ND-YAG LAZER KAPSÜLOTOMİ SONRASI GLOKOMLU VE SAĞLIKLI GÖZLERDE GÖZ İÇİ BASINCI VE MERKEZİ KORNEA KALINLIĞI DEĞİŞİKLİKLERİ

Hande Hüsniye Telek; Ayşe Burcu; Özgür Balta; Mehmet Yakın; Ümit Ekşioğlu

İNTRAOCULER PRESSURE AND CENTRAL CORNEAL THİCKNESS İN GLAUCOMA PATİENTS AND HEALTY EYES AFTER ND-YAG LASER CAPSULOTOMY

Year 2016, Volume: 49 Issue: 2, 87 - 93, 01.08.2016

Hande Hüsniye Telek Ayşe Burcu Özgür Balta Mehmet Yakın Ümit Ekşioğlu

Abstract

OBJECTIVE: To evaluate early intraocular pressure IOP , central corneal thickness CCT changes in patients undergoing Nd: YAG laser capsulotomy who has devoloped posterior capsule opasification PCO after uncomplicated cataract surgery.MATERIAL AND METHODS: In this retroprospective study 42 patients healthy and 27 glaucoma patients were included. were included. Pupil dilatation was provided with 1% tropicamide drops. A drop of 0,5% aproclonidine was used 30 minute before the process. 1 hour before process and 3 hours, 4hours, 1 day after process IOP and CCT were evaluated .RESULT: IOP changes after Nd: YAG laser capsulotomy was not statistically significant. The relationship between IOP changes after Nd: YAG laser capsulotomy and the total amount of laser energy was not statistically significant. There was no statistically significant increase in CCT after Nd: YAG laser capsulotomy. CONCLUSION: Nd: YAG laser capsulotomy is reliable and effective method for the treatment of PCO

Keywords

Posterior capsule opasification, Intraocular pressure, Central corneal thickness, Nd:YAG laser

