1
|
Aydoğan S, Dilli D, Kabataş EU, Akduman H, Şah Ipek M, Oğuz B, Ataş N, Zenciroğlu A. The Serum Levels of Asymmetric Dimethylarginine, Vascular Endothelial Growth Factor, and Insulin-Like Growth Factor-1 in Preterms with Retinopathy of Prematurity. Fetal Pediatr Pathol 2022; 41:634-639. [PMID: 34289792 DOI: 10.1080/15513815.2021.1948644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Objective:To determine the serum levels of asymmetric dimethylarginine (ADMA), vascular endothelial growth factor (VEGF), and insulin-like growth factor-1 (IGF-1) in preterms with retinopathy of prematurity (ROP). Materials and Methods: We included 37 preterm infants. The first blood samples were obtained within the first 5 days of life and repeated at the time of the first ophthalmologic examination for ROP. The levels of ADMA, IGF-1, and VEGF were measured in all samples. Results: ROP was detected in 12 of the subjects (32.4%). We categorized the subjects as non-ROP (Group 1; n = 25), untreated ROP (Group 2; n = 7), and treated ROP (Group 3; n = 5) according to the eye findings. There were no significant differences among the groups for serum levels of ADMA, VEGF, and IGF-1 at the first sampling. Conclusion: We did not find any differences in terms of serum ADMA, IGF-1, and VEGF levels in preterm infants with or without ROP.
Collapse
Affiliation(s)
- Seda Aydoğan
- Department of Neonatology, University of Health Sciences of Turkey, Dr. Sami Ulus Maternity and Children Training and Research Hospital, Ankara, Turkey
| | - Dilek Dilli
- Department of Neonatology, University of Health Sciences of Turkey, Dr. Sami Ulus Maternity and Children Training and Research Hospital, Ankara, Turkey
| | - Emrah Utku Kabataş
- Department of Ophtalmology, University of Health Sciences of Turkey, Dr. Sami Ulus Maternity and Children Training and Research Hospital, Ankara, Turkey
| | - Hasan Akduman
- Department of Neonatology, University of Health Sciences of Turkey, Dr. Sami Ulus Maternity and Children Training and Research Hospital, Ankara, Turkey
| | - Mehmet Şah Ipek
- Department of Neonatology, Memorial Dicle Hospital, Diyarbakır, Turkey
| | - Baran Oğuz
- Department of Neonatology, Şanlıurfa Research and Training Hospital, Şanlıurfa, Turkey
| | - Nurgül Ataş
- Department of Neonatology, Şanlıurfa Research and Training Hospital, Şanlıurfa, Turkey
| | - Ayşegül Zenciroğlu
- Department of Neonatology, University of Health Sciences of Turkey, Dr. Sami Ulus Maternity and Children Training and Research Hospital, Ankara, Turkey
| |
Collapse
|
2
|
Kabataş N, Doğan AŞ, Yılmaz M, Kabataş EU, Biçer T, Çalışkan S, Çelikay O, Uçar F, Gürdal C. Association between age-related macular degeneration and 25(OH) vitamin D levels in the Turkish population. Arq Bras Oftalmol 2021; 85:7-12. [PMID: 34586223 DOI: 10.5935/0004-2749.20220002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Accepted: 09/03/2020] [Indexed: 11/20/2022] Open
Abstract
PURPOSE Age-related macular degeneration is the most common cause of blindness in developed countries, and several factors have been attributed for its etiology. This study was conducted to explore the relationship between serum vitamin D levels and age-related macular degeneration. METHODS We retrospectively analyzed the data of 114 patients with age-related macular degeneration. A total of 102 patients who did not have any other diseases than refractive error were allocated to the control group. The best-corrected visual acuity, fundus findings, and spectral domain optical coherence tomography findings were analyzed. Patients were allocated to groups based on the Age-related Eye Disease Study classification. Serum 25(OH) vitamin D levels were measured. The central foveal thickness and the subfoveal choroidal thickness were measured by optical coherence tomography. RESULTS The 25(OH) vitamin D levels in age- and gender-matched patients with age-related macular degeneration and in healthy subjects were 14.6 ± 9.8 and 29.14 ± 15.1 ng/ml, respectively. The age-related macular degeneration group had significantly lower vitamin D levels than the control group (p>0.001). The subfoveal choroidal thickness was lower in patients with age-related macular degeneration (p>0.001). The 25(OH) vitamin D level showed a weak positive correlation with choroidal thickness (r=0.357, p=0.01). When the level of 25(OH) vitamin D was evaluated according to the stages of age-related macular degeneration, it was found to be lower in the advanced-stage disease (p=0.01). The risk for the development of choroid neovascular membrane and subretinal fibrosis was found to increase with decreased vitamin D levels. CONCLUSIONS Significantly decreased levels of 25(OH) vitamin D in advanced-stage age-related macular degeneration suggest a significant correlation existing between vitamin D deficiency and age-related macular degeneration development. Further studies are required to examine whether vitamin D supplementation has an effect on the development and progression of age-related macular degeneration.
