KATARAKTI VE PRİMER AÇIK AÇILI GLOKOMU OLAN HASTALARDA FAKOEMÜLSİFİKASYON CERRAHİSİNİN, GÖZ İÇİ BASINCI VE ANTERİOR SEGMENT ANATOMİSİ ÜZERİNDEKİ ETKİSİ

Year 2019, Volume: 1 Issue: 2, 63 - 68, 15.08.2019

Servet Çetinkaya

Abstract

Amaç:
Kataraktı ve primer açık
açılı glokomu (PAAG) olan hastalarda fakoemülsifikasyon cerrahisinin, göz içi
basıncı (GİB), ön kamara derinliği (ÖKD), iridokorneal açı (İKA) ve merkezi
kornea kalınlığı (MKK) üzerindeki etkisini değerlendirmek.

Gereç
ve Yöntemler: Fakoemülsifikasyon
ve intraoküler lens (IOL) implantasyonu cerrahisi geçiren, kataraktı ve PAAG’u
olan 97  hastanın 97 gözü retrospektif
olarak incelendi. Preoperatif ve postoperatif 
1.hafta, 1. ay, 3. ay, 6. ay, 1. yıl ve 2. yıl GİB, ÖKD, İKA ve MKK
ölçümleri alındı.

Bulgular:
Preoperatif ortalama GİB değeri 17.76 ±2.52 (SD) (14-21) mmHg idi.
Postoperatif 1.hafta, 1. ay, 3. ay , 6. ay ve 1. yıl GİB değerlerindeki düşüş
istatistiksel olarak anlamlı idi, ancak postoperatif  2.yıl GİB değerindeki değişiklik anlamlı
değildi (p değerleri sırasıyla, 0.00, 0.00, 0.00, 0.00, 0.03 ve 0.07).
Preoperatif ortalama ÖKD değeri 2.91±0.35 (SD) (2.4 - 3.6) mm idi. Postoperatif
1.hafta, 1. ay, 3. ay, 6.ay ve 1.yıl  ÖKD
değerlerindeki artış istatistiksel olarak anlamlıydı, ancak postoperatif 2.yıl
ÖKD değerindeki değişiklik anlamlı değildi (p değerleri sırasıyla, 0.00, 0.00,
0.00, 0.01, 0.03 ve 0.07). Preoperatif ortalama İKA derecesi 2.88 ±0.69 (SD) (2 - 4) (Shaffer  Klasifikasyonu) idi. Postoperatif 1.hafta,
1.ay, 3.ay, 6.ay ve 1.yıl  İKA
derecelerindeki artış istatistiksel olarak anlamlıydı, ancak postoperatif 2.yıl
İKA derecesindeki değişiklik anlamlı değildi (p değerleri sırasıyla, 0.00,
0.00, 0.00, 0.01, 0.04 ve 0.56). Preoperatif ortalama MKK değeri 536.12 ± 
21.23 (SD) (515-589) µm idi. Postoperatif 1.hafta ve 1.ay MKK
değerlerindeki artışlar istatistiksel olarak anlamlıydı, ancak
postoperatif  3.ay, 6.ay, 1.yıl ve 2.yıl
MKK değerlerindeki değişimler anlamlı değildi (p değerleri sırasıyla, 0.00,
0.00, 0.10, 0.28, 0.84 ve 0.87).

Sonuç:
 Fakoemülsifikasyon cerrahisi kısa dönemde
GİB’nı azaltmaktadır, ÖKD  ve İKA
derecesini artırmaktadır. Ancak  uzun
dönemde anlamlı bir değişikliğe sebep olmamaktadır.

Keywords

Fakoemülsifikasyon, Göz içi basıncı, Katarakt

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