Journals / Retina-Vitreus / 2006 / Cilt: 14 - Sayı: 3

Value of haemodynamic changes in the orbital arteries in the early recognition of ocular involvement of Behçet’s disease

Behçet hastalığının göz tutulumunun erken saptanmasında orbital arterlerdeki hemodinamik değişikliklerin değeri

Pages
175–180
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Particularly, end-diastolic velocity and pulsatility index are useful parameters in the recognition of ocular Behçet’s disease.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Purpose: To investigate the changes in haemodynamic parameters in the orbital arteries by Color Doppler Ultrasonography (CDU) and to determine useful parameter(s) in the early recognition of ocular Behçet’s disease Materials and Methods: Study group included 104 eyes[30 eyes with ocular involvement (ocular Behçet’s-OB), 34 eyes without ocular involvement (non-ocular Behçet’s- NOB) and 40 normal eyes in control group (CG)].
📊
Key Findings & Data:T test with Bonferroni’s adjustment was used in statistical analysis.
💡
Conclusion & Impact:Particularly, end-diastolic velocity and pulsatility index are useful parameters in the recognition of ocular Behçet’s disease.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Oftalmik arter · Ultrasonografi · doppler

Abstract

Purpose: To investigate the changes in haemodynamic parameters in the orbital arteries by Color Doppler Ultrasonography (CDU) and to determine useful parameter(s) in the early recognition of ocular Behçet&#8217;s disease Materials and Methods: Study group included 104 eyes[30 eyes with ocular involvement (ocular Behçet&#8217;s-OB), 34 eyes without ocular involvement (non-ocular Behçet&#8217;s- NOB) and 40 normal eyes in control group (CG)]. Ocular blood flow velocities (OBFV) were obtained from ophthalmic artery (OA), central retinal artery (CRA) and posterior ciliary artery (PCA) by CDU, pulsatility index (PI) and resistivity index (RI) were calculated. T test with Bonferroni&#8217;s adjustment was used in statistical analysis. Results: OBFV&#8217;s significantly decreased in ocular compared to NOB and CG (p<0.0001). They were almost equal to or slightly different in NOB from CG for CRA. PI&#8217;s of OA and PCA in OB and NOB groups were higher than CG, and more evident in OB group (p< 0.03). In OB group, RI&#8217;s were higher than CG for all arteries, however higher only in OA when comparing with NOB(p<0.0001). Conclusion: There are significant reductions in the OBFV&#8217;s in the cases with Behçet&#8217;s disease and they are more evident in case of ocular involvement. Particularly, end-diastolic velocity and pulsatility index are useful parameters in the recognition of ocular Behçet&#8217;s disease.

Özet

Amaç: Behçet hastalığında Renkli Doppler Ultrasonografi (RDUS) ile orbital arterlerin hemodinamik parametrelerindeki değişikliklerin araştırılması ve Behçet hastalığının göz tutulumunun erken tanısında kullanışlı parametrelerin saptanmasıdır. Gereç ve Yöntem: Çalışma grubu 104 gözü kapsadı [30 göz tutulumlu(oküler Behçet- OB), 34 göz tutulumsuz (non-oküler Behçet- NOB) ve 40 normal (göz kontrol grubu- KG)] .Oftalmik arter (OA), santral retinal arter (SRA) ve arka silier arterden (ASA) RDUS ile oküler kan akım hızları (OKAH) parametreleri (MSH=maksimum sistolik hız, DSH=diastol sonu hız, OH=ortalama hız) elde edildi; pulzatilite indeksi (Pİ), rezistivite indeksi (Rİ) hesaplandı. İstatistiksel analizde Bonferroni düzeltmeli t testi kullanıldı. Bulgular: Oküler kan akım hızı oküler Behçet grubunda non-oküler Behçet grubuna ve kontrol grubuna göre anlamlı olarak azdı (p< 0.0001). SRA oküler kan akım hızı değeri non-oküler Behçet grubunda kontrol grubuna göre eşit veya hafifçe farklıydı. Oküler Behçet grubunda daha belirgin olmak üzere OA ve ASA’in pulzatilite indeks değeri non-oküler Behçet ve oküler Behçet grubunda kontrol grubuna göre yüksekti (p< 0.03). Oküler Behçet grubunda tüm arterlerde rezistivite indeks değeri kontrol grubundan anlamlı yüksek, non-oküler Behçet grubuna kıyasla ise sadece OA’de yüksekti (p< 0.0001). Sonuç: Behçet hastalığında OKAH değerinde belirgin azalma vardır ve göz tutulumu olan olgularda daha belirgindir. Özellikle diastol sonu hızı (DSH) ve pulzatilite indeksi (Pİ) Behçet hastalığının göz tutulumunun erken tanısında kullanışlı parametreler olabilir.