Collapse
Affiliation(s)
- Naciye Kabataş
- Department of Ophtalmology, Dışkapı Yıldırım Beyazıt Research and Education Hospital, Ankara, Turkey
| | - Aysun Şanal Doğan
- Department of Ophtalmology, Dışkapı Yıldırım Beyazıt Research and Education Hospital, Ankara, Turkey
| | - Mevlüt Yılmaz
- Department of Ophtalmology, Dışkapı Yıldırım Beyazıt Research and Education Hospital, Ankara, Turkey
| | - Emrah Utku Kabataş
- Department of Ophtalmology, Dışkapı Yıldırım Beyazıt Research and Education Hospital, Ankara, Turkey
| | - Tolga Biçer
- Department of Ophtalmology, Dışkapı Yıldırım Beyazıt Research and Education Hospital, Ankara, Turkey
| | - Sinan Çalışkan
- Department of Ophtalmology, Dışkapı Yıldırım Beyazıt Research and Education Hospital, Ankara, Turkey
| | - Osman Çelikay
- Department of Ophtalmology, Dışkapı Yıldırım Beyazıt Research and Education Hospital, Ankara, Turkey
| | - Fatma Uçar
- Department of Medicinal Chemistry, Dışkapı Yıldırım Beyazıt Research and Education Hospital, Ankara, Turkey
| | - Canan Gürdal
- Department of Ophtalmology, Dışkapı Yıldırım Beyazıt Research and Education Hospital, Ankara, Turkey
| |
Collapse
|
3
|
Kabataş EU, Dinlen NF, Zenciroğlu A, Dilli D, Beken S, Okumuş N. Relationship between serum 25-hydroxy vitamin D levels and retinopathy of prematurity. Scott Med J 2017; 62:129-135. [PMID: 28899218 DOI: 10.1177/0036933017701867] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Aim To evaluate the relationship between serum 25-hydroxy vitamin D, 25 (OH) D, levels and retinopathy of prematurity. Methods and Results Serum 25 (OH) D levels were measured in 97 very low birth weight infants, prior to vitamin D supplementation. The development of retinopathy of prematurity and its treatment requirement were evaluated. At follow-up, retinopathy of prematurity developed in 71 (73.2%) infants. Serum 25 (OH) D levels were significantly lower in infants with retinopathy of prematurity than ones without retinopathy of prematurity ( P < 0.001). The infants who required treatment had lower 25 (OH) D levels compared with the infants who did not required treatment (7.1 ± 5.2 ng/ml vs. 11.9 ± 6.5 ng/ml; P = 0.003). Multivariate analysis showed that lower serum 25 (OH) D levels may be a risk factor for retinopathy of prematurity development [OR: 1.14, 95% CI (1.02-1.27), P = 0.02]. Conclusion Lower 25 (OH) D levels in the first days of life may be related to retinopathy of prematurity development and treatment requirement in premature infants.
