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Regmatojen Retina Dekolmanında Pars Plana Vitrektomi Sonunda Uygulanan Kısa Etkili ve Uzun Etkili Gazların Karşılaştırılması

Yıl 2022, Cilt: 11 Sayı: 2, 304 - 308, 14.07.2022
https://doi.org/10.53424/balikesirsbd.1020970

Öz

Amaç: Regmatojen retina dekolmanı (RRD) için uygulanan primer pars plana vitrektomi (PPV) cerrahisinde kullanılan kısa ve uzun etkili gazların sonuçlarının karşılaştırılması. Gereç ve Yöntem: 2019-2021 Mayıs arasında RRD nedeniyle PPV uygulanmış hastaların dosyaları geriye yönelik olarak tarandı. SF6 kullanılan hastalar grup 1, C3F8 kullanılan hastalar grup 2 olarak kabul edildi. İki grup fonksiyonel ve anatomik başarı, peroperatif ve postoperatif komplikasyon gelişimi, nüks retina dekolmanı gelişimi açısından karşılaştırıldı. Bulgular: Tamponad olarak 14 hastada (%37,8) SF6, 23 hastada (%62,2) C3F8 kullanılmış idi. İki grup arasında yaş, cinsiyet, lens durumu, şikayet süresi, cerrahi öncesi EİDGK, GİB, maküla tutulumu açısından fark yoktu. Üçüncü ay retinal yatışıklık oranı grup 1’de %92,9, grup 2’de %95,7 idi (p=0,865). Rekürren vakalarda dekolman tespit süresi, grup 1’de 37,7±24,6, grup 2’de 38,1±19,6 idi (p=0,972). Birinci haftada grup1’de EİDGK 0,044±0,070, grup 2’de 0,004± 0,003 idi (p=0,009). Birinci ayda EİDGK 1. Grupta 0,232±0,138, 2.grupta 0,111±0,096 idi (p=0,007). Üçüncü ayda EİDGK 1.grupta 0,350±0,128 2.grupta 0,329±0,214 idi (p=0,459). Sonuç: Regmatojen retina dekolmanı tedavisi için PPV yapılan hastalarda tamponad olarak hem kısa hem de uzun etkili gazların kullanımı ile yüksek başarı elde edilir. Hızlı görsel rehabilitasyon istenilen hastalarda kısa etkili gazlar tercih edilebilir.

Kaynakça

  • Amara, A., Bernabei, F., Chawki, M. B., Buffet, J., Adam, R., Akesbi, J., Sellam, A., Azan, F., Lehmann, M., Guerrier, G., Rodallec, T., Nordmann, J. P., & Rothschild, P. R. (2021). Comparison between air and gas as tamponade in 25-gauge pars plana vitrectomy for primary superior rhegmatogenous retinal detachment. Eye (London, England). https://doi.org/10.1038/S41433-021-01739-Z
  • Bentivoglio, M., Valmaggia, C., Scholl, H. P. N., & Guber, J. (2019). Comparative study of endolaser versus cryocoagulation in vitrectomy for rhegmatogenous retinal detachment. BMC Ophthalmology, 19(1), 1–5. https://doi.org/10.1186/S12886-019-1099-9/TABLES/4
  • Cheng, Y. H., Wang, H., Li, B., Ji, M., Shi, Q., Qi, Y., Hu, Y. G., Xie, A. M., & Pei, C. (2020). Vitrectomy with air tamponade for surgical repair of rhegmatogenous retinal detachment by eye position guided fluid-air exchange. International Journal of Ophthalmology, 13(9), 1417. https://doi.org/10.18240/IJO.2020.09.13
  • Funatsu, R., Terasaki, H., Koriyama, C., Yamashita, T., Shiihara, H., & Sakamoto, T. (2021). Silicone oil versus gas tamponade for primary rhegmatogenous retinal detachment treated successfully with a propensity score analysis: Japan Retinal Detachment Registry. The British Journal of Ophthalmology. https://doi.org/10.1136/BJOPHTHALMOL-2021-319876
  • Lean, J. S., Boone, D. C., Azen, S. P., Lai, M. Y., Linton, K. L. P., McCuen, B. W., & Ryan, S. J. (1992). Vitrectomy with silicone oil or sulfur hexafluoride gas in eyes with severe proliferative vitreoretinopathy: results of a randomized clinical trial. Silicone Study Report 1. Archives of Ophthalmology (Chicago, Ill. : 1960), 110(6), 770–779. https://doi.org/10.1001/ARCHOPHT.1992.01080180042027
  • Ozkırıs, A., Evereklioglu, C., İlhan, Ö., & Erkılıc, K. (2005). Komplike Retina Dekolmanı Olan Olgularda Pars Plana Vitrektomi Sonuçlarımız. Türk Oftalmoloji Gazetesi, 35, 504–508. http://cms.galenos.com.tr/Uploads/Article_3433/2005-504-508.pdf
  • Popovic, M. M., Muni, R. H., Nichani, P., & Kertes, P. J. (2021). Pars plana vitrectomy, scleral buckle, and pneumatic retinopexy for the management of rhegmatogenous retinal detachment: a meta-analysis. Survey of Ophthalmology. https://doi.org/10.1016/J.SURVOPHTHAL.2021.05.008
  • Potts, A. M. (1966). Rhegmatogenous retinal detachment? What is the evidence? American Journal of Ophthalmology, 61(5 Pt 2), 1264–1271. https://doi.org/10.1016/0002-9394(66)90255-8
  • Singh, A., Bali, E., Boustani, G., & Michez, M. (2021). Routine use of air tamponade in pars plana vitrectomy for primary rhegmatogenous retinal detachment repair. Ophthalmologica. Journal International d’ophtalmologie. International Journal of Ophthalmology. Zeitschrift Fur Augenheilkunde. https://doi.org/10.1159/000516519
  • Songur, M. S., Çıtırık, M., Batman, C., Taşdemir, S., & Zilelioğlu, O. (2008). Regmatojen retina dekolmanlarında konvansiyonel dekolman cerrahisi ile vitreoretinal cerrahinin karşılaştırılması. Retina-Vitreus, 16(3), 203–207. https://app.trdizin.gov.tr/makale/T0RVeE1URXg/regmatojen-retina-dekolmanlarinda-konvansiyonel-dekolman-cerrahisi-ile-vitreoretinal-cerrahinin-karsilastirilmasi
  • Tetsumoto, A., Imai, H., Hayashida, M., Otsuka, K., Matsumiya, W., Miki, A., & Nakamura, M. (2020). The comparison of the surgical outcome of 27-gauge pars plana vitrectomy for primary rhegmatogenous retinal detachment between air and SF6 gas tamponade. Eye (London, England), 34(2), 299–306. https://doi.org/10.1038/S41433-019-0726-2
  • Wagenfeld, L., Zeitz, O., Skevas, C., & Richard, G. (2010). Long-lasting endotamponades in vitreoretinal surgery. Ophthalmologica. Journal International d’ophtalmologie. International Journal of Ophthalmology. Zeitschrift Fur Augenheilkunde, 224(5), 291–300. https://doi.org/10.1159/000298749