References

)Kappelhof J, Vrensen G. The pathology of after cataract;a minireview. Acta Ophthalmol Suppl. 1992; 205: 13-24.
)McDonnell PJ, Zarbin MA, Green WR. Posterior capsule opacification in pseudophakic eyes. Ophthalmology. 1983; : 1548-53.
)Wilhelmus KR, Emery JM. Posterior capsule opacification following phacoemulsification. Ophthalmic surgery. 1980; : 264-7.
)Frezotti R, Caporossi A. Pathogenesis of posterior capsule opacification. Part I. Epidemiological and clinicostatistical data. Journal of cataract and refractive surgery. 1990; 16: 347-52.
)Ohadi C, Moreira H, McDonnell P. Posterior capsule opaci- fication. Curr Opin Opthalmol. 1991; 2: 46-52.
)Jamal S, Solomon L. Risk factors for posterior capsule pearling after uncomplicated extracapsuler cataract and pla- no-convex posterior chamber lens implantation. Journal of cataract and refractive surgery. 1993; 19: 333-8.
)Sudhakar J, Ravindran R, Natchiar G. Analysis of complica- tions in 1000 cases of posterior chamber intraocular lens im- plantation. Indian journal of ophthalmology. 1989; 37: 78-9.
)Apple DJ, Solomon K, Tetz MR. Posterior capsule opacifi- cation. Survey of ophthalmology. 1992; 37: 73-116.
)Solomon K, Legler U, Kostick A. Capsuler opacification after cataract surgery. Curr Opin Opthalmol. 1992; 3: 46-51.
)Miyake K, Asakura M, Kobayashi H. Effect of intraoculer lens fixation on the blood-aqueous barier. American journal of ophthalmology. 1984; 98: 451-5.
)Apple DJ, Mamalis N, Brady S. Biocompatility of implant materials: A review and scanning electron biomicroscopic study. Am intraoculer implant Soc J. 1984; 10: 53-66.
)Lin JC, Katz LJ, Spaeth GL, Klancnik JM, Jr. Intraocular pressure control after Nd:YAG laser posterior capsulotomy in eyes with glaucoma. The British journal of ophthalmology. ; 92: 337-9. )Burq MA, Taqui AM. Frequency of retinal detachment and other complications after neodymium:Yag laser capsulotomy. The Journal of the Pakistan Medical Association. 2008; 58: 550-2.
)Steinert RF, Puliafito CA, Kumar SR, Dudak SD, Patel S. Cystoid macular edema, retinal detachment, and glaucoma after Nd:YAG laser posterior capsulotomy. American journal of ophthalmology. 1991; 112: 373-80.
)Ficker LA, Steele AD. Complications of Nd:YAG laser posterior capsulotomy. Transactions of the ophthalmological societies of the United Kingdom. 1985; 104: 529-32.
)Channell M, Beckman H. Intraocular pressure changes after neodymium- YAG laser posterior capsulotomy. Ar- chives of ophthalmology. 1984; 102: 1024-6.
)Polak M, Zarnowski T, Zagorski Z. Results of Nd:YAG la- ser capsulotomy in posterior capsule opacification. Annales Universitatis Mariae Curie-Sklodowska Sectio D: Medicina. ; 57: 357-63. )Apple DJ, Peng Q, Visessook N, Werner L, Pandey SK, Escobar-Gomez M. Eradication of posterior capsule opaci- fication: documentation of a marked decrease in Nd:YAG la- ser posterior capsulotomy rates noted in an analysis of 5416 pseudophakic human eyes obtained postmortem. Ophthal- mology. 2001; 108: 505-18
)Peng Q, Visessook N, Apple DJ, Pandey SK, Werner L, Escobar-Gomez M.Surgical prevention of posterior capsule opacification. Part 3: Intraocular lens optic barrier effect as a second line of defense. Journal of cataract and refractive surgery. 2000; 26: 198-213.
)Akahoshi T. Acrysof 19000+ experience. Proc.XIX Con- gress of the ESCRS. The Netherlands. 2000:Abstr.p89.
)Nishi O, Nishi K, Sakanishi K. Inhibition of migrating lens epithelial cells at the capsular bend created by the rect- angular optic edge of a posterior chamber intraocular lens. Ophthalmic surgery and lasers. 1998; 29: 587-94.
)Spalton D, Bhermi G, Boyce J, Bender L. The pressure pro- file of the IOL optic on the posterior capsule and its relation to edge geometry. Proc. XIX Congres of the ESCRS. Amster- dam, The Netherlands. 2000:Abstr. P.180.
)Linnola RJ, Werner L, Pandey SK, Escobar-Gomez M, Znoi- ko SL, Apple DJ. Adhesion of fibronectin, vitronectin, laminin, and collagen type IV to intraocular lens materials in pseudopha- kic human autopsy eyes. Part 1: histological sections. Journal of cataract and refractive surgery. 2000; 26: 1792-806.
)Linnola RJ, Werner L, Pandey SK, Escobar-Gomez M, Znoiko SL, Apple DJ. Adhesion of fibronectin, vitronectin, laminin, and collagen type IV to intraocular lens materials in pseudophakic human autopsy eyes. Part 2: explanted intra- ocular lenses. Journal of cataract and refractive surgery. 2000; : 1807-18.
)Apple DJ, Solomon KD, Tetz MR, Assia EI, Holland EY, Legler UF. Posterior capsule opacification. Surv Ophthalmol. ; 37: 73-116. )Frankhauser F, Kwasnewska S. Neodymium: Yittri- um-Alumium-Garnet Laser Louis: Mosby. 1989: 781-886.
)Kraff M, Sanders D, Lieberman H. Intraocular pressure and the corneal endothelium after Neodymium-YAG laser posterior capsulotomy. Archives of ophthalmology. 1985; : 511-4.
)Stark WJ, Worthen D, Holladay JT, Murray G. Neodymi- um: YAG lasers. Ophthalmology. 1985; 92: 209-12.
)Silverstone DE, Brint SF, Olander KW, Taylor RB, McCa- rty GR, deFaller JM. Prophylactic use of apraclonidine for intraocular pressure increase after Nd:YAG capsulotomies. American journal of ophthalmology. 1992; 113: 401-5.
)Gharagozloo NZ, Relf SJ, Brubaker RF. Aqueous flow is reduced by the alpha-adrenergic agonist, apraclonidine hy- drochloride. Ophthalmology. 1988; 95: 1217-2.
)Brown SV, Thomas JV, Belcher CD, Simmons RJ. Effect of pilocarpine in treatment of intraocular pressure elevation following neodymium: YAG laser posterior capsulotomy. Ophthalmology. 1985; 92: 354-9.
) Migliori ME, Beckman H, Channell MM. Intraocular pressure changes after neodymium-YAG laser capsulotomy in eyes pretreated with timolol. Archives of ophthalmology. ; 105: 473-5. )Slomovic AR, Parrish RK. Acute elevations of intraocu- lar pressure following Nd:YAG laser posterior capsulotomy. Ophthalmology. 1985; 92: 973-6.
)Okudan S, Gündüz K, Özbayrak N. Nd-YAG laser posteri- or kapsülotomi sonuşlarımız. MN Oftalmoloji. 1998; 5: 80-1.
) Cumurcu T ve Etikan İ. Nd:yag lazer arka kapsülotomi sonrası göz içi basınç artışının atış sayısı, atış enerjisi ve to- plam enerji ile ilişkisi. Erciyes Tıp Dergisi. 2006; 28: 7-12.
)Ge J, Wand M, Chiang R, Paranhos A, Shields MB. Long- term effect of Nd:YAG laser posterior capsulotomy on intraoc- ular pressure. Archives of ophthalmology. 2000; 118: 1334-7.
) The cornea and sclera. In: Kaufman PL, Alm A (eds): Adler's Physiology of the eye, 1Gth ed, st. Louis, Mosby ;Section 2(Chapter 4). )Whitacre MM, Stein RA, Hassanein K. The effect of cor- neal thickness on applanation tonometry. American journal of ophthalmology. 1993; 115: 592-6.
)Balbaba M, Ulaş F. Nd:YAG Lazer Arka Kapsülotomi Son- rası Refraktif Değerlerde ve Korneanın Biyomekanik Özel- liklerinde Görülen Değişiklikler. Turkiye Klinikleri J Oph- thalmol. 2011; 20: 135-40.

