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Evaluation of macular, retinal nerve fiber layer and choroidal thickness by optical coherence tomography in children and adolescents with vitamin B12 deficiency      
Yazarlar
Taha Ayyildiz
Ramazan Dulkadiroglu
Mevlut Yilmaz
Osman Ahmet Polat
Prof. Dr. Ali GÜNEŞ
Kırşehir Ahi Evran Üniversitesi
Özet
Purpose To investigate macular, Retinal Nerve Fiber Layer (RNFL) and choroidal thickness in children and adolescents with vitamin B-12 deficiency and no neurological examination finding. Methods The study group includes of thirty-three children aged 8-17 years who were brought to the Pediatric outpatient clinic with the symptoms of fatigue and forgetfulness and whose Vitamin B-12 levels were detected < 200 pg/ml. The control group was the 30 children and adolescents applied to the same policlinic with various symptoms and whose Vitamin B-12 levels were found normal. Children and adolescents with chronic systemic/ocular disease history and myopia or hyperopia more than 4 diopters were not included in both groups. Spectral Domain-Optical Coherence Tomography (SD-OCT) was used for measurements. Results Mean Macular thickness value was 261.2 +/- 17.6 in the Vitamin B-12 deficiency group and 267.7 +/- 17.4 in the control group. Mean value of Retinal Nerve Fiber Layer (RNFL) thickness was 103.5 +/- 7.5 in the Vitamin B-12 deficiency group and 104.3 +/- 8.9 in the control group. The mean values of Choroidal thickness were 360.1 +/- 59.8 and 316.9 +/- 95.4 in Vitamin B-12 deficiency and control groups, respectively. There was a statistically significant increase in choroidal thickness in Vitamin B-12 deficiency group compared to controls. Conclusion Statistically significant increase in the Choroidal thicknesses of children and adolescents with Vitamin B-12 deficiency is important in terms of shedding light on studies that will contribute to a better understanding of the relationship between vitamin B-12 and inflammation.
Anahtar Kelimeler
Vitamin B-12 deficiency, Choroid thickness, Macula, RNFL, Children, Adolescent
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı INTERNATIONAL OPHTHALMOLOGY
Dergi ISSN 0165-5701
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 70-2021
Cilt No 41
Sayı 7
Sayfalar 2399 / 2404
Doi Numarası 10.1007/s10792-021-01794-1