Comparison of Short-Acting and Long-Acting Gases Applied after Pars Plana Vitrectomy in Regmatogen Retinal Detachment

Yıl 2022, Cilt: 11 Sayı: 2, 304 - 308, 14.07.2022
https://doi.org/10.53424/balikesirsbd.1020970

Öz

Aim: Comparison of the results of short-acting and long-acting gases used in primary pars plana vitrectomy surgery (PPV) for rhegmatogenous retinal detachment (RRD). Materials and Methods: The files of patients who underwent PPV for RRD between May 2019-2021 were retrospectively scanned. Patients using SF6 were considered group 1, patients using C3F8 were considered group 2. The two groups were compared in terms of functional and anatomical success, development of perioperative and postoperative complications, and development of recurrent retinal detachment. Results: SF6 was used as tamponade in 14 patients (37.8%), and C3F8 was used in 23 patients (62.2%). There was no difference between the two groups in terms of age, gender, lens status, duration of complaints, preoperative BCVA, IOP, and macular involvement. The third month retinal attachment rate was 92.9% in group 1 and 95.7% in group 2 (p=0.865). The mean BCVA was 0.044±0.070 and 0.004±0.003 (p=0.009) at first week, 0.232±0.138 and 0.111±0.096 (p=0.007) at 1st month, 0.350±0.128 and 0.329±0.214 (p=0.459) at 3rd month (respectively in Group 1 and 2). Conclusion: In RRD patients undergoing PPV, a high rate of success is achieved with the use of both short and long-acting gases as tamponade. The short-acting gases preferred when needed rapid visual rehabilitation.