ND-YAG LAZER KAPSÜLOTOMİ SONRASI GLOKOMLU VE SAĞLIKLI GÖZLERDE GÖZ İÇİ BASINCI VE MERKEZİ KORNEA KALINLIĞI DEĞİŞİKLİKLERİ

Year 2016, Volume: 49 Issue: 2, 87 - 93, 01.08.2016

Hande Hüsniye Telek Ayşe Burcu Özgür Balta Mehmet Yakın Ümit Ekşioğlu

Abstract

AMAÇ:Arka kapsül opasifikasyonu AKO nedeni ile neodymium yttrium-aluminium garnet lazer kapsülotomi uygulanan sağlıklı gözler ile glokomlu hastalarda, erken dönem göz içi basıncı GİB , merkezi kornea kalınlığı MKK değişikliklerini karşılaştırmak GEREÇ VE YÖNTEMLER: Retroprospektif olarak yapılan bu çalışmamıza, sağlıklı AKO olan 42 hasta ve glokom tanısıyla izlenen ve AKO nedeniyle Nd:YAG lazer arka kapsülotomi yapılan 27 hasta çalışmaya dahil edildi.. Tropikamid %1 damla ile pupilla dilatasyonu sağlanan hastalara işlemden 30 dakika önce bir damla %0,5 Aproklonidin HCl damlatıldı. İşlemden 1 saat önce ve işlemden 3 saat, 4 saat, 1 gün sonra GİB, MKK ölçümleri değerlendirildi. BULGULAR: Nd-YAG lazer kapsülotomi sonrası GİB değişimi iki grup arasında istatistiksel olarak anlamlı bulunmadı. GİB değişimi ile işlem esnasında uygulanan toplam lazer enerji miktarı arasındaki ilişki istatistiksel olarak anlamlı değildi. Nd:YAG lazer kapsülotomi sonrası, merkezi kornea kalınlığı MMK ’da iki grup arasında istatistiksel olarak anlamlı bir artış saptanmadı.

Keywords

Arka kapsül opasifikasyonu, Göz içi basıncı, Merkezi kornea kalınlığı, Nd:YAGlazer

