Evaluation of choroidal thickness measurements in patients with marked nasal septal deviation

Bezgin, Selin Üstün; Çakabay, Taliye; Bayramoğlu, Sadık Etka; Sayın, Nihat; Koçyiğit, Murat

doi:10.1016/j.bjorl.2018.11.009

Cited by 6 publications

(6 citation statements)

References 22 publications

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“…Studies related with diseases involving the upper and lower respiratory tract are gaining momentum in the literature. A study in patients with nasal septal deviation showed no significant differences in subfoveal, temporal and nasal ChT measurements compared to a control group (24). Another study by Savran Elibol E et al .…”

Section: Discussionmentioning

confidence: 92%

Choridal and Retinal Changes in Patients With Allergic Rhinoconjunctivitis

Akcal,

Suleymanzade,

Isık

et al. 2024

Preprint

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Background: Allergic rhinoconjunctivitis (ARC) is an allergic upper respiratory tract disease characterized by sneezing, runny nose, nasal congestion and ocular and nasal itching due to inflammation of the nasal and conjunctival mucosa. There are no studies evaluating both the choroidal and retinal areas in ARC patients. Our objective was to evaluate patients with ARC at the time of diagnosis and before initiating treatment using Optical Coherence Tomography (OCT). Methods: This prospective cross-sectional study included 30 patients with ARC who presented to the Pediatric Allergy & Immunology Outpatient Clinic and 30 healthy control individuals. OCT scans were captured with Cirrus HD OCT-5000 (Carl Zeiss, Jena, Germany) in the enhanced depth imaging (EDI) mode. Results: Of the study population, 66.7% (n=20) of patient group and 56.6% (n=17) of control group were female. The mean age was 13±2.3 and 13.9±1.8 years in the patient and control groups, respectively. The temporal subfoveal choroidal thickness was statistically significantly thinner in ARC patients with asthma (p=0.032). A robust negative correlation was found between minimum ganglion cell-inner plexiform layer (GCIPL) thickness and allergic eosinophil count (AEC) in patients with ARC (r: -0.551, p<0.0001). Conclusion: In our study, the GCIPL thickness was lower in ARC patients. Similarly, although it did not reach statistical significance, the minimum GCIPL thickness was lower in our patient group with asthma compared to those without asthma. Our results suggest that multiple allergen sensitization and elevated eosinophils may influence GCIP thickness. However, both choroidal and retinal tissue might be impacted during chronic follow-up. Further studies are needed to support these findings. Keymessage: Multiple allergen sensitization and elevated eosinophil levels contribute to GCIPL thickness in ARC patients.

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Section: Discussionmentioning

confidence: 92%

Choridal and Retinal Changes in Patients With Allergic Rhinoconjunctivitis

Akcal,

Suleymanzade,

Isık

et al. 2024

Preprint

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“…In an animal study, Zhang et al found that choroidal thickness increased as choroidal blood flow increased [15]. Bezgin et al reported that there was no correlation between nasal septum deviation and choroid thickness in their study [3]. However, in a survey, Şahin et al compared choroidal thickness before and after septoplasty in patients with a deviated septum.…”

Section: Discussionmentioning

confidence: 99%

“…The obstruction may be chronic and severe and can even result in compensatory contralateral inferior turbinate hypertrophy. This can cause an increase in the surface area and blood supply of the inferior turbinate [2,3]. Nasal cavity blood circulation and ocular blood circulation have common pathways for both arterial blood supply and venous drainage [4].…”

Section: Introductionmentioning

confidence: 99%

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Effect of Nasal Septum Deviation on the Choroidal Thickness

Yetkin¹,

Karataş²

2023

Cureus

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Introduction: Nasal cavity blood circulation and ocular blood circulation have common pathways for both arterial blood supply and venous drainage. Therefore, nasal pathologies can affect ocular blood circulation. This study aimed to evaluate the relationship between nasal obstruction and choroidal thickness.Methods: A prospective study was planned by forming a group of 144 patients diagnosed with nasal septum deviation at the otorhinolaryngology clinic and 100 healthy voluntary individuals. Of the total, 69 patients with nasal right septum deviation were evaluated as Group 1, 75 patients with nasal left septum deviation as Group 2, and 100 healthy volunteers as the control group. Detailed ophthalmological examinations of all the participants were performed, and choroidal thickness was measured using spectral domain optical coherence tomography. The relationship between choroidal thickness and ocular parameters was evaluated and compared between the patient groups with nasal septum deviation and the control group.Results: When the choroidal thickness measurements of the patients in Group 1 were examined, the choroidal thickness increased in all the regions in the eye contralateral to the deviation side (left), and intraocular pressure (IOP) was higher compared to the eye on the deviation side (right) and the control group at a statistically significant level. In Group 2, the choroidal thickness measurements increased in all the regions in the eye contralateral to the deviation side (right), and IOP was higher compared to the deviation side (left) and the control group.Conclusions: We found that the patients with nasal septum deviation had higher choroidal thickness and IOP values in the eye contralateral to deviation.

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“…The choroid layer is established to go under diurnal changes of thickness, and daily rhythms of light exposure have a major effect in regulating these circadian rhythms (25). One of the suggested mechanisms in literature is that the light induces an increase in the dopaminergic neurons of the retina, which leads to the release of nitric oxide and consequently vascular dilation and choroidal congestion (20,26,27). On the other hand, serum cortisol is highly affected by the circadian rhythm and has a key role in the choroidal thickness (28).…”

Section: Discussionmentioning

confidence: 99%

Association of Choroidal Thickness with Sleep Deprivation in Night-shift Healthcare Workers

Shirzadi

Torkashvand

2021

Ann Mil Health Sci Res

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Background: Good vision is an important factor for most night-shift personnel, and the effects of sleep deprivation on visual function must be studied. Up to our knowledge, no study has evaluated the effect of nigh working on choroidal indices. Objectives: In this study, we aimed to investigate the effects of sleep deprivation on choroidal thickness. Methods: This cross-sectional study was conducted on 50 night-shift healthcare workers of the Islamic Republic of Iran (IRI) army medical core. Baseline choroidal thickness was measured for all participants using optical coherence tomography (OCT), and at the same time (10 AM to 2 PM) a day following the night shift, participants underwent a second measurement of choroidal thickness. The awake time before the second measurement was recorded. Results: The mean age ± standard deviation of the participants was 42.55 ± 5.52 that 52% were female. A statistically significant increase in choroidal thickness was recorded following night-shift (P = 0.001). Choroidal thickness following night-shift significantly correlated with age (r = -0.614; p = 0.001), awake time (r = 0.417; P = 0.003) and with baseline thickness of choroid (r = 0.830; P = 0.001). Conclusions: It seems that sleep deprivation may increase choroidal thickness, and the awake time may a predictor of choroidal thickness change after the night shift.

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Evaluation of choroidal thickness measurements in patients with marked nasal septal deviation

Cited by 6 publications

References 22 publications

Choridal and Retinal Changes in Patients With Allergic Rhinoconjunctivitis

Choridal and Retinal Changes in Patients With Allergic Rhinoconjunctivitis

Effect of Nasal Septum Deviation on the Choroidal Thickness

Association of Choroidal Thickness with Sleep Deprivation in Night-shift Healthcare Workers

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