Year 2020, Volume 2 , Issue 1, Pages 11 - 15 2020-03-01

İdiyopatik Makula Deliği Tedavisinde 25 Gauge Pars Plana Vitrektomi Sonuçlarımız
25 Gauge Pars Plana Vitrectomy Results in Idiopathic Macular Holes

Osman Bulut OCAK [1] , Ziya KAPRAN [2]


Amaç: İdiyopatik makula deliği cerrahi tedavisinde uygulanan 25 gauge (G) pars plana vitrektomi (PPV) cerrahisinin anatomik ve fonksiyonel başarısını ve komplikasyonlarını değerlendirmek.
Gereç ve Yöntemler: Mart 2005 – Mayıs 2008 tarihleri arasında hastanemizde makula deliği nedeniyle vitreoretinal cerrahi geçiren 28 hastanın 30 gözüne ait veriler retrospektif olarak incelendi ve olgular anatomik ve fonksiyonel başarı ile görülen komplikasyonlar açısından değerlendirildi.
Bulgular: Yasları 40 ile 84 arasında değişen (ortalama 65 ± 10,68 yıl) olguların 18’i (%64,2) kadın ve 10’u (%35,8) erkekti. 22 olguda (%73,3) evre 3, 6 olguda (%20) evre 4, 2 olguda ise (%6,7) evre 2 makuler delik mevcut idi. Cerrahi öncesi en iyi düzeltilmiş görme keskinlikleri (EDGK) ortalama 0,12 ± 0,09 (logMAR 0,98 ± 0,33, 0,05 – 0,4 arası) olarak saptandı. Makula deliklerinin süresi ortalama 9,55 ± 8,97 ay idi. (1 – 24 ay) 25 G PPV cerrahisi sonrası ortalama 13,81 ± 9,44 ay (1-30 ay) takip edilen 30 gözün 29 ‘unda (%96,6) anatomik başarı elde edildi. Olguların cerrahi öncesi ve sonrası EDGK arasındaki fark istatistiksel olarak anlamlıydı (p<0,05). Ameliyat sonrası, 9 olguda (%30) retina pigment epiteli (RPE) değişiklikleri, 8 olguda (%26,67) katarakt, 3 olguda (%10) hipotoni ve 1 olguda (%3,34) retina dekolmanı gelişti.
Sonuç: İdiyopatik makula deliği cerrahi tedavisinde 25 G sütürsüz vitrektomi tekniği hem anatomik hem fonksiyonel iyileşme açısından etkili bulunmuştur.

Purpose: To evaluate the anatomical and functional efficacy, safety and complications of 25 gauge (G) sutureless pars plana vitrectomy (PPV) in idiopathic macular holes.
Material and Methods: Between March 2005 – May 2008, 30 eyes with 28 patients that had undergone 25 G PPV in our clinic were included in the study. Pre- and post-operative visual acuities, intraoperative and postoperative complications were noted, retrospectively.
Results: The mean age of the patients was 65 ± 10.68 (range 40 -84) years and 30 eyes of 18 females (64.2%) and 10 males (35.8%) were studied. 22 patients (73.3%) had grade 3, 6 patients (20%) had grade 4 and 2 patients (6.7%) had grade 2 macular holes. The mean pre- operative best corrected visual acuity (BCVA) of the patients were 0.12 ± 0.09 (logMAR 0.98±0.33, range 0.05 – 0.4). Survey of macular holes was 9.55 ± 8.97 months (1 – 24 months). The mean follow-up was 13.81 ± 9.44 (range 1-30) months and 29 of 30 eyes (96.6%) achieved anatomical success. BCVA was decreased statistically significant between pre- and post-operatively (p<0.05). Postoperative retina pigment epithelium (RPE) changes were seen in 9 (30%) eyes, cataract was seen in 8 (27.67%) eyes, hypotony was seen in 3 (10%) eyes and retinal detachment was seen in one (3.34%) eyes.
Conclusion: The 25 G sutureless vitrectomy technique is anatomically and functionally effective in idiopathic macular holes.

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Primary Language tr
Subjects Ophthalmology
Journal Section Research Articles
Authors

Orcid: 0000-0002-8154-6771
Author: Osman Bulut OCAK (Primary Author)
Institution: İSTANBUL PROF.DR. N.REŞAT BELGER BEYOĞLU GÖZ SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Country: Turkey


Orcid: 0000-0001-9723-859X
Author: Ziya KAPRAN
Institution: TIP FAKÜLTESİ

Dates

Application Date : October 18, 2019
Acceptance Date : February 17, 2020
Publication Date : March 1, 2020

AMA OCAK O , KAPRAN Z . İdiyopatik Makula Deliği Tedavisinde 25 Gauge Pars Plana Vitrektomi Sonuçlarımız. Phnx Med J.. 2020; 2(1): 11-15.