Collapse
Affiliation(s)
- Emrah Utku Kabataş
- 1 MD, Department of Ophtalmology, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Turkey
| | - Nurdan Fettah Dinlen
- 2 MD, Department of Neonatology, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Turkey
| | - Ayşegül Zenciroğlu
- 3 Associate Professor, Department of Neonatology, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Turkey
| | - Dilek Dilli
- 3 Associate Professor, Department of Neonatology, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Turkey
| | - Serdar Beken
- 3 Associate Professor, Department of Neonatology, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Turkey
| | - Nurullah Okumuş
- 4 Professor, Department of Neonatology, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Turkey
| |
Collapse
|
4
|
Kabataş EU, Kurtul BE, Altıaylık Özer P, Kabataş N. Comparison of Intravitreal Bevacizumab, Intravitreal Ranibizumab and Laser Photocoagulation for Treatment of Type 1 Retinopathy of Prematurity in Turkish Preterm Children. Curr Eye Res 2017; 42:1054-1058. [PMID: 28128986 DOI: 10.1080/02713683.2016.1264607] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
PURPOSE To evaluate effectiveness of treatment modalities, major complications and refractive errors in children who were treated with intravitreal bevacizumab (IVB), intravitreal ranibizumab (IVR) or laser photocoagulation (LP) for type 1 retinopathy of prematurity (ROP). METHODS Premature infants who underwent IVB monotherapy (Group 1), IVR monotherapy (Group 2) or LP (Group 3) for type 1 ROP and infants with spontaneously regressed ROP (Group 4) were included for the study. Major complications, recurrence rate, recurrence time, total retinal vascularization time and refractive errors at 18 months of corrected age (CA) were determined. RESULTS Groups 1, 2, 3 and 4 included 24 eyes of 12 patients, 12 eyes of six patients, 72 eyes of 36 patients and 148 eyes of 74 patients, respectively. Recurrence of the disease occurred in two eyes of one patient in Group 1 at 52 weeks of postmenstrual age (PMA) and two eyes of one patient at 48 weeks of PMA in Group 2. In Group 3, disease did not regress after the first treatment in 10 eyes of five patients. The mean vascularization time in Group 1 was 73 ± 10.1 weeks of PMA and 61.8 ± 6.6 weeks of PMA in Group 2 (p = 0.027). Macular ectopia was seen in two eyes of one patient and exudative retinal detachment (ERD) occurred in two eyes of one patient in Group 3. Mean spherical equivalent was 1.49 ± 3.04 diopters (D) in Group 1, -1.79 ± 2.87D in Group 2, -1.27 ± 2.8 D in Group 3 and 1.52 ± 1.07 D in Group 4 at 18 months of CA. There was no significant difference in astigmatism values in all groups. CONCLUSION IVB, IVR and LP are options that can successfully treat ROP. Myopia was observed to be the main refractive error in all treatment groups. Vascularization of the retina was completed later in the IVB group than in the IVR group.
Collapse
Affiliation(s)
- Emrah Utku Kabataş
- a Department of Ophtalmology , Dr. Sami Ulus Maternity and Children Research and Training Hospital , Altındağ/Ankara , Turkey
| | - Bengi Ece Kurtul
- a Department of Ophtalmology , Dr. Sami Ulus Maternity and Children Research and Training Hospital , Altındağ/Ankara , Turkey
| | - Pınar Altıaylık Özer
- a Department of Ophtalmology , Dr. Sami Ulus Maternity and Children Research and Training Hospital , Altındağ/Ankara , Turkey
| | - Naciye Kabataş
- b Department of Ophtalmology , Dışkapı Yıldırım Beyazıt Research and Education Hospital , Dışkapı/Ankara , Turkey
| |
Collapse
|
5
|
Kurtul BE, Özer PA, Çağlar AA, Kabataş EU. Bilateral congenital mydriasis in a child case. Turk Arch Pediatr 2016; 51:176-177. [PMID: 27738406 DOI: 10.5152/turkpediatriars.2016.4194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2016] [Accepted: 07/12/2016] [Indexed: 11/22/2022]
Affiliation(s)
- Bengi Ece Kurtul
- Clinic of Ophtalmology, Dr. Sami Ulus Training and Research Hospital, Ankara, Turkey
| | - Pınar Altıaylık Özer
- Clinic of Ophtalmology, Dr. Sami Ulus Training and Research Hospital, Ankara, Turkey
| | - Ayla Akca Çağlar
- Clinic of Pediatrics, Dr. Sami Ulus Training and Research Hospital, Ankara, Turkey
| | - Emrah Utku Kabataş
- Clinic of Ophtalmology, Dr. Sami Ulus Training and Research Hospital, Ankara, Turkey
| |
Collapse
|
6
|
