Comparison of Anterior Segment Measurements in Obese Children and Healthy Control Group

Ophthalmology, Objective: To evaluate anterior segment parameters in obese children. Methods: Fifty-five obese and 30 control group children subjects participated. All participants and the control group were examined and anthropometric measurements were made. The measurements of fasting blood glucose (FBG), systolic blood pressure (SBP) triglyceride (TG), total cholesterol (TC), high-density lipoprotein-cholesterol (HDL-C), low density lipoprotein-cholesterol (LDL-C), and insulin values were performed. The homeostasis model assessment of insulin resistance (HOMA-IR) was calculated. Each participant underwent a detailed ophthalmic examination and intraocular pressure (IOP), central corneal thickness (CCT), anterior chamber depth (ACD) and lens thickness (LT) were measured. Results: The gender distribution of the groups was similar (p=0.893). The mean of CCT and LT were significantly higher in the obese group (572.9 & PLUSMN; 14.5 vs. 559.5 & PLUSMN; 10.1 & mu;m, p=0.001; 3.6 & PLUSMN; 0.14 vs. 3.48 & PLUSMN; 0.25 mm, p=0.007). No significant difference was found between the obese and control groups in terms of other parameters. Body mass index (BMI) and waist circumference (WC) had a significant negative correlation with LT control groups. The obese group showed a significant positive correlation between IOP and TG (r=0.276, p=0.042), and a significant negative correlation with HDL-C (r=-0.273, p=0.043). In the control group, there was a significant positive correlation between IOP and BMI (r=0.389, p=0.034), WC (r=0.497, p=0.005), HOMA-IR (r=0.384, p=0.036), Insulin (r=0.407, p=0.026), and a significant negative correlation with TC (r=-0.511, p=0.004). A significantly positive correlation between ACD and LDL-C (r=0.371, p=0.043) and a significantly negative correlation between HOMA-IR in the control group were detected (r=-0.682, p=0.000). Conclusions: The obese group had higher CCT and LT than the control groups.