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Choroidal thickness evaluation in paediatric patients with adenotonsillar hypertrophy

Published online by Cambridge University Press:  24 May 2017

A Yenigun ,
A Elbay ,
A M Hafiz  and
O Ozturan
A Yenigun*
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
A Elbay
Affiliation:
Department of Ophthalmology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
A M Hafiz
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
O Ozturan
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
*
Address for correspondence: Dr Alper Yenigun, Department of Otorhinolaryngology, Faculty of Medicine, Bezmialem Vakif University, Adnan Menderes Bulvarı, Vatan Caddesi, 34093 Fatih, İstanbul Fax: +90 (212) 453 18 70 E-mail: [email protected]
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Abstract

Objective:

To investigate choroidal thickness using enhanced-depth imaging optical coherence tomography in paediatric patients with adenotonsillar hypertrophy, with comparison to healthy children, three months after adenotonsillectomy.

Methods:

The patients were assigned to three groups: an adenotonsillar hypertrophy group, an adenotonsillectomy group and a healthy control group. In all groups, subfoveal, temporal and nasal choroidal thickness measurements were taken.

Results:

In the subfoveal, temporal and nasal regions, choroidal tissue was found to be significantly thinner in adenotonsillar hypertrophy children than healthy children (p = 0.012, p = 0.027 and p = 0.020). The subfoveal and temporal choroidal thickness measurements of adenotonsillar hypertrophy group cases were significantly decreased compared to those in the adenotonsillectomy group (p = 0.038 and p = 0.048).

Conclusion:

There was a significant association between decreased choroidal thickness and adenotonsillar hypertrophy. Adenotonsillar hypertrophy may play an important role in decreased choroidal thickness.

Keywords

ChildrenChoroidAdenoidsPalatine TonsilTonsillectomyOptical Coherence Tomography
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 9 , September 2017 , pp. 768 - 772
Copyright
Copyright © JLO (1984) Limited 2017 

