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The effects of delivery type and gender on intraocular pressure and central corneal thickness in newborns / Os efeitos do tipo de parto e sexo sobre a pressão intraocular e espessura corneana central em recém-nascidos
Ozkurt, Zeynep Gursel; Balsak, Selahattin; Balsak, Berrin; Guclu, Hande; Sahın, Muhammed; Yuksel, Harun; Turkcu, Fatih M.
  • Ozkurt, Zeynep Gursel; Dicle University of Medicine. Ophthalmology Department. Diyarbakir. TR
  • Balsak, Selahattin; Dicle University of Medicine. Ophthalmology Department. Diyarbakir. TR
  • Balsak, Berrin; Dicle University of Medicine. Ophthalmology Department. Diyarbakir. TR
  • Guclu, Hande; Dicle University of Medicine. Ophthalmology Department. Diyarbakir. TR
  • Sahın, Muhammed; Dicle University of Medicine. Ophthalmology Department. Diyarbakir. TR
  • Yuksel, Harun; Dicle University of Medicine. Ophthalmology Department. Diyarbakir. TR
  • Turkcu, Fatih M; Dicle University of Medicine. Ophthalmology Department. Diyarbakir. TR
Arq. bras. oftalmol ; 79(2): 92-95, Mar.-Apr. 2016. tab
Article in English | LILACS | ID: lil-782813
Responsible library: BR1.1
ABSTRACT
ABSTRACT

Purpose:

To analyze intraocular pressure (IOP) and central corneal thickness (CCT) in newborns during the first 12 h of life.

Methods:

Forty-three newborns born by vaginal delivery (VD) and 30 newborns born by cesarean section (CS) were evaluated. IOP and CCT were measured using Tono-Pen and handheld pachymeter, respectively, at both the 5th minute after delivery and at the 12th h of life.

Results:

The mean IOP for the VD group was significantly higher than that of the CS group at both the 5th minute and 12th h (p =0.042 and p =0.018, respectively). In both groups, the IOP decreased by the 12th h, but the decrease was only significant for the CS group (p =0.020). The decrease in CCT over the 12 h was significant for both groups (p <0.001). In the VD and CS groups, the IOP values of the males were significantly higher than those of the females at the fifth minute only (p =0.024 and p =0.043, respectively). No other values were significantly different between the genders.

Conclusions:

Newborn IOP is affected by the mode of delivery and gender. A higher IOP was found in vaginally delivered newborns than in CS newborns for at least 12 h postpartum. CCT showed a significant decline within 12 h. Male newborns have significantly higher IOP values in the first minutes of life.
RESUMO
RESUMO

Objetivos:

Analisar a pressão intraocular (IOP) e a espessura corneana central (CCT) em recém-nascidos durante as primeiras 12 horas de vida.

Método:

Quarenta e três recém-nascidos nascidos por parto vaginal (VD) e 30 recém-nascidos nascidos após cesariana (CS) foram avaliados. IOP e CCT foram medidos com Tono-Pen e Handheld Pachymeter no quinto minuto após o parto e na décima segunda hora de vida.

Resultados:

A média de IOP para o grupo VD foi significativamente maior do que o grupo CS tanto no quinto minuto quanto na décima segunda hora (p=0,042, p=0,018, respectivamente). Em ambos os grupos, a IOP diminuiu na décima segunda hora, mas a redução foi significativa apenas para o grupo CS (p=0,020). A diminuição da CCT nas doze horas foi significativa para ambos os grupos (p<0,001). Nos grupos VD e CS os valores de IOP dos homens foram significativamente maiores do que das mulheres apenas no quinto minuto (p=0,024 e p=0,043, respectivamente). Outros valores não foram significativamente diferentes entre os sexos.

Conclusões:

A IOP em recém-nascidos é afetada pela via de parto e pelo sexo. A IOP é maior em recém-nascidos de parto normal durante pelo menos 12 horas. A CCT mostra queda significativa no prazo de 12 horas. Recém-nascidos do sexo masculino têm valores de IOP significativamente mais elevados nos primeiros minutos de vida.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Cesarean Section / Sex Factors / Cornea / Delivery, Obstetric / Intraocular Pressure Limits: Female / Humans / Male / Infant, Newborn / Pregnancy Language: English Journal: Arq. bras. oftalmol Journal subject: Ophthalmology Year: 2016 Type: Article Affiliation country: Turkey Institution/Affiliation country: Dicle University of Medicine/TR

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Full text: Available Index: LILACS (Americas) Main subject: Cesarean Section / Sex Factors / Cornea / Delivery, Obstetric / Intraocular Pressure Limits: Female / Humans / Male / Infant, Newborn / Pregnancy Language: English Journal: Arq. bras. oftalmol Journal subject: Ophthalmology Year: 2016 Type: Article Affiliation country: Turkey Institution/Affiliation country: Dicle University of Medicine/TR