Evaluating the Hearing of Patients with Pseudoexfoliation Syndrome

Autor: Karolina Dorobisz, Anna Karasińska-Kłodowska, Hanna Temporale, Anna Turno-Kręcicka, Krzysztof Dudek, Tomasz Krecicki, Marta Misiuk-Hojło, Monika Morawska-Kochman
Rok vydání: 2015
Předmět:
Male
medicine.medical_specialty
Hearing loss
Population
Pseudoexfoliation syndrome
Otoacoustic emission
Medicine (miscellaneous)
Audiology
Exfoliation Syndrome
General Biochemistry
Genetics and Molecular Biology

03 medical and health sciences
0302 clinical medicine
Hearing
Reflex
otorhinolaryngologic diseases
Internal Medicine
medicine
Humans
Pharmacology (medical)
030223 otorhinolaryngology
education
Acoustic reflex
Genetics (clinical)
Aged
Aged
80 and over

education.field_of_study
Absolute threshold of hearing
medicine.diagnostic_test
business.industry
Auditory Threshold
Middle Aged
medicine.disease
Auditory brainstem response
Acoustic Impedance Tests
030220 oncology & carcinogenesis
Case-Control Studies
Reviews and References (medical)
Audiometry
Pure-Tone

Female
sense organs
medicine.symptom
Audiometry
business
Zdroj: Advances in clinical and experimental medicine : official organ Wroclaw Medical University. 25(6)
ISSN: 1899-5276
Popis: BACKGROUND It is estimated that pseudoexfoliation syndrome (PEX) occurs in 10-20% of the general population over 60 years of age, and its morbidity increases with age. Some research indicates that PEX may be a systemic disease. Some experts state that it can also lead to ear dysfunction. OBJECTIVES The aim of the study was to evaluate the incidence and type of hearing disorders in patients with PEX. MATERIAL AND METHODS The study included 51 patients (102 eyes) hospitalized in Wroclaw Medical University Hospital's Department of Ophthalmology and scheduled for cataract surgery in 2012-2014. Among these patients (whose age ranged from 55 to 92), 28 had PEX and 23 served as a control group. Both groups underwent ophtalmic examinations as well as ENT inspection and audiological tests (tonal audiometry, impedance audiometry, distortion product otoacoustic emission tests [DPOAE] and auditory brainstem response tests [ABR]). RESULTS A statistically significant increase in the threshold of hearing in pure-tone audiometry was observed in PEX group for 2 kHz. In impedance audiometry tests, the stapedius reflex was identified in a greater proportion of patients in the PEX group than in the control group in all frequency ranges. There was no difference between the PEX groups and the control group in the results of the DPOAE and ABR tests. CONCLUSIONS PEX can be a systemic disease that affects the functioning of the inner ear causing sensorineural hearing impairment. The increased hearing threshold in pure-tone audiometry of the patients with PEX affects the speech range (mainly the frequency of 2 kHz). Impedance audiometry and pure-tone audiometry appeared useful in audiological diagnostics of patients with PEX.
Databáze: OpenAIRE