Katarakt Operasyonu Uygulanan Hastalarda Pseudoeksfoliasyon Sendromu Prevalansı ve İntraoperatif Komplikasyonlar

Öz

Amaç: Katarakt operasyonu uygulanan olgularda pseudoeksfoliasyon sendromu (PES) prevalansı ve buna bağlı gelişen kataraktın tipini, glokomun sıklığını ve intraoperatif komplikasyonları belirlemektir. Gereç ve Yöntemler: Adana Numune Eğitim ve Araştırma Hastanesi’ne başvuran ve katarakt nedeniyle opere edilen hastalar geriye dönük olarak değerlendirildi. Hastaların yaş, cinsiyet, ön segment ve fundus bulguları, göz içi basıncı ve intraoperatif komplikasyonlar incelendi. Vakalar PES + ve PES - olarak iki gruba ayrıldı. Bulgular: PES’li hastalarda yaş ortalaması 76,4±10 iken PES’li olmayan olguların yaş ortalaması 66,8±12 bulundu( p<0,001). 390 kataraktlı gözün %9’unda PES gözlendi (n=35). PES’li hastalarda en sık nükleer katarakt tespit edildi. PES olan ile olmayan grupların ortalama intraokuler basınçları arasında anlamlı fark bulunmadı (p>0,05). PES olan olgularda %11,5, olmayanlarda %8,4 intraoperatif komplikasyon görülmüştür (p>0,05). Sonuçlar: PES prevalansının farklı coğrafyalarda aralığı çok değişkendir. PES beraberinde görülen hastalıklar, komplikasyonlar nedeniyle oftalmolojik muayenede dikkat edilmesi gereken bir antitedir.

Anahtar Kelimeler

• pseudoeksfoliasyon sendromu
• katarakt
• intraoperatif komplikasyon

Prevalence of Pseudoexfoliation Syndrome and Intraoperative Complications in Patients Underwent Cataract Surgery

Abstract

Aim: The aim of the study was to evaluate pseudoexfoliation syndrome (PEX) prevalence, type of cataract, frequency of pseudoexfoliation glaucoma, and intraoperative complications in patients having cataract surgery. Material and Methods: Patients who underwent cataract surgery at Adana Numune Training and Research Hospital were evaluated retrospectively. The study assessed patient age, gender, anterior segment and fundus findings, intraocular pressure measurement, intraoperative complication notes. The cases were classified into two groups: the PEX + and the PEX - group. Results: The mean age was 76.4 ± 10 in patients with PEX and 66.8 ± 12 in patients without PEX (p <0.001). The overall prevalence of PEX syndrome was found to be % 9 in 390 cataract cases. The most common cataract type was a nuclear cataract in PEX patients. There was no significant difference in intraocular pressure between PEX + and PEX- groups (p> 0.05). Intraoperative complications in PEX+ and PEX- cases were observed %11.5 and %8.4 respectively (p> 0.05). Conclusion: The prevalence of PEX is very variable in different geographical regions. PEX should be considered in the ophthalmologic examination due to risk factors and complications.

Keywords

• pseudoexfoliation syndrome
• cataract
• intraoperative complication

Kaynakça

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