The Measurement of Elderly Volunteers’ Optic Nerve Sheath Diameters by Ocular Ultrasonography

Background and objectives: The optic nerve is a component of the central nervous system, and the optic nerve sheath is connected to the subarachnoid space. For this reason, intracranial pressure (ICP) increases are directly transmitted to the optic nerve sheath. Knowing the normal optic nerve sheath...

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Main Authors: Mustafa Avci, Nalan Kozaci, Erdal Komut, Seval Komut, Gulsum Caliskan, Gul Tulubas
Format: Article
Language:English
Published: MDPI AG 2019-07-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/55/8/413
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author Mustafa Avci
Nalan Kozaci
Erdal Komut
Seval Komut
Gulsum Caliskan
Gul Tulubas
author_facet Mustafa Avci
Nalan Kozaci
Erdal Komut
Seval Komut
Gulsum Caliskan
Gul Tulubas
author_sort Mustafa Avci
collection DOAJ
description Background and objectives: The optic nerve is a component of the central nervous system, and the optic nerve sheath is connected to the subarachnoid space. For this reason, intracranial pressure (ICP) increases are directly transmitted to the optic nerve sheath. Knowing the normal optic nerve sheath diameter (ONSD) range in a healthy population is necessary to interpret this measurement as a sign of intracranial pressure in clinical practice and research. In this study, we aimed to determine the standard ONSD value in healthy adultsaged65 years of age or older who had not previously been diagnosed with a disease that could increase the ICP. Materials and Methods: The right and left ONSD values and ONSD differences were compared, according to the gender of the patients. The patients were divided into 3 groups, according to their age. The age groups were assigned as follows: Group 1: 65−74 years of age; Group 2: 75−84 years of age; and Group 3: 85 years of age or older. The ONSDs and the ONSD difference between the left and right eyes of Group 1, Group 2 and Group 3 were compared. Results: The study included 195 volunteers. The mean ONSD of both eyes was 4.16±0.69 mm, and the difference between the ONSD of the left and right eyes was 0.16±0.18 mm. There was no difference between genders in terms of right ONSD, left ONSD, mean ONSD and ONSD difference between the left and right eyes. There was no correlation between age and ONSD and ONSD difference. When the age groups and ONSD were compared, no difference was found between the groups. Conclusions: In conclusion, the ONSDs of both eyes do not vary with age in healthy adults aged65 years or older. ONSD does not vary between genders. The calculation of ONSD difference can be used to determine ICP increase.
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spelling doaj.art-4a67292d488f465280b62474ca06fa142023-09-03T03:43:18ZengMDPI AGMedicina1010-660X2019-07-0155841310.3390/medicina55080413medicina55080413The Measurement of Elderly Volunteers’ Optic Nerve Sheath Diameters by Ocular UltrasonographyMustafa Avci0Nalan Kozaci1Erdal Komut2Seval Komut3Gulsum Caliskan4Gul Tulubas5Department of Emergency Medicine, University of Health Sciences, Antalya Education and Research Hospital, 07100 Antalya, TurkeyDepartment of Emergency Medicine, University of Health Sciences, Antalya Education and Research Hospital, 07100 Antalya, TurkeyDepartment of Radiology, Hitit University Medical School, 19040 Corum, TurkeyDepartment of Emergency Medicine, Hitit University Medical School, 19040 Corum, TurkeyDepartment of Emergency Medicine, University of Health Sciences, Antalya Education and Research Hospital, 07100 Antalya, TurkeyDepartment of Emergency Medicine, University of Health Sciences, Antalya Education and Research Hospital, 07100 Antalya, TurkeyBackground and objectives: The optic nerve is a component of the central nervous system, and the optic nerve sheath is connected to the subarachnoid space. For this reason, intracranial pressure (ICP) increases are directly transmitted to the optic nerve sheath. Knowing the normal optic nerve sheath diameter (ONSD) range in a healthy population is necessary to interpret this measurement as a sign of intracranial pressure in clinical practice and research. In this study, we aimed to determine the standard ONSD value in healthy adultsaged65 years of age or older who had not previously been diagnosed with a disease that could increase the ICP. Materials and Methods: The right and left ONSD values and ONSD differences were compared, according to the gender of the patients. The patients were divided into 3 groups, according to their age. The age groups were assigned as follows: Group 1: 65−74 years of age; Group 2: 75−84 years of age; and Group 3: 85 years of age or older. The ONSDs and the ONSD difference between the left and right eyes of Group 1, Group 2 and Group 3 were compared. Results: The study included 195 volunteers. The mean ONSD of both eyes was 4.16±0.69 mm, and the difference between the ONSD of the left and right eyes was 0.16±0.18 mm. There was no difference between genders in terms of right ONSD, left ONSD, mean ONSD and ONSD difference between the left and right eyes. There was no correlation between age and ONSD and ONSD difference. When the age groups and ONSD were compared, no difference was found between the groups. Conclusions: In conclusion, the ONSDs of both eyes do not vary with age in healthy adults aged65 years or older. ONSD does not vary between genders. The calculation of ONSD difference can be used to determine ICP increase.https://www.mdpi.com/1010-660X/55/8/413elderly populationemergency servicehospitalintracranial pressureocular ultrasonographyoptic nerve sheath diameterONSD
spellingShingle Mustafa Avci
Nalan Kozaci
Erdal Komut
Seval Komut
Gulsum Caliskan
Gul Tulubas
The Measurement of Elderly Volunteers’ Optic Nerve Sheath Diameters by Ocular Ultrasonography
Medicina
elderly population
emergency service
hospital
intracranial pressure
ocular ultrasonography
optic nerve sheath diameter
ONSD
title The Measurement of Elderly Volunteers’ Optic Nerve Sheath Diameters by Ocular Ultrasonography
title_full The Measurement of Elderly Volunteers’ Optic Nerve Sheath Diameters by Ocular Ultrasonography
title_fullStr The Measurement of Elderly Volunteers’ Optic Nerve Sheath Diameters by Ocular Ultrasonography
title_full_unstemmed The Measurement of Elderly Volunteers’ Optic Nerve Sheath Diameters by Ocular Ultrasonography
title_short The Measurement of Elderly Volunteers’ Optic Nerve Sheath Diameters by Ocular Ultrasonography
title_sort measurement of elderly volunteers optic nerve sheath diameters by ocular ultrasonography
topic elderly population
emergency service
hospital
intracranial pressure
ocular ultrasonography
optic nerve sheath diameter
ONSD
url https://www.mdpi.com/1010-660X/55/8/413
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