal, superior parafoveal and inferior parafoveal segments in the outer retinal layer (p0.05). Conclusion: In our study, thinning was observed in the inner and outer retinal layers, RNFL and GCC measurements, while choroidal thickness was not affected. According to these findings, it is thought that RNFL and GCC thicknesses are affected earlier than the choroid in Behçet's patients without ocular involvement.

Keywords: Behçet disease; ganlion cell complex; choroid; retina; retina nerve fiber layer
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