Araştırma Makalesi

Ocular parameters quantified by the swept-source optical coherence tomography in celiac disease

Cilt: 42 Sayı: 3 27 Ekim 2020
PDF İndir
EN

Ocular parameters quantified by the swept-source optical coherence tomography in celiac disease

Abstract

Objective: To measure anterior and posterior segmental ocular parameters in patients with celiac disease using swept-source optical coherence tomography and compare with those of healthy subjects. 
Method: Fourteen patients with celiac disease referred from the gastroenterology clinic and 14 control subjects selected from the individuals with minor complaints who admitted the ophthalmology outpatient clinic were included in the study. Mean and segmental retinal nerve fiber layer thickness in four quadrant, average and sectoral ganglion cell inner plexiform layer thickness in six quadrant, foveal and parafoveal vessel density in four quadrant, optic nerve head parameters, including rim area, disc area, horizontal cup-to-disc ratio, vertical cup-to-disc ratio, cup volume, and additionally superficial/deep foveal avascular zone areas, choroidal thickness, and central corneal thickness of patients and controls were quantified using swept-source optical coherence tomography.
Results: Among all the measurements, retinal nerve fiber layer in nasal quadrant and subfoveal choroid of patients were significantly thicker than those of controls. Nasal quadrant retinal nerve fiber layer thickness for patients and controls were 91.62±15.27 µm and 79.93±10.43 µm, respectively (P=0.02). Choroidal thickness was 377.69±50.77 µm for patients and 310.93±95.13 µm for controls (P=0.03).
Conclusions: Even though celiac disease is primarily a disease of small intestine, this study demonstrated that the disorder can affect the eye as an extra intestinal involvement.

Keywords

Destekleyen Kurum

Yok

Proje Numarası

Yok

Kaynakça

  1. 1. Rampertab SD, Pooran R, Brar P, Singh P, Green PH. Trends in the presentation of celiac disease. Am J Med. 2006;119:355.e9-355.
  2. 2. Kneepkens CM, vonBlomberg BM. Clinical practice: celiac disease. Eur J of Pediatr. 2012;171:1011-21.
  3. 3. Pietz G, De R, Hedberg M. Immunopathology of chilhood celiac disease-key role of intestinal epithelial cells. PLoS One. 2017;12:e0185025.
  4. 4. Gujral N, Freeman HJ, Thomson AB. Celiac disease: prevalence, diagnosis, pathogenesis and treatment. World J Gastroenterol. 2012;18:6036-59.
  5. 5. Ferguson A, Arranz E, O’Mahony S. Clinical and pathological spectrum of celiac disease-active, silent, latent, potential. Gut. 1993;34:150-1.
  6. 6. Sollid LM. Molecular basis of celiac disease. Ann Rev Immunol. 2000;18:53-81.
  7. 7. Cukrowska B, Sowinska A, Bierla JB, Czarnowska E, Rybak A, Grzybowska-Chlebowczyk U. Intestinal epithelium, intraepithelial lymphocytes and the gut microbiata-key players in the pathogenesis of celiac disease. World J Gastroenterol. 2017;23:7505-18.
  8. 8. Sollid LM. Celiac disease: dissecting a complex inflammatory disorder. Nat Rev Immunol. 2002;2:647-55.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yayımlanma Tarihi

27 Ekim 2020

Gönderilme Tarihi

14 Ağustos 2020

Kabul Tarihi

21 Eylül 2020

Yayımlandığı Sayı

Yıl 2020 Cilt: 42 Sayı: 3

Kaynak Göster

AMA
1.Yener AÜ, Akpınar MY, Kahramanoğlu E, Sapmaz F, Nazlıgul Y. Ocular parameters quantified by the swept-source optical coherence tomography in celiac disease. CMJ. 2020;42(3):327-333. doi:10.7197/cmj.vi.780554