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The Measurement of Elderly Volunteers’ Optic Nerve Sheath Diameters by Ocular Ultrasonography

机译:眼科超声对老年人志愿者视神经鞘管直径的测量

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摘要

Background and objectives: The optic nerve is a component of the central nervous system, and the optic nerve sheath is connected to the subarachnoid space. For this reason, intracranial pressure (ICP) increases are directly transmitted to the optic nerve sheath. Knowing the normal optic nerve sheath diameter (ONSD) range in a healthy population is necessary to interpret this measurement as a sign of intracranial pressure in clinical practice and research. In this study, we aimed to determine the standard ONSD value in healthy adultsaged65 years of age or older who had not previously been diagnosed with a disease that could increase the ICP. Materials and Methods: The right and left ONSD values and ONSD differences were compared, according to the gender of the patients. The patients were divided into 3 groups, according to their age. The age groups were assigned as follows: Group 1: 65–74 years of age; Group 2: 75–84 years of age; and Group 3: 85 years of age or older. The ONSDs and the ONSD difference between the left and right eyes of Group 1, Group 2 and Group 3 were compared. Results: The study included 195 volunteers. The mean ONSD of both eyes was 4.16±0.69 mm, and the difference between the ONSD of the left and right eyes was 0.16±0.18 mm. There was no difference between genders in terms of right ONSD, left ONSD, mean ONSD and ONSD difference between the left and right eyes. There was no correlation between age and ONSD and ONSD difference. When the age groups and ONSD were compared, no difference was found between the groups. Conclusions: In conclusion, the ONSDs of both eyes do not vary with age in healthy adults aged65 years or older. ONSD does not vary between genders. The calculation of ONSD difference can be used to determine ICP increase.
机译:背景与目的:视神经是中枢神经系统的组成部分,视神经鞘管与蛛网膜下腔相连。因此,颅内压(ICP)的升高直接传递到视神经鞘管。了解健康人群的正常视神经鞘管直径(ONSD)范围对于将该测量结果解释为临床实践和研究中的颅内压迹象十分必要。在这项研究中,我们旨在确定65岁以上健康成年人的标准ONSD值,这些成年人以前没有被诊断出可以增加ICP的疾病。材料和方法:根据患者的性别比较左右ONSD值和ONSD差异。根据年龄将患者分为三组。年龄组分配如下:第1组:65-74岁;第2组:75-84岁;第三组:85岁或以上。比较第一组,第二组和第三组的左眼和右眼的ONSD和ONSD差异。结果:该研究包括195名志愿者。两只眼睛的平均ONSD为4.16±0.69mm,左右眼的ONSD之差为0.16±0.18mm。性别在右ONSD,左ONSD,左眼和右眼的平均ONSD和ONSD方面没有差异。年龄与ONSD和ONSD差异之间没有相关性。比较年龄组和ONSD时,两组之间无差异。结论:总之,在65岁或65岁以上的健康成年人中,两只眼睛的ONSD均不随年龄而变化。男女之间,ONSD没有差异。 ONSD差异的计算可用于确定ICP的增加。

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