References

)Kappelhof J, Vrensen G. The pathology of after cataract;a minireview. Acta Ophthalmol Suppl. 1992; 205: 13-24.
)McDonnell PJ, Zarbin MA, Green WR. Posterior capsule opacification in pseudophakic eyes. Ophthalmology. 1983; : 1548-53.
)Wilhelmus KR, Emery JM. Posterior capsule opacification following phacoemulsification. Ophthalmic surgery. 1980; : 264-7.
)Frezotti R, Caporossi A. Pathogenesis of posterior capsule opacification. Part I. Epidemiological and clinicostatistical data. Journal of cataract and refractive surgery. 1990; 16: 347-52.
)Ohadi C, Moreira H, McDonnell P. Posterior capsule opaci- fication. Curr Opin Opthalmol. 1991; 2: 46-52.
)Jamal S, Solomon L. Risk factors for posterior capsule pearling after uncomplicated extracapsuler cataract and pla- no-convex posterior chamber lens implantation. Journal of cataract and refractive surgery. 1993; 19: 333-8.
)Sudhakar J, Ravindran R, Natchiar G. Analysis of complica- tions in 1000 cases of posterior chamber intraocular lens im- plantation. Indian journal of ophthalmology. 1989; 37: 78-9.
)Apple DJ, Solomon K, Tetz MR. Posterior capsule opacifi- cation. Survey of ophthalmology. 1992; 37: 73-116.
)Solomon K, Legler U, Kostick A. Capsuler opacification after cataract surgery. Curr Opin Opthalmol. 1992; 3: 46-51.
)Miyake K, Asakura M, Kobayashi H. Effect of intraoculer lens fixation on the blood-aqueous barier. American journal of ophthalmology. 1984; 98: 451-5.
)Apple DJ, Mamalis N, Brady S. Biocompatility of implant materials: A review and scanning electron biomicroscopic study. Am intraoculer implant Soc J. 1984; 10: 53-66.
)Lin JC, Katz LJ, Spaeth GL, Klancnik JM, Jr. Intraocular pressure control after Nd:YAG laser posterior capsulotomy in eyes with glaucoma. The British journal of ophthalmology. ; 92: 337-9. )Burq MA, Taqui AM. Frequency of retinal detachment and other complications after neodymium:Yag laser capsulotomy. The Journal of the Pakistan Medical Association. 2008; 58: 550-2.
)Steinert RF, Puliafito CA, Kumar SR, Dudak SD, Patel S. Cystoid macular edema, retinal detachment, and glaucoma after Nd:YAG laser posterior capsulotomy. American journal of ophthalmology. 1991; 112: 373-80.
)Ficker LA, Steele AD. Complications of Nd:YAG laser posterior capsulotomy. Transactions of the ophthalmological societies of the United Kingdom. 1985; 104: 529-32.
)Channell M, Beckman H. Intraocular pressure changes after neodymium- YAG laser posterior capsulotomy. Ar- chives of ophthalmology. 1984; 102: 1024-6.
)Polak M, Zarnowski T, Zagorski Z. Results of Nd:YAG la- ser capsulotomy in posterior capsule opacification. Annales Universitatis Mariae Curie-Sklodowska Sectio D: Medicina. ; 57: 357-63. )Apple DJ, Peng Q, Visessook N, Werner L, Pandey SK, Escobar-Gomez M. Eradication of posterior capsule opaci- fication: documentation of a marked decrease in Nd:YAG la- ser posterior capsulotomy rates noted in an analysis of 5416 pseudophakic human eyes obtained postmortem. Ophthal- mology. 2001; 108: 505-18
)Peng Q, Visessook N, Apple DJ, Pandey SK, Werner L, Escobar-Gomez M.Surgical prevention of posterior capsule opacification. Part 3: Intraocular lens optic barrier effect as a second line of defense. Journal of cataract and refractive surgery. 2000; 26: 198-213.
)Akahoshi T. Acrysof 19000+ experience. Proc.XIX Con- gress of the ESCRS. The Netherlands. 2000:Abstr.p89.
)Nishi O, Nishi K, Sakanishi K. Inhibition of migrating lens epithelial cells at the capsular bend created by the rect- angular optic edge of a posterior chamber intraocular lens. Ophthalmic surgery and lasers. 1998; 29: 587-94.
)Spalton D, Bhermi G, Boyce J, Bender L. The pressure pro- file of the IOL optic on the posterior capsule and its relation to edge geometry. Proc. XIX Congres of the ESCRS. Amster- dam, The Netherlands. 2000:Abstr. P.180.