Kaynakça

  • Amara, A., Bernabei, F., Chawki, M. B., Buffet, J., Adam, R., Akesbi, J., Sellam, A., Azan, F., Lehmann, M., Guerrier, G., Rodallec, T., Nordmann, J. P., & Rothschild, P. R. (2021). Comparison between air and gas as tamponade in 25-gauge pars plana vitrectomy for primary superior rhegmatogenous retinal detachment. Eye (London, England). https://doi.org/10.1038/S41433-021-01739-Z
  • Bentivoglio, M., Valmaggia, C., Scholl, H. P. N., & Guber, J. (2019). Comparative study of endolaser versus cryocoagulation in vitrectomy for rhegmatogenous retinal detachment. BMC Ophthalmology, 19(1), 1–5. https://doi.org/10.1186/S12886-019-1099-9/TABLES/4
  • Cheng, Y. H., Wang, H., Li, B., Ji, M., Shi, Q., Qi, Y., Hu, Y. G., Xie, A. M., & Pei, C. (2020). Vitrectomy with air tamponade for surgical repair of rhegmatogenous retinal detachment by eye position guided fluid-air exchange. International Journal of Ophthalmology, 13(9), 1417. https://doi.org/10.18240/IJO.2020.09.13
  • Funatsu, R., Terasaki, H., Koriyama, C., Yamashita, T., Shiihara, H., & Sakamoto, T. (2021). Silicone oil versus gas tamponade for primary rhegmatogenous retinal detachment treated successfully with a propensity score analysis: Japan Retinal Detachment Registry. The British Journal of Ophthalmology. https://doi.org/10.1136/BJOPHTHALMOL-2021-319876
  • Lean, J. S., Boone, D. C., Azen, S. P., Lai, M. Y., Linton, K. L. P., McCuen, B. W., & Ryan, S. J. (1992). Vitrectomy with silicone oil or sulfur hexafluoride gas in eyes with severe proliferative vitreoretinopathy: results of a randomized clinical trial. Silicone Study Report 1. Archives of Ophthalmology (Chicago, Ill. : 1960), 110(6), 770–779. https://doi.org/10.1001/ARCHOPHT.1992.01080180042027
  • Ozkırıs, A., Evereklioglu, C., İlhan, Ö., & Erkılıc, K. (2005). Komplike Retina Dekolmanı Olan Olgularda Pars Plana Vitrektomi Sonuçlarımız. Türk Oftalmoloji Gazetesi, 35, 504–508. http://cms.galenos.com.tr/Uploads/Article_3433/2005-504-508.pdf
  • Popovic, M. M., Muni, R. H., Nichani, P., & Kertes, P. J. (2021). Pars plana vitrectomy, scleral buckle, and pneumatic retinopexy for the management of rhegmatogenous retinal detachment: a meta-analysis. Survey of Ophthalmology. https://doi.org/10.1016/J.SURVOPHTHAL.2021.05.008
  • Potts, A. M. (1966). Rhegmatogenous retinal detachment? What is the evidence? American Journal of Ophthalmology, 61(5 Pt 2), 1264–1271. https://doi.org/10.1016/0002-9394(66)90255-8
  • Singh, A., Bali, E., Boustani, G., & Michez, M. (2021). Routine use of air tamponade in pars plana vitrectomy for primary rhegmatogenous retinal detachment repair. Ophthalmologica. Journal International d’ophtalmologie. International Journal of Ophthalmology. Zeitschrift Fur Augenheilkunde. https://doi.org/10.1159/000516519
  • Songur, M. S., Çıtırık, M., Batman, C., Taşdemir, S., & Zilelioğlu, O. (2008). Regmatojen retina dekolmanlarında konvansiyonel dekolman cerrahisi ile vitreoretinal cerrahinin karşılaştırılması. Retina-Vitreus, 16(3), 203–207. https://app.trdizin.gov.tr/makale/T0RVeE1URXg/regmatojen-retina-dekolmanlarinda-konvansiyonel-dekolman-cerrahisi-ile-vitreoretinal-cerrahinin-karsilastirilmasi
  • Tetsumoto, A., Imai, H., Hayashida, M., Otsuka, K., Matsumiya, W., Miki, A., & Nakamura, M. (2020). The comparison of the surgical outcome of 27-gauge pars plana vitrectomy for primary rhegmatogenous retinal detachment between air and SF6 gas tamponade. Eye (London, England), 34(2), 299–306. https://doi.org/10.1038/S41433-019-0726-2
  • Wagenfeld, L., Zeitz, O., Skevas, C., & Richard, G. (2010). Long-lasting endotamponades in vitreoretinal surgery. Ophthalmologica. Journal International d’ophtalmologie. International Journal of Ophthalmology. Zeitschrift Fur Augenheilkunde, 224(5), 291–300. https://doi.org/10.1159/000298749
Toplam 12 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Eyup Karahan 0000-0003-2099-1991

Yurdagül Girgin 0000-0002-1653-2955

Ömer Can Kayıkçıoğlu 0000-0002-8148-5016

Gozde Sahın Vural 0000-0002-6989-4378

Cenap Güler 0000-0002-3640-271X

Yayımlanma Tarihi 14 Temmuz 2022
Gönderilme Tarihi 9 Kasım 2021
Yayımlandığı Sayı Yıl 2022 Cilt: 11 Sayı: 2

Kaynak Göster

APA Karahan, E., Girgin, Y., Kayıkçıoğlu, Ö. C., Sahın Vural, G., vd. (2022). Regmatojen Retina Dekolmanında Pars Plana Vitrektomi Sonunda Uygulanan Kısa Etkili ve Uzun Etkili Gazların Karşılaştırılması. Balıkesir Sağlık Bilimleri Dergisi, 11(2), 304-308. https://doi.org/10.53424/balikesirsbd.1020970

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