高压氧治疗对角膜内皮结构和眼前节参数的影响。

IF 1.6 4区医学 Q3 OPHTHALMOLOGY Cutaneous and Ocular Toxicology Pub Date : 2023-12-01 Epub Date: 2023-08-09 DOI:10.1080/15569527.2023.2243499

Murat Garlı, Tuncay Küsbeci, Figen Aydın, Okan Akmaz

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Endothelial cell density (ECD), average cell area (AVG), coefficient of variation in cell size (CV), percentage of hexagonal cells (HEX), CCT, intraocular pressure (IOP), spherical equivalent (SE), axial length (AL) and anterior chamber depth (ACD) values were measured before the HBOT, after the 1st session, and after the 20th session of therapy.Results: 47% of the patients (n = 8) received HBOT because of avascular necrosis, 35% (n = 6) due to sudden hearing loss, 12% (n = 2) for diabetic foot, and 6% (n = 1) for wound infection. The mean IOP was 14,80 mmHg before HBOT, 14,20 mmHg after the 1st session, and 13,73 mmHg after the 20th session. The mean ACD was 3,38 mm before HBOT, 3,34 mm after the 1st session, and 3,16 mm after the 20th session. Although the mean IOP and ACD decreased after HBOT sessions, it was not statistically significant (p > 0.05). A significant reduction was observed in SE values after 20 sessions of HBOT compared to the values measured before HBOT (p = 0,009). 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引用次数: 0

摘要

目的：评价高压氧治疗对健康眼角膜内皮结构和眼前节参数的影响。方法：在这项前瞻性研究中，对17名患者中的17只眼睛进行了调查，这些患者计划接受除眼科适应症以外的HBOT治疗。使用镜面显微镜评估中央角膜厚度（CCT）和角膜内皮特性。在HBOT前、第1次治疗后和第20次治疗后测量内皮细胞密度（ECD）、平均细胞面积（AVG）、细胞大小变异系数（CV）、六边形细胞百分比（HEX）、CCT、眼压（IOP）、球当量（SE）、轴长（AL）和前房深度（ACD）值。结果：47%的患者（n = 8） 35%（n = 6）由于突发性听力损失，12%（n = 2）糖尿病足和6%（n = 1）用于伤口感染。平均IOP为14.80 HBOT前mmHg，14,20 第一次治疗后mmHg，13,73 mmHg。平均ACD为3,38 HBOT前的mm，3,34 mm，第1次会议后，3,16 mm。尽管平均IOP和ACD在HBOT治疗后有所下降，但无统计学意义（p > 0.05）。与HBOT前的测量值相比，在20次HBOT后观察到SE值显著降低（p = 0009）。平均ECD为2572,53 ± HBOT前261,51个细胞/mm2，2554,47 ± 第一届会议后236、13和2563、13 ± 226,92。当比较HBOT治疗前后测量的角膜特性时，在CCT、ECD、AVG、CV和HEX方面没有发现显著差异（p > 0.05）。结论：HBOT第1疗程和第20疗程后，CCT、角膜内皮层特性和眼前节形态均无显著变化。尽管HBOT降低了IOP和ACD，但没有统计学意义。在第20个会话之后，HBOT可能导致SE值的显著降低。

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The effect of hyperbaric oxygen therapy on corneal endothelial structure and anterior segment parameters.

Purpose: To assess the effect of hyperbaric oxygen therapy (HBOT) on corneal endothelial structure and anterior segment parameters in healthy eyes.

Methods: 17 eyes of 17 patients who were scheduled to receive HBOT for other than ophthalmologic indications were investigated in this prospective study. Central corneal thickness (CCT) and corneal endothelial properties were evaluated using a specular microscope. Endothelial cell density (ECD), average cell area (AVG), coefficient of variation in cell size (CV), percentage of hexagonal cells (HEX), CCT, intraocular pressure (IOP), spherical equivalent (SE), axial length (AL) and anterior chamber depth (ACD) values were measured before the HBOT, after the 1st session, and after the 20th session of therapy.

Results: 47% of the patients (n = 8) received HBOT because of avascular necrosis, 35% (n = 6) due to sudden hearing loss, 12% (n = 2) for diabetic foot, and 6% (n = 1) for wound infection. The mean IOP was 14,80 mmHg before HBOT, 14,20 mmHg after the 1st session, and 13,73 mmHg after the 20th session. The mean ACD was 3,38 mm before HBOT, 3,34 mm after the 1st session, and 3,16 mm after the 20th session. Although the mean IOP and ACD decreased after HBOT sessions, it was not statistically significant (p > 0.05). A significant reduction was observed in SE values after 20 sessions of HBOT compared to the values measured before HBOT (p = 0,009). The mean ECD was 2572,53 ± 261,51 cells/mm² before HBOT, 2554,47 ± 236,13 after the 1st session, and 2563,13 ± 226,92 after the 20th session. When the corneal properties measured before and after HBOT sessions were compared, no significant difference was found in terms of CCT, ECD, AVG, CV, and HEX (p > 0.05).

Conclusion: We observed no significant change in CCT, corneal endothelial layer properties, and anterior segment morphology after the 1st session, and after the 20th session of HBOT. Although HBOT reduced IOP and ACD, it was not statistically significant. HBOT may lead to a significant decrease in SE values after the 20th session.

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来源期刊

Cutaneous and Ocular Toxicology 医学-毒理学

CiteScore

3.30

自引率

6.20%

发文量

审稿时长

1 months

期刊介绍： Cutaneous and Ocular Toxicology is an international, peer-reviewed journal that covers all types of harm to cutaneous and ocular systems. Areas of particular interest include pharmaceutical and medical products; consumer, personal care, and household products; and issues in environmental and occupational exposures. In addition to original research papers, reviews and short communications are invited, as well as concise, relevant, and critical reviews of topics of contemporary significance.