Dikkat eksikliği ve hiperaktivite tanılı hastalarda oküler özellikler
Küçük Resim Yok
Tarih
2018
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Dikkat eksikliği ve hiperaktivite bozukluğu (DEHB) çocukların günlük aktiviteleri ile okul ve iş hayatında bazı olumsuz etkilere neden olabilir. Çalışmamızda yeni DEHB tanısı konmuş çocuklarda görsel fonksiyonun performaslarını etkileyebileceği düşünülerek oftalmolojik testler yardımıyla DEHB' ye eşlik eden göz bulguları değerlendirildi. Materyal ve Metod: Bu çalışma İnönü Üniversitesi Tıp Fakültesi Göz Hastalıkları Anabilim Dalı' nda 01.02.2017 - 01.01.2018 tarihleri arasında prospektif olarak yapılmıştır. Çalışmaya 6-16 yaş arası, hasta ve kontrol grubundan 37 çocuk dahil edildi. Tüm çocuklara detaylı oküler muayenenin ardından, renk görme muayenesi, şaşılık muayenesi, kontrast sensitivite ve optik koherens tomografi (OKT) ile retina sinir lifi kalnlığı (RSLT) ve makula kalınlığı ölçümleri uygulandı. Bulgular: DEHB ve kontrol grubu arasında standart oküler muayenede, renk görme, konverjans eksikliği, makula kalınlığı ve RSLT kalınlığında istatistiksel olarak anlamlı bir fark bulunmamasına rağmen, kontrast sensitivite testinde yapılan 5 uzaysal frekansın 4' ünde (1.5 cpd' de (p<0.001), 3 cpd' de (p<0.001), 6 cpd' de (p>0.005), 12 cpd' de (p<0.001) ve 18 cpd' de (p<0.001)) kontrast sensitivite düzeyleri DEHB grubunda istatistiksel olarak anlamlı düşük bulunmuştur. Sonuç: DEHB' li olgularda detaylı oküler muayene görsel fonksiyonların tespitinin yanında kişinin yeteneklerinin değerlendirilmesinde önemli bir boyut kazandırmaktadır. Çalışmamızda kontrast sensitivite düzeyinin DEHB' li çocuklarda kontrollere göre düşük saptanması, çocukların farklı aktivitelere ilgi duymasından meslek seçimine kadar göz bulguları ve kontrast sensivite düzeylerinin göz ardı edilmemesi gerektiğini ortaya koymaktadır. Bu nedenle düşük kontrast sensitivite değerlerine sahip olan DEHB' li çocuklar için alınması gereken önlemler ve ilaçla tedavi edilen hastalarda oküler bulgulardaki değişiklikler ileri çalışmalarla ortaya konmalıdır. Anahtar Kelimeler: Dikkat Eksikliği ve Hiperaktivite Bozukluğu, Göz Bulguları, Kontrast Sensitivite, Renk Görme, Optik Koherens Tomografi
Purpose: Attention deficit / hyperactivity disorder (ADHD) may cause adverse effects on children's daily activities, school and business life. In our study, children with untreated ADHD, which were newly diagnosed, were performed ophthalmologic examinations and ophthalmological tests to assess eye findings accompanying ADHD, considering that eye performances may be affected. Material and Method: This study was conducted prospectively between 01.02.2017 - 01.01.2018 in Inönü University Faculty of Medicine Department of Ophthalmology. The study included 37 children from patient group and 37 children from control group, whose ages betwenn 6-16 years old. All children underwent detailed ocular examination followed by color vision examination, strabismus examination, contrast sensitivity and optical coherence tomography (OCT) for retinal nerve fiber layer (RNFL) thickness and macular thickness measurements. Results: Although there was no statistically significant difference between the ADHD and the control group in terms of standard oculer examination, color vision, convergence insufficiency, macular thickness, and RNFL thickness, a statistically significant difference was found in the 4 spatial frequency of the 5 contrast spots in the contrast sensitivity test (respectively (p<0.001), (p<0.001), (p>0.005), (p<0.001), (p<0.001)). Conclusions: In the case of ADHD, detailed ocular examination provides an important dimension in assessing the person's abilities in addition to determining visual functions. In our study, the children with ADHD have lower levels of contrast sensitivity, which suggest that ocular findings and contrast sensitivity levels should not be ignored from children's interest in different activities to the choice of career. Therefore, which measures are to be taken for children with ADHD who have low contrast sensitivity values and changes in ocular findings with drug-treated patients should be further investigated. Keywords: Attention Deficit / Hyperactivity Disorder, Ocular Findings, Contrast Sensitivity, Color Vision, Optical Coherence Tomography
Purpose: Attention deficit / hyperactivity disorder (ADHD) may cause adverse effects on children's daily activities, school and business life. In our study, children with untreated ADHD, which were newly diagnosed, were performed ophthalmologic examinations and ophthalmological tests to assess eye findings accompanying ADHD, considering that eye performances may be affected. Material and Method: This study was conducted prospectively between 01.02.2017 - 01.01.2018 in Inönü University Faculty of Medicine Department of Ophthalmology. The study included 37 children from patient group and 37 children from control group, whose ages betwenn 6-16 years old. All children underwent detailed ocular examination followed by color vision examination, strabismus examination, contrast sensitivity and optical coherence tomography (OCT) for retinal nerve fiber layer (RNFL) thickness and macular thickness measurements. Results: Although there was no statistically significant difference between the ADHD and the control group in terms of standard oculer examination, color vision, convergence insufficiency, macular thickness, and RNFL thickness, a statistically significant difference was found in the 4 spatial frequency of the 5 contrast spots in the contrast sensitivity test (respectively (p<0.001), (p<0.001), (p>0.005), (p<0.001), (p<0.001)). Conclusions: In the case of ADHD, detailed ocular examination provides an important dimension in assessing the person's abilities in addition to determining visual functions. In our study, the children with ADHD have lower levels of contrast sensitivity, which suggest that ocular findings and contrast sensitivity levels should not be ignored from children's interest in different activities to the choice of career. Therefore, which measures are to be taken for children with ADHD who have low contrast sensitivity values and changes in ocular findings with drug-treated patients should be further investigated. Keywords: Attention Deficit / Hyperactivity Disorder, Ocular Findings, Contrast Sensitivity, Color Vision, Optical Coherence Tomography
Açıklama
Anahtar Kelimeler
Göz Hastalıkları, Eye Diseases
