Pigment dispersiyon sendromlu olgularımızda klinik bulgular ve laser periferik iridotomi sonuçları

Öz

Amaç: Pigment dispersiyon sendromlu (PDS) olgularımızda klinik bulguları ve laser periferik iridotomi sonuçlarımızı bildirmek

Materyal ve Metod: İstanbul Üniversitesi İstanbul Tıp Fakültesi Glokom departmanında PDS tanısı alan 30 olgunun tıbbi kayıtları retrospektif olarak incelendi. Çalışmaya 30 olgunun 60 gözü dahil edildi.

Bulgular: Olguların 18’i (%60) erkek, 12’si (%40) kadındı. Ortalama yaş 42,4 ±12,3 yıldı (22-73). 23 olgunun 46 gözünde miyopi, altı olgunun 12 gözünde hipermetropi ve bir olgunun iki gözünde emetropi mevcuttu. 29 olgunun her iki gözünde de (%96,6) Krukenberg mekiği izlendi. Trabeküler ağda homojen pigmentasyon tüm olgularda görüldü. On yedi olgunun 22 gözünde (%53,3) iris transilüminasyon defektleri vardı. Neodymium:yttrium–aluminum–garnet (Nd:YAG) laser periferik iridotomi 44 göze (%73,3) uygulandı.

Sonuçlar:  Olgularımızda en sık rastlanan klinik bulgular Krukenberg mekiği ve trabeküler ağda homojen pigmentasyondur. Pigment dispersiyon sendromu pigmenter oküler hipertansiyona ve pigmenter glokoma ilerlemedikçe periferik ND yag laser iridotomi ve medikal tedavi ile kontrol altına alınabilirr

Anahtar Kelimeler

• Glokom,Pigment dispersiyon sendromu,Laser periferik iridotomi

Clinical characteristics and results of laser peripheral iridotomy of pigment dispersion syndrome

Abstract

Aims: To report the clinical findings, characteristics and the results of peripheral laser iridotomy in pigment dispersion syndrome (PDS) patients.

Methods: Medical records of 30 patients who had been diagnosed with PDS were evaluated retrospectively at Glaucoma Department of Istanbul Faculty of Medicine at Istanbul University.

Results: Sixty eyes of these 30 patients enrolled in the study. 18 of them (60%) were male and 12 (40%) were female with mean age of 42.4 ±12.3 years (range: 22 to 73 years). Forty-six eyes of the 23 patients had myopia, 12 eyes of 6 patients had hyperopia, 2 eyes of 1 patient had emmetropia. All patients except 2 eyes of the 1 patient had (96.6%) Krukenberg spindles. Homogeneous trabecular meshwork(TM) pigmentation was seen in all patients. Thirty-two eyes of 17 patients (53.3 %) had iris transillumination defects. Neodymium:yttrium–aluminum–garnet (Nd:YAG) peripheral laser iridotomy was performed in 44 eyes of 60 eyes (73.3%).

Conclusion: The most common clinical findings in Turkish PDS patients were Krukenberg spindles and homogeneous TM pigmentation. If PDS hasn’t advanced in pigmentary ocular hypertension or pigmentary glaucoma, progression can be stabilized by laser iridotomy and medical treatment.

Keywords

• glaucoma,pigment dispersion syndrome,laser peripheral iridotomy

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