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Evaluation of choroidal thickness in children with adenoid hypertrophy

Taliye Cakabay1, Selin Üstün Bezgin2, Sadık Etka Bayramoglu3

  • 1Otolaryngology Clinic, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey. cakabaytaliye@yahoo.com.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|January 10, 2018
PubMed

Insights

Severe adenoid hypertrophy in children does not significantly impact choroidal thickness. Enhanced depth imaging optical coherence tomography (EDI-OCT) revealed no differences in children with adenoid hypertrophy compared to controls.

Area of Science:

  • Ophthalmology
  • Pediatrics
  • Otorhinolaryngology

Background:

  • Adenoid hypertrophy is a common condition in children, potentially affecting various physiological parameters.
  • Choroidal thickness is a key indicator of ocular health, and its alterations can be associated with systemic conditions.
  • The relationship between adenoid hypertrophy and ocular vascular parameters like choroidal thickness requires further investigation.

Purpose of the Study:

  • To investigate the effect of severe adenoid hypertrophy on choroidal thickness in pediatric patients.
  • To compare choroidal thickness measurements in children with severe adenoid hypertrophy against age- and sex-matched healthy controls.
  • To utilize enhanced depth imaging optical coherence tomography (EDI-OCT) for precise choroidal thickness assessment.

Main Methods:

  • A case-control study involving 26 children with severe adenoid hypertrophy scheduled for adenoidectomy and 26 healthy controls.
  • Choroidal thickness (CT) was measured using EDI-OCT at the fovea and 1000 μ nasal and temporal to the fovea.
  • Macular retinal thickness was also assessed, and participants were matched for age, sex, and body mass index.

Main Results:

  • No statistically significant differences in choroidal thickness were observed between the adenoid hypertrophy group and the control group across all measured regions (p > 0.05).
  • Macular choroidal thickness also showed no significant variation between the two groups (p > 0.05).
  • Macular retinal thickness measurements were also comparable between groups.

Conclusions:

  • Severe adenoid hypertrophy does not appear to cause significant changes in choroidal thickness in children.
  • The findings suggest that short-term exposure to obstructive symptoms and a preserved autonomic nervous system balance may contribute to the lack of effect.
  • Further research could explore long-term effects and the impact of interventions on choroidal parameters in this population.
Abstract

Keywords:
Adenoid hypertrophyChoroidal thicknessObstructive sleep apneaSleep-related disorder breathing

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