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        <identifier>oai:figshare.com:article/33923617</identifier>
        <datestamp>2026-09-18T07:49:31Z</datestamp>
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          <dc:title>Beyond corneal structure in Noonan syndrome: topographic, tomographic, and optical findings</dc:title>
          <dc:creator>Havvanur Bayraktar (25070962)</dc:creator>
          <dc:creator>Petek Aksöz (25070965)</dc:creator>
          <dc:creator>Tuna Eren Esen (25070968)</dc:creator>
          <dc:creator>Yusuf Berk Akbaş (25070971)</dc:creator>
          <dc:creator>Alper Gezdirici (5687564)</dc:creator>
          <dc:subject>Medicine</dc:subject>
          <dc:subject>Genetics</dc:subject>
          <dc:subject>Physiology</dc:subject>
          <dc:subject>Biological Sciences not elsewhere classified</dc:subject>
          <dc:subject>Developmental Biology</dc:subject>
          <dc:subject>Science Policy</dc:subject>
          <dc:subject>Computational  Biology</dc:subject>
          <dc:subject>Noonan syndrome</dc:subject>
          <dc:subject>corneal topography</dc:subject>
          <dc:subject>corneal tomography</dc:subject>
          <dc:subject>high-order aberrations</dc:subject>
          <dc:description>&lt;p&gt;This study aimed to evaluate corneal topographic, tomographic, and wavefront characteristics in individuals with Noonan syndrome (NS) and to compare these findings with those of healthy controls.&lt;/p&gt; &lt;p&gt;This prospective, case–control study included 18 patients with NS (36 eyes) and 19 age- and sex-matched controls (38 eyes). All participants underwent anterior segment tomography and corneal wavefront analysis. Both eyes were included in the analysis, and inter-eye correlation was addressed using generalized estimating equation (GEE) models.&lt;/p&gt; &lt;p&gt;Keratometric values, central corneal thickness, and anterior and posterior corneal elevation parameters were comparable between groups (all &lt;i&gt;p&lt;/i&gt; &gt; 0.05). Cylindrical refractive error was greater in the NS group (−0.92 ± 0.19 vs − 0.41 ± 0.12 D; &lt;i&gt;p&lt;/i&gt; = 0.022). Corneal wavefront analysis demonstrated significantly higher total corneal high-order aberration root mean square (HOA RMS) (0.54 ± 0.03 vs 0.44 ± 0.03 μm; &lt;i&gt;p&lt;/i&gt; = 0.004), coma RMS (0.37 ± 0.01 vs 0.27 ± 0.03 μm; &lt;i&gt;p&lt;/i&gt; = 0.001), and trefoil RMS (0.27 ± 0.03 vs 0.19 ± 0.02 μm; &lt;i&gt;p&lt;/i&gt; = 0.012) in the NS group.&lt;/p&gt; &lt;p&gt;Individuals with NS demonstrated preserved corneal structure but exhibited heterogeneous alterations in corneal optical quality, characterized by increased asymmetric high-order aberrations and greater cylindrical refractive error in a subset of patients. These findings suggest variable and predominantly subclinical corneal involvement rather than a uniform ectatic phenotype.&lt;/p&gt;</dc:description>
          <dc:date>2026-09-18T07:49:31Z</dc:date>
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          <dc:identifier>10.6084/m9.figshare.33923617.v1</dc:identifier>
          <dc:relation>https://figshare.com/articles/dataset/Beyond_corneal_structure_in_Noonan_syndrome_topographic_tomographic_and_optical_findings/33923617</dc:relation>
          <dc:rights>CC BY 4.0</dc:rights>
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