Ophthalmology Department, Yozgat State Hospital, Yozgat, Turkey.
Ophthalmology Department, Pamukkale University, Denizli, Turkey.
Arq Bras Oftalmol. 2022 May-Jun;85(3):229-234. doi: 10.5935/0004-2749.20220031.
To examine changes in the eyes after cold compress application at the early stage.
A total of 62 eyes from 62 healthy adult participants were included in this cross-sectional and comparative study. The subfoveal choroidal thickness and retinal nerve fiber thickness were measured by spectral-domain ocular coherence tomography. The central corneal thickness, anterior segment volume and depth, iridocorneal angle, and pupil diameter were measured by means of the Scheimpflug anterior segment imaging method. The measurements were repeated after 10 min of cold compress application, which was applied using special packs. The procedures were then repeated with non-cold packages to exclude the effect of pressure.
The average age of the participants was 30.74 ± 5.82 years. There was no significant change in the central corneal thickness after cold compress application, and there was a significant decrease in the anterior segment volume (p<0.001), anterior segment depth (p<0.001), and pupil diameter. Moreover, the iridocorneal angle increased (p=0.002). The subfoveal choroidal thickness decreased after the application of cold compress (p<0.001). The overall disk thickness (p=0.034) and superior nasal scale (p=0.007) significantly decreased after the cold compress was administered during the evaluation of optic nerve fiber thickness. In contrast to that with the cold application, the subfoveal choroidal thickness and optic nerve fiber thickness did not change after the non-cold compress application (p>0.05).
Cold compress application may thus cause some physiological changes in the eyes, which necessitates the examination of its usage and effects.
观察早期冷敷对眼部的影响。
本横断面对比研究共纳入 62 名健康成年志愿者的 62 只眼。应用频域光学相干断层扫描测量黄斑中心凹下脉络膜厚度和视网膜神经纤维层厚度,应用 Scheimpflug 眼前节成像系统测量中央角膜厚度、眼前节容积和深度、房角和瞳孔直径。应用特制冰袋冷敷 10min 后重复上述测量,然后应用非冷包装以排除压力的影响再次重复上述测量。
参与者的平均年龄为 30.74±5.82 岁。冷敷后中央角膜厚度无显著变化,眼前节容积(p<0.001)、眼前节深度(p<0.001)和瞳孔直径显著减小,房角增大(p=0.002)。此外,黄斑中心凹下脉络膜厚度在冷敷后减小(p<0.001)。在评估视神经纤维层厚度时,应用冷包后总体盘厚度(p=0.034)和上鼻侧尺度(p=0.007)显著减小。与冷应用相比,非冷包应用后黄斑中心凹下脉络膜厚度和视神经纤维层厚度无变化(p>0.05)。
因此,冷敷可能会引起眼部的一些生理变化,有必要对其使用和效果进行检查。