Should we worry about the eyes of celiac patients?

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dc.contributor.authorDoğan G.
dc.contributor.authorŞen S.
dc.contributor.authorÇavdar E.
dc.contributor.authorMayalı H.
dc.contributor.authorCengiz Özyurt B.
dc.contributor.authorKurt E.
dc.contributor.authorKasırga E.
dc.date.accessioned2024-07-22T08:07:03Z
dc.date.available2024-07-22T08:07:03Z
dc.date.issued2020
dc.description.abstractPurpose: In this article, we evaluate subfoveal choroidal thickness in celiac patients with respect to adherence to the gluten-free diet and nonadherence to the gluten-free diet, comparing with age and sex matched healthy controls using spectral-domain optical coherence tomography. Materials and Methods: A case-control study among 42 celiac patients and 42 healthy participants was conducted in the Department of Pediatric Gastroenterology. Celiac patients of our policlinics compliant with spectral-domain optical coherence tomography examination enrolled in the study. Celiac patients had been asked verbally about their adherence to gluten-free diet, were evaluated according to negative or positive EmA and anti-TG2 for defining adherence, and were divided into two groups (adherence to gluten-free diet and nonadherence to gluten-free diet). Results: Subfoveal choroidal thickness was thinner in EmA (+) or anti-TG2 (+) eyes than EmA(−) or anti-TG2 (−) eyes in celiac patients, but it was not statistically significant. The mean subfoveal choroidal thickness values in eyes with celiac disease, whose diagnosis time was longer than 60 months, were thinner than shorter group. Longer duration of gluten-free diet was associated with adherence difficulty and thinner choroidal thickness (r = −0.15, p = 0.34). Adherence to gluten-free diet was 88.2% for children below the age of 60 months and 57.1% for children older than 60 months. Conclusion: In conclusion, in addition to other extraintestinal manifestations of celiac disease, diagnosis time longer than 60 months in pediatric celiac patients, nonadherence to the gluten-free diet, and antibody positivity should be focused on during ophthalmologic examination and choroid measurement. © The Author(s) 2019.
dc.identifier.DOI-ID10.1177/1120672119850071
dc.identifier.issn11206721
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/13805
dc.language.isoEnglish
dc.publisherSAGE Publications Ltd
dc.subjectAdolescent
dc.subjectCase-Control Studies
dc.subjectCeliac Disease
dc.subjectChild
dc.subjectChild, Preschool
dc.subjectChoroid
dc.subjectChoroid Diseases
dc.subjectDiet, Gluten-Free
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectPatient Compliance
dc.subjectTomography, Optical Coherence
dc.subjectendomysium antibody
dc.subjectprotein glutamine gamma glutamyltransferase antibody
dc.subjectantibody response
dc.subjectArticle
dc.subjectcase control study
dc.subjectceliac disease
dc.subjectchild
dc.subjectclinical article
dc.subjectcontrolled study
dc.subjectdietary compliance
dc.subjectfemale
dc.subjectgluten free diet
dc.subjecthuman
dc.subjectmale
dc.subjectophthalmology
dc.subjectpriority journal
dc.subjectrefractometry
dc.subjectschool child
dc.subjectspectral domain optical coherence tomography
dc.subjectsubfoveal choroidal thickness
dc.subjecttreatment duration
dc.subjectvisual acuity
dc.subjectadolescent
dc.subjectceliac disease
dc.subjectchoroid
dc.subjectchoroid disease
dc.subjectcomplication
dc.subjectdiagnostic imaging
dc.subjectgluten free diet
dc.subjectoptical coherence tomography
dc.subjectpathology
dc.subjectpatient compliance
dc.subjectpreschool child
dc.titleShould we worry about the eyes of celiac patients?
dc.typeArticle

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