MATÜR KATARAKTI OLAN HASTALARDA FEMTOSANİYE LAZER FAKOEMÜLSİFİKASYON CERRAHİSİ Femtosecond Laser-Assisted Cataract Surgery in Eyes with White Mature Cataract

Year 2020, Volume: 10 Issue: 1, 126 - 131, 25.03.2020

Servet Cetinkaya Fikret Ucar

Abstract

ÖZET
Amaç: Matür kataraktı olan hastalarda Femtosaniye Lazer ile yapılan fakoemülsifikasyon cerrahisinin, klasik
fakoemülsifikasyon cerrahisi ile kıyaslanması.
Gereç ve Yöntemler: Femtosaniye Lazer ile yapılan fakoemülsifikasyon cerrahisi geçiren matür kataraktı olan
34 hastanın 34 gözü (Grup 1), klasik fakoemülsifikasyon cerrahisi geçiren matür kataraktı olan 34 hastanın 34
gözü ile retrospektif olarak kıyaslandı (Grup 2).
Sonuçlar: İki grup arasında yaş ve cinsiyet açısından anlamlı bir farklılık yoktu. Operasyon öncesi ve sonrası
düzeltilmemiş ve en iyi düzeltilmiş görme keskinlikleri açısından da iki grup arasında anlamlı bir farklılık
yoktu (p değerleri sırasıyla, 0.659, 0.634, 0.603 and 0.557).İkinci grupta, radyal yırtık, arka kapsül perforasyonu
ve vitre kaybı oranı daha fazla idi ve fako zamanı daha uzun idi, ancak fark anlamlı değildi (p değerleri
sırasıyla, 0.06, 0.06, 0.113 ve 0.07).
Sonuç: Femtosaniye Lazer ile yapılan fakoemülsifikasyon cerrahisi güvenli ve etkin bir metottur. Klasik fakoemülsifikasyon
cerrahisi ile kıyaslandığında, radyal yırtık ve arka kapsül perforasyonu gibi komplikasyonların
oranı daha düşük ve fako zamanı daha kısadır, ancak aradaki fark anlamlı değildir.
Anahtar Kelimeler: FLFC; Klasik fakoemülsifikasyon; Matür katarakt; Radyal yırtık
ABSTRACT
Purpose: To compare the results of femtosecond laser-assisted cataract surgery with conventional cataract
surgery in eyes with white mature cataract.
Material and Methods: Thirty-four eyes of 34 patients with white mature cataract who had undergone
femtosecond laser-assisted cataract surgery (FLACS) (Group 1) were compared retrospectively with 34 eyes
of 34 patients with white mature cataract who had undergone conventional cataract surgery (Group 2).
Results: In respect to the mean age and sex, there were no significant differences between the two groups.
There was no significant difference between the mean preoperative and postoperative uncorrected
distance visual acuity (UCVA) and best corrected visual acuity (BCVA) of Group 1 and Group 2 (P values,
0.659, 0.634, 0.603 and 0.557, respectively). The percentages of radial tears, posterior capsule rupture and
vitreous loss were higher and phaco time was longer in Group 2 than in Group 1, but the differences were
not significant statistically (p values, 0.06, 0.06, 0.113 and 0.07, respectively).
Conclusion: FLACS is a safe and effective surgery for white mature cataract. When compared with conventional
phacoemulsification surgery, although the percentages of some intraoperative complications such as
radial tears and posterior capsule ruptures are lower and phaco time is shorter in FLACS, the differences are
not significant statistically.
Keywords: FLACS; Conventional phacoemulsification; White mature cataract; Radial tears.

Keywords

MATÜR KATARAKTI OLAN HASTALARDA FEMTOSANİYE LAZER FAKOEMÜLSİFİKASYON CERRAHİSİ Femtosecond Laser-Assisted Cataract Surgery in Eyes with White Mature Cataract

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