Regmatojen Retina Dekolmanı Tedavisinde Pnömatik Retinopeksi Başarısına Etki Eden Faktörler

Year 2016, Volume: 43 Issue: 2, 305 - 309, 01.06.2016

Kemal Yüksel Yasin Şakir Göker Mehmet Özveren H.uğur Çelik Ahmet Taylan Yazıcı

Abstract

Amaç: Regmatojen retina dekolmanı tedavisinde pnömatik
retinopeksi başarısına etki eden faktörleri sunmak.
Yöntemler: Yirmi dokuz kadın, 61 erkek hastanın 90
gözü çalışmaya dahil edildi. Hastaların yaşı, cinsiyeti,
semptom süresi, başvuru zamanındaki en iyi düzeltilmiş
görme keskinliği (EİDGK), lens durumu, operasyon öncesi
yırtık sayısı ve yeri, dekolman boyutu, makula tutulumu,
verilen tamponad madde, komplikasyon varlığı ve anatomik
başarı verileri operasyon öncesi, pnömatik retinopeksi
sonrası 3. ay ve son kontrolde değerlendirildi.
Bulgular: Tek uygulama başarısı 55 (%61,1) hasta olarak
saptanmıştır. Başvuruda, pnömatik retinopeksi sonrası 3.
ayda ve son muayenede ortanca EİDGK değerleri sırasıyla:
1,3 Logmar, 0,5 Logmar ve 0,6 Logmar olarak saptanmıştır
(p<0,001). Tek uygulamanın 3. aydaki anatomik
başarısı ile yaş, semptom süresi, dekolman kadran boyutu,
kullanılan tamponad, operasyon öncesi EİDGK, makula
tutulumu, operasyon öncesi yırtık sayısı, komplikasyon
varlığı ve spesifik komplikasyonların ilişkisi yönünden istatistiksel
olarak bir anlamlılık saptanmadı. Dekolman boyutu
ile anatomik başarı arasında ise istatistiksel olarak
bir anlamlılık vardı (p=0,03).
Sonuç: Pnömatik retinopeksi uygun hasta grubunda denenebilecek
anatomik ve fonksiyonel olarak başarılı bir
tedavi seçeneğidir. Üç saat kadranı altındaki dekolmanlarda
daha başarılı sonuçlar elde edilmiştir

Keywords

pnömatik retinopeksi, yırtıklı retina dekolmanı, anatomik ve fonksiyonel başarı

The Factors Affecting Success of Pneumatic Retinopexy in Treatment of Retinal Detachment

Abstract

Objective: To present the factors that influence the suc­cess rate of pneumatic retinopexy on rhegmatogenous retinal detachment treatment. Methods: Ninety eyes of 29 female and 61 male patient were included to the study. The patient’s age, sex, du­ration of symptoms, the best corrected visual acuities (BCVA) on the time of application, lens status, preopera­tive retinal tear number and location, retinal detachment size, macular involvement, tamponade type, coexisting complications, and anatomic success rates were record­ed at preoperative, postoperative 3rd months and final examination. Results: Only one treatment session success number was 55 over 90 (61.1%) patients. Median preoperative, postoperative 3rd month and final examination Log­MAR BCVA values were 1.3, 0.5 and 0.5 respectively.(p=0.0001) Preoperative and postoperative other param­eters was not revealed significant differences with one treatment session. However there was a significant posi­tive correlation between the detachment size and ana­tomical success. (p=0.03, r=0.324) Conclusion: Pneumatic retinopexy is an alternative treat­ment option for the anatomical and functional success in retinal detachment at suitable patients. In our study the success rate was higher in patients with less than 3 clock dial retinal detachment patients.

Keywords

pneumatic retinopexy, rhegmatogenous retinal detachment, anatomical and functional success

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