Effects of Laboratory Parameters on Tear Tests and Optical Coherence Tomography Findings in Pediatric Celiac Disease

Aim: The aim of this study was to evaluate the tear parameters and optical coherence tomography (OCT) findings in children with celiac disease (CD) and to investigate the relationship between these findings and laboratory data. Material and Methods: The study included 100 eyes of 50 CD patients as w...

Full description

Bibliographic Details
Main Authors: Özlem Tezol, Yusuf Usta, Ayça Sarı, Esra Danacı Vatansever, Özer Dursun, Mustafa Vatansever, Erdem Dinç
Format: Article
Language:English
Published: Duzce University 2022-08-01
Series:Düzce Tıp Fakültesi Dergisi
Subjects:
Online Access:https://dergipark.org.tr/en/download/article-file/2287704
_version_ 1797426245449809920
author Özlem Tezol
Yusuf Usta
Ayça Sarı
Esra Danacı Vatansever
Özer Dursun
Mustafa Vatansever
Erdem Dinç
author_facet Özlem Tezol
Yusuf Usta
Ayça Sarı
Esra Danacı Vatansever
Özer Dursun
Mustafa Vatansever
Erdem Dinç
author_sort Özlem Tezol
collection DOAJ
description Aim: The aim of this study was to evaluate the tear parameters and optical coherence tomography (OCT) findings in children with celiac disease (CD) and to investigate the relationship between these findings and laboratory data. Material and Methods: The study included 100 eyes of 50 CD patients as well as 110 eyes of 55 healthy subjects with no ocular pathology as a control group. Best corrected visual acuity was evaluated, baseline tear volume was estimated using standard Schirmer’s test, and fluorescein tear film break-up time (TBUT) was determined for all participants. Pupillary dilation was induced and macular sections and optic disc sections were obtained with OCT. Results: The patient and control groups showed no statistically significant differences in terms of age and gender distribution (p=0.490, and p=0.930, respectively). Mean Schirmer’s test measurement was significantly lower in the CD patients compared to the control group (14.07±5.14 mm vs. 20.20±3.93 mm, p<0.001). TBUT was also shorter in the CD patients compared to the control subjects (10.86±3.51 s vs. 15.25±2.49 s, p<0.001). Mean total retinal thickness and outer retinal thickness values were significantly lower in the patient group than in the control group (p<0.001, for both parameters). In addition, the mean retinal nerve fiber layer (RNFL) thickness measurement was significantly thinner in the patient group than in the control group (p<0.001). Conclusion: In the presented study, it was observed that macular and RNFL thickness were decreased in children with CD compared to the control group, and tear tests were also impaired.
first_indexed 2024-03-09T08:27:29Z
format Article
id doaj.art-43bead2f03454428bb0827fcacefc0c5
institution Directory Open Access Journal
issn 1307-671X
language English
last_indexed 2024-03-09T08:27:29Z
publishDate 2022-08-01
publisher Duzce University
record_format Article
series Düzce Tıp Fakültesi Dergisi
spelling doaj.art-43bead2f03454428bb0827fcacefc0c52023-12-02T20:50:31ZengDuzce UniversityDüzce Tıp Fakültesi Dergisi1307-671X2022-08-0124212112510.18678/dtfd.108230097Effects of Laboratory Parameters on Tear Tests and Optical Coherence Tomography Findings in Pediatric Celiac DiseaseÖzlem Tezol0Yusuf Usta1Ayça Sarı2Esra Danacı Vatansever3Özer Dursun4Mustafa Vatansever5Erdem Dinç6MERSİN ÜNİVERSİTESİ, TIP FAKÜLTESİMERSİN ÜNİVERSİTESİ, TIP FAKÜLTESİMERSİN ÜNİVERSİTESİ, TIP FAKÜLTESİMERSİN ÜNİVERSİTESİ, TIP FAKÜLTESİMERSİN ÜNİVERSİTESİ, TIP FAKÜLTESİMERSİN ÜNİVERSİTESİ, TIP FAKÜLTESİMersin Üniversitesi, Tıp Fakültesi, Göz Hastalıkları ADAim: The aim of this study was to evaluate the tear parameters and optical coherence tomography (OCT) findings in children with celiac disease (CD) and to investigate the relationship between these findings and laboratory data. Material and Methods: The study included 100 