ISSN: 1300-0365
İndekslendiği Dizinler: Türk Tıp Dizini
Dil: Türkçe
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ORIGINAL RESEARCH ARTICLES |
A Comparison Of Exophthalmos Values In Obese, Non-obese Children And Children With Inactive Graves’ Ophthalmopathy And Evaluating The Correlation Between Exophthalmos And Intraocular Pressure
Dr. Arsen AKINCI,a Dr. Ergun ÇETİNKAYA,b Dr. Zehra AYCANb
aPediatrik Oftalmoloji Bölümü, bPediatrik Endokrinoloji Bölümü, Dışkapı Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi, ANKARA
Objective: To determine the incidence of exophthalmos in obese children and the relationship between exophthalmos and intraocular pressure (IOP).
Material and Methods: Twenty-four obese children (BMI: Body mass index ≥30 kg/m2) were included in the obesity group, 37 nonobese children (25>BMI≥19 kg/m2) in the control group and 15 children with inactive Graves’ ophthalmopathy (25>BMI≥ 19 kg/m2) in the Graves’ group. Hertel exophthalmometry and IOP measurements (3 times) at primary position by Goldmann applanation tonometry were performed to the all children. Analysis of variance (ANOVA), post hoc Tukey analysis, rank correlation and Fischer’s exact tests were used for statistical analysis.
Results: Mean Hertel values were 15.3 ± 2.1 mm, 12.1 ± 1.8 mm and were 15.7±2.1 mm in the obesity, control and Graves groups, respectively. Mean Hertel values were similar in obesity and Graves groups while they were significantly higher in these two groups than controls (p<0.001, for both analysis). Mean IOP values were 18.8±3.4 mmHg, 12.7±2.6 mmHg and 18.0±3.7 mmHg in the obesity, control and Graves groups, respectively. Mean IOP values were similar in obesity and Graves groups while they were significantly higher in these two groups than controls (p= 0.018, p= 0.021, respectively). There was a positive significant correlation between Hertel values and IOP (p< 0.001).
Conclusion: Both Hertel and IOP values of obese children are significantly higher than controls. There is a significant positive correlation between Hertel values and IOP. Exophthalmos values should be redefined for obese children and IOP should be measured in these children.Keywords: Obesity; exophthalmos; intraocular pressure; Graves ophthalmopathyTurkiye Klinikleri J Ophthalmol 2007, 16:222-226
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