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References

1 Redline, S, Tishler, PV, Schluchter, M, Aylor, J, Clark, K, Graham, G. Risk factors for sleep-disordered breathing in children. Associations with obesity, race, and respiratory problems. Am J Respir Crit Care Med 1999;159:1527–32Google Scholar
2 Bower, CM, Gungor, A. Pediatric obstructive sleep apnea syndrome. Otolaryngol Clin North Am 2000;33:49–75 Google Scholar
3 Alexiou, VG, Salazar-Salvia, MS, Jervis, PN, Falagas, ME. Modern technology-assisted vs conventional tonsillectomy: a meta-analysis of randomized controlled trials. Arch Otolaryngol Head Neck Surg 2011;137:558–70CrossRefGoogle ScholarPubMed
4 Zengin, MO, Oz, T, Baysak, A, Cinar, E, Kucukerdonmez, C. Changes in choroidal thickness in patients with obstructive sleep apnea syndrome. Ophthalmic Surg Lasers Imaging Retina 2014;45:298–304 CrossRefGoogle ScholarPubMed
5 Nickla, DL, Wallman, J. The multifunctional choroid. Prog Retin Eye Res 2010;29:144–68Google Scholar
6 Wong, IY, Koizumi, H, Lai, WW. Enhanced depth imaging optical coherence tomography. Ophthalmic Surg Lasers Imaging 2011;42:75–84 CrossRefGoogle ScholarPubMed
7 Spaide, RF, Koizumi, H, Pozzoni, MC. Enhanced depth imaging spectral-domain optical coherence tomography. Am J Ophthalmol 2008;146:496–500 CrossRefGoogle ScholarPubMed
8 Fujiwara, T, Imamura, Y, Margolis, R, Slakter, JS, Spaide, RF. Enhanced depth imaging optical coherence tomography of the choroid in highly myopic eyes. Am J Ophthalmol 2009;148:445–50CrossRefGoogle ScholarPubMed
9 Ikuno, Y, Tano, Y. Retinal and choroidal biometry in highly myopic eyes with spectral-domain optical coherence tomography. Invest Ophthalmol Vis Sci 2009;50:3876–80CrossRefGoogle ScholarPubMed
10 Yeoh, J, Rahman, W, Chen, F, Hooper, C, Patel, P, Tufail, A et al. Choroidal imaging in inherited retinal disease using the technique of enhanced depth imaging optical coherence tomography. Graefes Arch Clin Exp Ophthalmol 2010;248:1719–28CrossRefGoogle ScholarPubMed
11 Spaide, RF. Age-related choroidal atrophy. Am J Ophthalmol 2009;147:801–10CrossRefGoogle ScholarPubMed
12 Xin, C, Wang, J, Zhang, W, Wang, L, Peng, X. Retinal and choroidal thickness evaluation by SD-OCT in adults with obstructive sleep apnea-hypopnea syndrome (OSAS). Eye 2014;28:415–21Google Scholar
13 Kara, S, Ozcimen, M, Bekci, TT, Sakarya, Y, Gencer, B, Tufan, HA et al. Evaluation of choroidal thickness in patients with obstructive sleep apnea/hypopnea syndrome. Arq Bras Oftalmol 2014;77:280–4CrossRefGoogle ScholarPubMed
14 Karalezli, A, Eroglu, FC, Kivanc, T, Dogan, R. Evaluation of choroidal thickness using spectral-domain optical coherence tomography in patients with severe obstructive sleep apnea syndrome: a comparative study. Int J Ophthalmol 2014;7:1030–4Google Scholar
15 Brodsky, L, Moore, L, Stanievich, J. The role of Haemophilus influenzae in the pathogenesis of tonsillar hypertrophy in children. Laryngoscope 1988;98:1055–60Google Scholar
16 Richardson, MA. Sore throat, tonsillitis, and adenoiditis. Med Clin North Am 1999;83:75–83 CrossRefGoogle ScholarPubMed
17 Yenigun, A. The efficacy of tonsillectomy in chronic tonsillitis patients as demonstrated by the neutrophil-to-lymphocyte ratio. J Laryngol Otol 2015;129:386–91CrossRefGoogle ScholarPubMed
18 Parker, NP, Walner, DL. Trends in the indications for pediatric tonsillectomy or adenotonsillectomy. Int J Pediatr Otorhinolaryngol 2011;75:282–5Google Scholar
19 Jelic, S, Padeletti, M, Kawut, SM, Higgins, C, Canfield, SM, Onat, D et al. Inflammation, oxidative stress, and repair capacity of the vascular endothelium in obstructive sleep apnea. Circulation 2008;117:2270–8Google Scholar
20 Maruko, I, Iida, T, Sugano, Y, Ojima, A, Sekiryu, T. Subfoveal choroidal thickness in fellow eyes of patients with central serous chorioretinopathy. Retina 2011;31:1603–8Google Scholar
21 Nakayama, M, Keino, H, Okada, AA, Watanabe, T, Taki, W, Inoue, M et al. Enhanced depth imaging optical coherence tomography of the choroid in Vogt-Koyanagi-Harada disease. Retina 2012;32:2061–9Google Scholar
22 Delaey, C, Van De Voorde, J. Regulatory mechanisms in the retinal and choroidal circulation. Ophthalmic Res 2000;32:249–56Google Scholar
23 He, M, Han, X, Wu, H, Huang, W. Choroidal thickness changes in obstructive sleep apnea syndrome: a systematic review and meta-analysis. Sleep Breath 2016;20:369–78Google Scholar
24 Chung, SE, Kang, SW, Lee, JH, Kim, YT. Choroidal thickness in polypoidal choroidal vasculopathy and exudative age-related macular degeneration. Ophthalmology 2011;118:840–5CrossRefGoogle ScholarPubMed
25 Kubota, T, Jonas, JB, Naumann, GO. Decreased choroidal thickness in eyes with secondary angle closure glaucoma. An aetiological factor for deep retinal changes in glaucoma? Br J Ophthalmol 1993;77:430–2CrossRefGoogle ScholarPubMed
26 Esmaeelpour, M, Považay, B, Hermann, B, Hofer, B, Kajic, V, Hale, SL et al. Mapping choroidal and retinal thickness variation in type 2 diabetes using three-dimensional 1060-nm optical coherence tomography. Invest Ophthalmol Vis Sci 2011;52:5311–16Google Scholar
27 He, M, Huang, W. The role of choroidal thickness in diabetic retinopathy and obstructive sleep apnea syndrome. Sleep Breath 2016;20:1009–10Google Scholar