eyes of 50 CD patients as well as 110 eyes of 55 healthy subjects with no ocular pathology as a control group. Best corrected visual acuity was evaluated, baseline tear volume was estimated using standard Schirmer’s test, and fluorescein tear film break-up time (TBUT) was determined for all participants. Pupillary dilation was induced and macular sections and optic disc sections were obtained with OCT. Results: The patient and control groups showed no statistically significant differences in terms of age and gender distribution (p=0.490, and p=0.930, respectively). Mean Schirmer’s test measurement was significantly lower in the CD patients compared to the control group (14.07±5.14 mm vs. 20.20±3.93 mm, p<0.001). TBUT was also shorter in the CD patients compared to the control subjects (10.86±3.51 s vs. 15.25±2.49 s, p<0.001). Mean total retinal thickness and outer retinal thickness values were significantly lower in the patient group than in the control group (p<0.001, for both parameters). In addition, the mean retinal nerve fiber layer (RNFL) thickness measurement was significantly thinner in the patient group than in the control group (p<0.001). Conclusion: In the presented study, it was observed that macular and RNFL thickness were decreased in children with CD compared to the control group, and tear tests were also impaired.https://dergipark.org.tr/en/download/article-file/2287704celiac diseaselaboratory parameterstear filmoptical coherence tomographypediatric patientsçölyak hastalığılaboratuar parametrelerigözyaşı filmioptik koherens tomografiçocuk hastalar
spellingShingle Özlem Tezol
Yusuf Usta
Ayça Sarı
Esra Danacı Vatansever
Özer Dursun
Mustafa Vatansever
Erdem Dinç
Effects of Laboratory Parameters on Tear Tests and Optical Coherence Tomography Findings in Pediatric Celiac Disease
Düzce Tıp Fakültesi Dergisi
celiac disease
laboratory parameters
tear film
optical coherence tomography
pediatric patients
çölyak hastalığı
laboratuar parametreleri
gözyaşı filmi
optik koherens tomografi
çocuk hastalar
title Effects of Laboratory Parameters on Tear Tests and Optical Coherence Tomography Findings in Pediatric Celiac Disease
title_full Effects of Laboratory Parameters on Tear Tests and Optical Coherence Tomography Findings in Pediatric Celiac Disease
title_fullStr Effects of Laboratory Parameters on Tear Tests and Optical Coherence Tomography Findings in Pediatric Celiac Disease
title_full_unstemmed Effects of Laboratory Parameters on Tear Tests and Optical Coherence Tomography Findings in Pediatric Celiac Disease
title_short Effects of Laboratory Parameters on Tear Tests and Optical Coherence Tomography Findings in Pediatric Celiac Disease
title_sort effects of laboratory parameters on tear tests and optical coherence tomography findings in pediatric celiac disease
topic celiac disease
laboratory parameters
tear film
optical coherence tomography
pediatric patients
çölyak hastalığı
laboratuar parametreleri
gözyaşı filmi
optik koherens tomografi
çocuk hastalar
url https://dergipark.org.tr/en/download/article-file/2287704
work_keys_str_mv AT ozlemtezol effectsoflaboratoryparametersonteartestsandopticalcoherencetomographyfindingsinpediatricceliacdisease
AT yusufusta effectsoflaboratoryparametersonteartestsandopticalcoherencetomographyfindingsinpediatricceliacdisease
AT aycasarı effectsoflaboratoryparametersonteartestsandopticalcoherencetomographyfindingsinpediatricceliacdisease
AT esradanacıvatansever effectsoflaboratoryparametersonteartestsandopticalcoherencetomographyfindingsinpediatricceliacdisease
AT ozerdursun effectsoflaboratoryparametersonteartestsandopticalcoherencetomographyfindingsinpediatricceliacdisease
AT mustafavatansever effectsoflaboratoryparametersonteartestsandopticalcoherencetomographyfindingsinpediatricceliacdisease
AT erdemdinc effectsoflaboratoryparametersonteartestsandopticalcoherencetomographyfindingsinpediatricceliacdisease