Scheimpflug-Placido Disk Topografi ile Sağlıklı ve Sistemik Arteryel Hipertansiyon Hastalarında Fakoemülsifkasyon Öncesi ve Sonrası Pupil Çapının Değerlendirilmesi

Öz

Amaç: Sağlıklı ve sistemik arteriyel hipertansiyonu olan hastalarda fakoemülsifikasyon cerrahisi öncesi ve sonrası pupil çapının değişimini Scheimpflug-Placido Disk Topografisi (Sirius, CSO Inc.) ile değerlendirmeyi amaçladık.
Materyal ve metod: Bu çalışmada fakoemülsifikasyon planlanan 75 sağlıklı ve 77 sistemik arteriyel hipertansiyon (HT) hastası alındı. Pupil çapı (PÇ) ameliyat öncesi ve ameliyattan 1 ay sonra Kombine Scheimpflug-Placido Disk Topografisi pupillometresi ile ölçüldü. Grupların ameliyat öncesi ve ameliyat sonrası pupil çapı değerleri karşılaştırıldı.
Bulgular: Sağlıklı grupta ameliyat öncesi ve sonrası pupil çapı değişimi anlamlı bulundu (5,13± 1,38 mm ve 3,07± 0,52 mm sırasıyla. p < 0,05). HT grupta ameliyat öncesi ve sonrası pupil çapı değişimi anlamlı bulundu (5,26± 1,39 mm ve 3,14± 0,51 mm sırasıyla. p < 0,05). Sağlıklı ve HT gruplarında PÇ değişiminin etki değerleri farklı bulundu (1,48; 1,77 sırasıyla).
Sonuç: Fakoemülsifikasyon sonrası iki grupta PÇ azaldı. Fakoemülsifikasyon cerrahisinin HT hastalarında PÇ değişimi, sağlıklı gruba göre daha fazla olduğu izlenmektedir. Bu değişimi HT hastalar’da yapılacak refraktif cerrahi palanlarken göz önüne alınması önemli olacaktır.

Anahtar Kelimeler

• Fakoemülsifikasyon
• Pupil Çapı
• Topografi

Evaluation of Pupil Diameter Before and After Phacoemulsification in Healthy and Systemic Arterial Hypertension Patients with Scheimpflug-Placido Disc Topography

Abstract

Background: We aimed to evaluate the change of pupil diameter before and after phacoemulsification surgery in patients with healthy and systemic arterial hypertension with Scheimpflug-Placido Disc Topography (Sirius, CSO Inc.).
Materials and Methods: This study included 75 healthy and 77 systemic Arterial Hypertension (HT) patients scheduled for phacoemulsification. Pupil Diameter (PD) was measured by combined Scheimpflug-Placido Disc Topography pupillometer before and 1 month after surgery. The preoperative and postoperative pupil diameter values of the groups were compared.
Results: In the healthy group, the change of pupil diameter before and after surgery was significant (5.13 ± 1.38 mm and 3.07 ± 0.52 mm, respectively. p <0.05). In the HT group, the change of pupil diameter before and after surgery was significant (5.26 ± 1.39 mm and 3.14 ± 0.51 mm, respectively. p <0.05). The effect values of PS change in healthy and HT groups were found different (1.48; 1.77 respectively).
Conclusion: PD decreased in two groups after phacoemulsification. It is observed that phacoemulsification surgery is more prominent in HT patients than in the healthy group. It will be important to consider this change when planning refractive surgery in HT patients.

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