Effect of isotretinoin on myopia and axial length: a pilot study

dc.contributor.authorYaşar, Erdoğan
dc.contributor.authorGürlevik, Uğur
dc.contributor.authorKemeriz, Funda
dc.contributor.authorAtalay, Eray
dc.date.accessioned2021-06-24T08:01:31Z
dc.date.available2021-06-24T08:01:31Z
dc.date.issued2020
dc.departmentTıp Fakültesi
dc.descriptionGürlevik, Uğur ( Aksaray, Yazar )
dc.description.abstractPurpose: To investigate the effect of oral isotretinoin use on refractive error, axial length, and anteroposterior segment parameters. Materials and methods: In this prospective study, 50 eyes of 50 patients using isotretinoin with a diagnosis of acne vulgaris and 50 eyes of 50 healthy control subjects were included. After detailed biomicroscopy, measurements were taken of axial length, lens thickness, central corneal thickness, anterior chamber depth, central retinal thickness, and subfoveal choroidal thickness. The pupils of both eyes were dilated with one drop of cycloplegic drops after refraction measurement. Visual acuity examination was performed with a Snellen chart the next day. The same procedure was repeated at the end of the third and sixth month of drug treatment. Results: Forty-seven patients with acne vulgaris and 45 healthy controls met the inclusion criteria and were included in the analysis. The mean ages of the patients and the controls were 21.7 ± 2.5 years (range, 18–28 years) and 22.6 ± 2.7 years (range, 19–27 years), respectively. No significant changes were observed in any parameters in the third and sixth month in the control group (p > 0.05). The most important result was significant increases in myopia and axial length in the sixth month of isotretinoin use (p = 0.01, p = 0.04, respectively). There were no significant relationships between increases in myopia and axial length and patients’ age, sex, drug dose, and initial refraction (p > 0.05). The changes in spherical equivalent and axial length differed significantly between the drug group and the control group (p = 0.001, p = 0.001, respectively). Conclusions: Isotretinoin is one of the important molecules in the aetiology of myopia. Oral isotretinoin treatment may increase myopia and axial length, although not to a clinically significant degree. However, as this was a pilot study, there is a need for further studies with more patients and longer follow-up periods.
dc.identifier.doi10.1080/15569527.2020.1836649
dc.identifier.endpage388en_US
dc.identifier.issn1556-9527
dc.identifier.issue4en_US
dc.identifier.pmid33054405
dc.identifier.scopusqualityQ3
dc.identifier.startpage385en_US
dc.identifier.urihttps:/dx.doi.org/10.1080/15569527.2020.1836649
dc.identifier.urihttps://hdl.handle.net/20.500.12451/8160
dc.identifier.volume39en_US
dc.identifier.wosWOS:000588155800001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTaylor and Francis Ltd.
dc.relation.ispartofCutaneous and Ocular Toxicology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAxial Length
dc.subjectChoroidal Thickness
dc.subjectIsotretinoin
dc.subjectMyopia
dc.subjectRetinal Thickness
dc.titleEffect of isotretinoin on myopia and axial length: a pilot study
dc.typeArticle

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