🔖

Cite This Article

SÖNMEZ, M., ERŞANLI, D., PEKKAFALI, Z. (2006). Value of haemodynamic changes in the orbital arteries in the early recognition of ocular involvement of Behçet’s disease. Retina-Vitreus, Cilt: 14 - Sayı: 3, 175–180. https://ajindex.com/articles/305344

References (20)

  1. Suzuki Kurokawa M, Suzuki N.: Behcet’s disease. Clin Exp Med. 2004;4:10-20
  2. Tugal-Tutkun İ, Onal S, Altan-Yaycıoğlu R, et al.: Uveitis in Behcet disease: an analysis of 880 patients. Am J Ophthalmol. 2004; 138:373-380
  3. Mamo JG: The rate of visual loss in Behcet’s disease. Arch Ophthalmol. 1970;84:451-452
  4. Nussenblatt RB, Withcup SM, Palestine AG: Behcet’s disease. In: Uveitis Fundamentals and Clinical Practice. London: Mosby Year Book. 1996:334-353
  5. Atmaca LS, Gündüz K.: Behçet Hastalığı. Ret-Vit. 1994;2:244-255
  6. Mishima S, Masuda K, Izawa Y, et al.: The eighth Frederick H. Verhoeff Lecture. presented by Saiichi Mishima, MD Behcet’s disease in Japan: ophthalmologic aspects. Trans Am Ophthalmol 1979; 77: 225-279
  7. Soylu M, İşigüzel I, Demircan N, ve ark.: Behçet hastalığının oküler tutulumunda görülen hemodinamik değişiklikler In: Kural G, Duman S, eds. XXX. Ulusal Oftalmoloji Kongre Bülteni. 1996; 130-133
  8. Winter FC, Yukins RE.: The ocular pathology of Behcet’s disease. Am J Ophthalmol. 1966;62:257-262
  9. Mullaney J, Collum LM.: Ocular Vasculitis in Behcet’s disease: A pathological and immunohistochemical study. Int Ophthalmol. 1985;7:183-191
  10. Erickson SJ, Hendrix LE, Massaro BM.: Color Doppler flow imaging of the normal and abnormal orbit. Radiology. 1989;173: 511-517
  11. Lieb WE, Cohen SM, Metron DA, et al.: Color Doppler imaging of the eye and orbit: technique and normal vascular anatomy. Arch Ophthalmol. 1991;109:527-532
  12. The International Study Group for Behcet’s disease. Evaluation of Diagnostic (Classification) Criteria in Behcet’s Disease –Towards Internationally Agreed Criteria. Br J Rheumatol. 1992;31:299-308
  13. Kendall M, Stuart A.: The advanced theory of statistics. New York: Hafner. 1979;2
  14. Bland JM, Altman DG.: Multiple significance tests: the Bonferroni method. BMJ. 1995;310:170
  15. Atmaca LS.: Fundus changes associated with Behcet’s disease. Graefes Arch Clin Exp Ophthalmol. 1989;227:340-344
  16. Koç Y, Güllü I, Akpek G, et al.: Vascular involvement in Behcet’s disease. J Rheumatol. 1992;19:402-410
  17. Or M: Retinal vaskülitlerin ayırıcı tanısı: bir klinik araştırma Ret- Vit. 1993;1:163-178
  18. Özyazgan Y, Pazarlı H, Yazıcı H.: Behçet hastalığının tedavisinde göz tutulumunun şiddeti. T Oft Gaz. 1987;17:538-551
  19. Özdemir H, Atilla H, Atilla S, et al.: Diagnosis of ocular involvement in Behcet’s disease: Value of spectral and color Doppler sonography. Am J Roentgenol. 1995;164:1223-1227
  20. Durano