Akciğer Kanserli Hastada Gelişen Bilateral Irvine-Gass Sendromu

Abstract

Her iki gözde az görme şikayeti olan, akciğer kanseri tanısı alan hastaya katarakt tanısı ile ayrı seanslarda katarakt cerrahisi uygulandı. Postoperatif dönemde görme artışı olmaması nedeni ile yapılan muayenede hastanın her iki gözünde kistoid makula ödemi olduğu görüldü. Tanı olarak Irvine-Gass sendromu düşünüldü. Hastaya medikal tedavi başlandı. Ancak hasta takiplerine gelmedi. 2 yıl sonra tekrar göz kliniğimize başvurduğunda her iki göz görme düzeyi 10/10 ölçüldü. Yapılan optik koherens tomografi görüntülerinde makula anatomisi her iki göz için doğaldı. Hasta bu sürede göz için önerilen medikal tedaviyi kullanmamış sadece kemoterapi görmüştü. Biz bu vakada akciğer kanseri gibi altta yatan bir sistemik hastalığı olan hastada postoperatif dönemde Irvine-Gass sendromu gelişme olasılığını tartıştık.

Keywords

• Kanser,macula,ödem,katarakt

Development of Bilateral Irvine-Gass Syndrome in a Patient with Lung Cancer

Abstract

Patient who was diagnosed with lung cancer with.complaint of decreased vision in both eyes with the diagnosis of cataract underwent cataract surgery in separate sessions. Because the visual acuity did not increase in the postoperative period, after ophtalmic examination cystoid macular edema was observed in both eyes. Irvine-Gass syndrome was considered as the diagnosis. Medical therapy was started. However, the patient did not come to follow up visits. After admitting to our hospital 2 years later his visual acuity in both eyes was measured 10/10. Optical coherence tomography images of macular anatomy were normal for both eyes. Patient did not have the recommended medical treatment he had only chemotherapy in this time period. In this case we discuss the possibility of development of Irvine-Gass syndrome in the postoperative period in patients with underlying systemic disease such as lung cancer as in this case.  

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