Kabataş EU, Dursun A, Beken S, Dilli D, Zenciroğlu A, Okumuş N. Efficacy of Single Dose Oral Paracetamol in Reducing Pain During Examination for Retinopathy of Prematurity: A Blinded Randomized Controlled Trial. Indian J Pediatr 2016; 83:22-6. [PMID: 25947264 DOI: 10.1007/s12098-015-1765-8] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2014] [Accepted: 04/02/2015] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To investigate the efficacy of paracetamol in reducing pain during examination for retinopathy of prematurity (ROP) in preterm infants. METHODS A total of 114 infants undergoing eye examination for retinopathy of prematurity screening were prospectively randomized. Topical anesthetic (Proparacaine; Alcaine® drop 0.5%) was applied 30 s before the eye examination in all the infants. The infants in the intervention group (Group 1, n = 58) received 15 mg/kg of oral paracetamol, 60 min before the examination. The control group (Group 2, n = 56) received the same volume of sterile water per oral with an opaque syringe. Primary outcome measurement was pain assessed by Premature Infant Pain Profile (PIPP) score. Secondary outcome measurements were tachycardia (>180 bpm)/bradycardia (<100 bpm), desaturations (<85% for >10 s), and crying time. RESULTS The groups were similar for gestational age, birthweight or postnatal age at examination. The intervention group had a significantly lower mean PIPP score during eye examination, following insertion of the speculum [Group 1:12 (9-13) vs. Group 2:14 (13-15), p 0.001]. There were no significant differences between the groups with regard to crying time and the number of the patients with tachycardia/bradycardia and desaturation. CONCLUSIONS Oral paracetamol modestly reduces pain scores during eye examinations. Further cross-over trials on dose and frequency of paracetamol and combination of pharmacological with non-pharmacological approaches and paracetamol alone as a single agent in significant pain reduction are needed.
Collapse
Affiliation(s)
- Emrah Utku Kabataş
- Pediatric Ophtalmology Unit, Department of Ophtalmology, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Ankara, Turkey
| | - Arzu Dursun
- Neonatal Intensive Care Unit, Department of Neonatology, Dr. Sami Ulus Maternity and Children Research and Training Hospital, 06080, Ankara, Turkey
| | - Serdar Beken
- Neonatal Intensive Care Unit, Department of Neonatology, Dr. Sami Ulus Maternity and Children Research and Training Hospital, 06080, Ankara, Turkey
| | - Dilek Dilli
- Neonatal Intensive Care Unit, Department of Neonatology, Dr. Sami Ulus Maternity and Children Research and Training Hospital, 06080, Ankara, Turkey.
| | - Ayşegül Zenciroğlu
- Neonatal Intensive Care Unit, Department of Neonatology, Dr. Sami Ulus Maternity and Children Research and Training Hospital, 06080, Ankara, Turkey
| | - Nurullah Okumuş
- Neonatal Intensive Care Unit, Department of Neonatology, Dr. Sami Ulus Maternity and Children Research and Training Hospital, 06080, Ankara, Turkey
| |
Collapse
|
7
|
Dilli D, İlarslan NEÇ, Kabataş EU, Zenciroğlu A, Şimşek Y, Okumuş N. Oral sucrose and non-nutritive sucking goes some way to reducing pain during retinopathy of prematurity eye examinations. Acta Paediatr 2014; 103:e76-9. [PMID: 24730361 DOI: 10.1111/apa.12454] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2013] [Revised: 10/01/2013] [Accepted: 10/03/2013] [Indexed: 11/28/2022]
Abstract
AIM To evaluate the efficacy of oral sucrose combined with non-nutritive sucking for reducing pain associated with retinopathy of prematurity screening. METHODS This was a randomised controlled study of 64 infants undergoing eye examination for retinopathy of prematurity screening. Topical anaesthetic (Proparacaine; Alcaine(®) drop 0.5%: ALCON CANADA Inc., Mississauga, Canada) was applied 30 sec before the eye examination in all infants. The infants in intervention group (Group 1, n = 32) received 0.5 mL/kg of 24% sucrose with a pacifier. The control group (Group 2, n = 32) received 0.5 mL/kg of sterile water with a pacifier. RESULTS The groups had similar gestational ages (28.5 ± 2.8 weeks), mean birthweight (1304 ± 466 g) or corrected gestational age (35.4 ± 3.7 weeks) at examination. The intervention group had a significantly lower mean Premature Infant Pain Profile score during examination of the first eye, following insertion of the speculum (Group 1:13.7 ± 2.1 vs. Group 2:16.4 ± 1.8, p = 0.001). CONCLUSION Although sucrose combined with non-nutritive sucking modestly reduces pain scores during eye examinations, there is need to further studies to explore significant pain relief for infants undergoing retinopathy of prematurity screening.
