FAKOEMÜLSİFİKASYONUN PREOPERATİF VE POSTOPERATİF YÖNETİMİNDE POLİVİNİL ALKOL VE POVİDON KULLANIMI

Year 2025, Volume: 6 Issue: 3, 173 - 181, 28.09.2025

Ceren Turkoglu

https://doi.org/10.47482/acmr.1629439

Abstract

Amaç: Fakoemülsifikasyon uygulanan hastalarda perioperatif dönemde düzenli polivinil alkol ve povidon göz damlası uygulamasının fakoemülsifikasyona sekonder gelişen kuru göz sendromunun belirti ve semptomları üzerine etkisini araştırmaktır.
Gereç ve Yöntem: Senil katarakt nedeniyle fakoemülsifikasyon uygulanan hastalar iki ayrı grupta incelendi: Topikal moksifloksasin, prednizolon ve polivinil alkol ve povidon göz damlası ile takip edilen hastalar Grup I (n = 52 hasta), topikal moksifloksasin ve prednizolon ile takip edilen hastalar Grup II (n = 52 hasta) olarak isimlendirildi. Gözyaşı Kırılma Zamanı, Schirmer I, Oxford derecelendirme ölçeği ve Oküler Yüzey Hastalık İndeksi anketi tüm hastalara ameliyat öncesi ve ameliyat sonrası 1. ve 3. ayda uygulandı.
Bulgular: Çalışmadan elde edilen sonuçlara göre veriler değişmektedir. Çalışmaya dahil edilen hastaların (n=104 hasta) %50’si kadın, %50’si erkek olup yaş ortalamaları 59.83 ± 5.33 idi. Grup I’de postoperatif dönemde TBUT ve Schirmer I değerlerinde artış (p<0.05) görülürken, Oxford derecelendirme skalasında azalma (p<0.05) görüldü. Grup II’de ise postoperatif dönemde TBUT azalırken (p<0.05) Oxford derecelendirme skalasında artış (p<0.05) görüldü. Subjektif değerlendirmede kullanılan OSDI anketinin sonuçlarına göre her iki grupta da postoperatif iyileşme görüldü (p<0.05).
Sonuç: Fakoemülsifikasyon cerrahisinin perioperatif dönemi göz önüne alındığında polivinil alkol ve povidon göz damlası kullanımının kuru göz bulgularına olumlu katkıda bulunduğu görüldü. Ayrıca, ameliyat öncesi suni gözyaşlarının kullanımı, enfeksiyon riskini azaltan ve böylece ön segmentin sağlıklı homeostazını koruyan ameliyat sonrası kuru göz sendromunun önlenmesi için son derece önemlidir.

Keywords

Kuru göz sendromu , göz damlaları , gözyaşı kırılma zamanı , Schirmer , Oxford derecelendirme ölçeği

The Use of Polyvinyl Alcohol & Povidone During The Preoperative and Postoperative Management of Phacoemulsification

Abstract

Background: To investigate the effect of regular application of polyvinyl alcohol & povidone eye drops during the perioperative period in patients undergoing phacoemulsification on the signs and symptoms of dry eye syndrome developing secondary to phacoemulsification.
Methods: Patients who underwent phacoemulsification due to senile cataract were examined in two separate groups: Patients followed with topical moxifloxacin, prednisolone and polyvinyl alcohol & povidone eye drops, Group I , patients followed with topical moxifloxacin and prednisolone, Group II was separated as.
Results: According to the results obtained from the study, the data vary. Of the patients included in the study (n = 104 patients), 50% were female and 50% were male, and their average age was 59.83 ± 5.33. In Group I, there was an increase in TBUT and Schirmer I values in the postoperative period (p < 0.05), while there was a decrease in the Oxford grading scale (p < 0.05). On the other hand, in Group II, while TBUT decreased in the postoperative period (p < 0.05), an increase in Oxford grading scale was detected (p < 0.05).
Conclusion: Considering the perioperative period of phacoemulsification surgery, it was observed that the use of polyvinyl alcohol & povidone eye drops contributed positively to dry eye findings. Moreover, the use of preoperative artificial tears is extremely important for the prevention of postoperative dry eye syndrome, which reduces the risk of infection and thus maintaining healthy homeostasis of the anterior segment.

Keywords

Dry eye syndrome , eye drops , tear break-up time , schirmer , oxford grading scale

Ethical Statement

The Medical Ethics Association of Nigde Omer Halisdemir University approved this study (No: 2022/58). The procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional or regional) and with the Helsinki Declaration of 1975, as revised in 2000.

Supporting Institution

This study has received no funding, granting or sponsorship.

Thanks

I would like to thank Dr. Necmettin Kurtul for the precious help during the process of language revision and editing.

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