TY  - JOUR
T1  - İdiopatik makula deliği cerrahisinde uzun dönem sonuçlarımız
TT  - Long term results of surgery for idiopathic macular hole
AU  - Hazar, Leyla
AU  - Oyur, Gülistan
AU  - Alkın, Zeynep
AU  - Çakır, Mehmet
PY  - 2019
DA  - August
Y2  - 2019
DO  - 10.35440/hutfd.534580
JF  - Harran Üniversitesi Tıp Fakültesi Dergisi
PB  - Harran University
WT  - DergiPark
SN  - 1304-9623
SP  - 370
EP  - 374
VL  - 16
IS  - 2
LA  - tr
AB  - Amaç: İdiopatik makula deliği cerrahisinde23G sütürsuz vitrektomi ile triamsinolon asetonid kullanılarak iç limitanmembran soyulmasını değerlendirmek.Materyalve Metot:Beyoğlu Göz Eğitim ve Araştırma Hastanesi’nde 2006-2011 yıllarında, makuladeliği nedeniyle 23 Gauge pars plana vitrektomi (PPV) ile iç limitan membran(İLM) (triamsinolon asetonid yardımıyla) soyulan ve göz içi gaz tamponadıuygulanan 44 hastanın 49 gözüne ait veriler retrospektif olarak incelendi. Yaş,cinsiyet, makula deliği evresi, en iyi düzeltilmiş görme keskinliği (GK),semptom süresi, cerrahi sonrası fonksiyonel başarı ve optik kohorens tomografiile anatomik olarak değerlendirildi.Bulgular: Ortalama yaşları 67 ±9,51 olanhastaların 28’i kadın (%57,1) ve 21’i (%42,9) erkekti. Deliklerin 26 tanesi(%53,1) evre 3, 20 tanesi (%40,8) evre 4, 3 tanesi ise (%6,1) evre 2 idi.Hastaların şikayet süresi ortalama 4,14±3,22 ay (1-12 ay) idi. Ortalama 13,81±9,44 ay (6-58 ay) takip edilen hastaların 44’ünde (%89,8) anatomik başarı eldeedildi. Snellen eşeline göre 2 veya daha fazla sıra görme artışı olan hastaoranı %51 (25 göz) oldu. Görme kaybı 6 aydan daha az olan vakaların hempreoperatif en iyi düzeltilmiş GK hem de postoperatif en iyi düzeltilmişGK’ları daha iyi saptandı. Son vizitteki en iyi düzeltilmiş GK ile deliğinevresi, delik çapı, preoperatif en iyi düzeltilmiş GK ve tamponad çeşitiarasında anlamlı ilişki bulunmadı. Ameliyat sonrası, 33 hastada (%67,3)katarakt, 3 hastada (%6,1) hipotoni gelişti.Sonuç: 23 G sütürsuz PPV ile triamsinolonasetonid kullanılarak İLM soyulması uygulanan idiopatik makula deliğitedavisinin yüksek anatomik ve fonksiyonel başarı ile sonuçlandığı görüldü.Erken dönemde başvuru ve erken cerrahinin sonuç en iyi düzeltilmiş GK’yıetkileyen en önemli faktör olduğu sonucuna varıldı.
KW  - makula deliği
KW  - triamsinolon asetonid
KW  - iç limitan membran
N2  - Background: To evaluate the success and complications ofinternal limiting membrane peeling using triamcinolone acetonide with 23 Gaugesutureless vitrectomy in the treatment of idiopathic macular hole.Methods: The study enrolled 44 patients (49 eyes) whoperformed 23 Gauge pars plana vitrectomy (PPV), internal limiting membrane(ILM) peeling (used triamcinolone acetonide) and intraocular gas tamponade formacular hole at 2006-2011 in Beyoğlu Eye Training and Research Hospital. Stage,best corrected visual acuity (BCVA), symptom duration , postoperativefunctional and anatomic success with optical coherens tomography wereevaluated.Results: The mean age was 67±9.51. Twenty eight(57.1%) were female and 21 (42.9%) were male. Twenty six (53.1%) of the holeswere stage 3, 20 (40.8%) were stage 4 and 3 (6.1%) were stage 2. The meanduration of complaints of macular hole was 4.14 ±3.22 months (1-12 months). Themean follow-up period was 13,81± 9,44months (6-58 months). Anatomical success was achieved in 44 (89.8%) patients.It was two or more lines of visual increase 51% (25 eyes) with snellen. It wasobserved that preoperative BCVAs were better in patients with a history ofvisual loss less than 6 months. There was no statistically significantrelationship between the last BCVA and hole diameter, hole stage, preoperativeBCVA and type of tamponade. Postoperatively, 33 patiens (67.3%) developedcataract and 3 patiens (6.1%) hypotonia.Conclusions: 23 G sutureless PPV with triamcinoloneacetonide assisted İLM peeling results in high anatomical and functionalsuccess for the treatment of idiopathicmacular hole. It was concluded that early surgery was the most important factoraffecting BCVA.
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UR  - https://doi.org/10.35440/hutfd.534580
L1  - https://dergipark.org.tr/en/download/article-file/794040
ER  -