Evaluation of Ocular Parameters in Newly Diagnosed Obsessive-Compulsive Disorder Children With Eye-Rubbing Compulsion.

IF 1 4区医学 Q3 PEDIATRICS Clinical Pediatrics Pub Date : 2024-12-20 DOI:10.1177/00099228241304469

Muhammed Fatih Satılmaz, Mehmet Gökhan Aslan, Mert Beşenek

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Abstract

Purpose: To determine the ocular structural changes in obsessive-compulsive disorder (OCD) children with eye-rubbing compulsion.

Methods: Participants recruited at the child and adolescent psychiatry clinic were evaluated for the OCD diagnosis. All patients underwent imaging with Scheimpflug corneal topography (Sirius, CSO, Italy), Tomey EM-4000 specular microscopy (Nagoya, Japan), and Lenstar LS 900 (Haag-Streit AG, Switzerland) optical biometry.

Results: Both naive OCD and healthy control groups consisted of 40 patients. Mean cylindric diopter, coma, and trefoil values were significantly higher in the right eyes of OCD children. (P = .043, .024, and .028, respectively). Besides, lens thickness, total ocular aberrations, and high ocular aberrations (P = .014, .040; .027, .038; and.020, .013, in right and left eyes, respectively) were bilaterally higher in OCD children.

Conclusion: Eye rubbing and mechanical trauma were proposed as risk factors for ocular structural changes. Early evaluation of corneal topographic parameters such as CylD, coma, and trefoil aberrations in newly diagnosed OCD children might assist in preventing future corneal ectatic diseases.

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新诊断强迫症伴揉眼强迫症儿童眼部参数的评价。

目的：探讨强迫症（OCD）患儿揉眼强迫症的眼部结构变化。方法：在儿童和青少年精神病学诊所招募的参与者进行强迫症诊断评估。所有患者均接受Scheimpflug角膜地形图（Sirius， CSO，意大利）、Tomey EM-4000镜面显微镜（名古屋，日本）和Lenstar LS 900 （Haag-Streit AG，瑞士）光学生物测定成像。结果：初发强迫症组和健康对照组各40例。强迫症患儿右眼平均柱状屈光度、昏迷值和三叶值明显增高。（P分别为0.043、0.024和0.028）。晶状体厚度、总像差、高像差(P = 0.014, 0.040；.027 .038;和。在强迫症儿童中，双侧高（分别为0.020,0.013，右眼和左眼）。结论：眼部摩擦和机械损伤是眼部结构改变的危险因素。早期评估新诊断的强迫症儿童的角膜地形参数，如CylD、昏迷和三叶畸变，可能有助于预防未来的角膜扩张性疾病。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Pediatrics 医学-小儿科

CiteScore

2.10

自引率

6.20%

发文量

189

审稿时长

3-8 weeks

期刊介绍： Clinical Pediatrics (CLP) a peer-reviewed monthly journal, is a must read for the busy pediatrician. CLP contains state-of-the-art, accurate, concise and down-to earth information on practical, everyday child care topics whether they are clinical, scientific, behavioral, educational, or ethical.

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