Collapse
Affiliation(s)
- Dilek Dilli
- Department of Neonatology; Dr Sami Ulus Maternity and Children Training and Research Hospital; Ankara Turkey
| | - Nisa Eda Çullas İlarslan
- Department of Neonatology; Dr Sami Ulus Maternity and Children Training and Research Hospital; Ankara Turkey
| | - Emrah Utku Kabataş
- Department of Ophthalmology; Dr Sami Ulus Maternity and Children Training and Research Hospital; Ankara Turkey
| | - Ayşegül Zenciroğlu
- Department of Neonatology; Dr Sami Ulus Maternity and Children Training and Research Hospital; Ankara Turkey
| | - Yıldız Şimşek
- Department of Neonatology; Dr Sami Ulus Maternity and Children Training and Research Hospital; Ankara Turkey
| | - Nurullah Okumuş
- Department of Neonatology; Dr Sami Ulus Maternity and Children Training and Research Hospital; Ankara Turkey
| |
Collapse
|
8
|
Beken S, Dilli D, Fettah ND, Kabataş EU, Zenciroğlu A, Okumuş N. The influence of fish-oil lipid emulsions on retinopathy of prematurity in very low birth weight infants: a randomized controlled trial. Early Hum Dev 2014; 90:27-31. [PMID: 24314586 DOI: 10.1016/j.earlhumdev.2013.11.002] [Citation(s) in RCA: 89] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2013] [Revised: 11/07/2013] [Accepted: 11/16/2013] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To compare the effect of two lipid emulsions on the development of retinopathy of prematurity in very low birth weight infants. DESIGN Randomized controlled study. PATIENTS AND METHODS Eighty very low birth weight infants receiving parenteral nutrition from the first day of life were evaluated. One of the two lipid emulsions were used in the study infants: Group 1 (n=40) received fish-oil based lipid emulsion (SmofLipid®) and Group 2 (n=40) soybean oil based lipid emulsion (Intralipid®). MAIN OUTCOME MEASURES The development of retinopathy of prematurity and the need for laser photocoagulation were assessed. RESULTS The maternal and perinatal characteristics were similar in both groups. The median (range) duration of parenteral nutrition [14days (10-28) vs 14 (10-21)] and hospitalization [34days (20-64) vs 34 (21-53)] did not differ between the groups. Laboratory data including complete blood count, triglyceride level, liver and kidney function tests recorded before and after parenteral nutrition also did not differ between the two groups. In Group 1, two patients (5.0%) and in Group 2, 13 patients (32.5%) were diagnosed with retinopathy of prematurity (OR: 9.1, 95% CI 1.9-43.8, p=0.004). One patient in each group needed laser photocoagulation, without significant difference. Multivariate analysis showed that only receiving fish-oil emulsion in parenteral nutrition decreased the risk of development of retinopathy of prematurity [OR: 0.76, 95% CI (0.06-0.911), p=0.04]. CONCLUSIONS Premature infants with very low birth weight receiving an intravenous fat emulsion containing fish oil developed less retinopathy of prematurity.
Collapse
Affiliation(s)
- Serdar Beken
- Neonatal Intensive Care Unit, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Ankara, Turkey.
| | - Dilek Dilli
- Neonatal Intensive Care Unit, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Ankara, Turkey
| | - Nurdan Dinlen Fettah
- Neonatal Intensive Care Unit, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Ankara, Turkey
| | - Emrah Utku Kabataş
- Pediatric Ophthalmology Unit, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Ankara, Turkey
| | - Ayşegül Zenciroğlu
- Neonatal Intensive Care Unit, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Ankara, Turkey
| | - Nurullah Okumuş
- Neonatal Intensive Care Unit, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Ankara, Turkey
| |
Collapse
|