)Linnola RJ, Werner L, Pandey SK, Escobar-Gomez M, Znoi- ko SL, Apple DJ. Adhesion of fibronectin, vitronectin, laminin, and collagen type IV to intraocular lens materials in pseudopha- kic human autopsy eyes. Part 1: histological sections. Journal of cataract and refractive surgery. 2000; 26: 1792-806.
)Linnola RJ, Werner L, Pandey SK, Escobar-Gomez M, Znoiko SL, Apple DJ. Adhesion of fibronectin, vitronectin, laminin, and collagen type IV to intraocular lens materials in pseudophakic human autopsy eyes. Part 2: explanted intra- ocular lenses. Journal of cataract and refractive surgery. 2000; : 1807-18.
)Apple DJ, Solomon KD, Tetz MR, Assia EI, Holland EY, Legler UF. Posterior capsule opacification. Surv Ophthalmol. ; 37: 73-116. )Frankhauser F, Kwasnewska S. Neodymium: Yittri- um-Alumium-Garnet Laser Louis: Mosby. 1989: 781-886.
)Kraff M, Sanders D, Lieberman H. Intraocular pressure and the corneal endothelium after Neodymium-YAG laser posterior capsulotomy. Archives of ophthalmology. 1985; : 511-4.
)Stark WJ, Worthen D, Holladay JT, Murray G. Neodymi- um: YAG lasers. Ophthalmology. 1985; 92: 209-12.
)Silverstone DE, Brint SF, Olander KW, Taylor RB, McCa- rty GR, deFaller JM. Prophylactic use of apraclonidine for intraocular pressure increase after Nd:YAG capsulotomies. American journal of ophthalmology. 1992; 113: 401-5.
)Gharagozloo NZ, Relf SJ, Brubaker RF. Aqueous flow is reduced by the alpha-adrenergic agonist, apraclonidine hy- drochloride. Ophthalmology. 1988; 95: 1217-2.
)Brown SV, Thomas JV, Belcher CD, Simmons RJ. Effect of pilocarpine in treatment of intraocular pressure elevation following neodymium: YAG laser posterior capsulotomy. Ophthalmology. 1985; 92: 354-9.
) Migliori ME, Beckman H, Channell MM. Intraocular pressure changes after neodymium-YAG laser capsulotomy in eyes pretreated with timolol. Archives of ophthalmology. ; 105: 473-5. )Slomovic AR, Parrish RK. Acute elevations of intraocu- lar pressure following Nd:YAG laser posterior capsulotomy. Ophthalmology. 1985; 92: 973-6.
)Okudan S, Gündüz K, Özbayrak N. Nd-YAG laser posteri- or kapsülotomi sonuşlarımız. MN Oftalmoloji. 1998; 5: 80-1.
) Cumurcu T ve Etikan İ. Nd:yag lazer arka kapsülotomi sonrası göz içi basınç artışının atış sayısı, atış enerjisi ve to- plam enerji ile ilişkisi. Erciyes Tıp Dergisi. 2006; 28: 7-12.
)Ge J, Wand M, Chiang R, Paranhos A, Shields MB. Long- term effect of Nd:YAG laser posterior capsulotomy on intraoc- ular pressure. Archives of ophthalmology. 2000; 118: 1334-7.
) The cornea and sclera. In: Kaufman PL, Alm A (eds): Adler's Physiology of the eye, 1Gth ed, st. Louis, Mosby ;Section 2(Chapter 4). )Whitacre MM, Stein RA, Hassanein K. The effect of cor- neal thickness on applanation tonometry. American journal of ophthalmology. 1993; 115: 592-6.
)Balbaba M, Ulaş F. Nd:YAG Lazer Arka Kapsülotomi Son- rası Refraktif Değerlerde ve Korneanın Biyomekanik Özel- liklerinde Görülen Değişiklikler. Turkiye Klinikleri J Oph- thalmol. 2011; 20: 135-40.

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Details

Primary Language	Turkish
Journal Section	Original Research Article
Authors	Hande Hüsniye Telek This is me Ayşe Burcu This is me Özgür Balta This is me Mehmet Yakın This is me Ümit Ekşioğlu This is me
Publication Date	August 1, 2016
Published in Issue	Year 2016 Volume: 49 Issue: 2

Cite

AMA	Telek HH, Burcu A, Balta Ö, Yakın M, Ekşioğlu Ü. ND-YAG LAZER KAPSÜLOTOMİ SONRASI GLOKOMLU VE SAĞLIKLI GÖZLERDE GÖZ İÇİ BASINCI VE MERKEZİ KORNEA KALINLIĞI DEĞİŞİKLİKLERİ. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi. August 2016;49(2):87-93.

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