Ön lameller repozisyon yöntemi uygulanan trahomatöz skatrisyel entropiyonlu olgularda cerrahi sonuçlarımız Türkçe

Yıl 2013, Cilt: 10 Sayı: 2, 60 - 65, 01.08.2013

Yusuf Koçluk Oğuzhan Saygılı Emrah Mat Necdet Bekir

Öz

Amaç: Hafif ve orta düzey entropiyonda anterior lameller repozisyon ve kısaltma ameliyatının sonuçlarını değerlendirmek amaçlandı.Materyal ve metot: Kırk hastanın trahomatöz skatrisyel üst kapak entropiyonlu 65 gözü çalışmaya alındı. Ameliyat sonrası 1. ve 7. gün, 1. ve 6. ay takip muayenelerinde hasta ve cerrahın memnuniyetleri değerlendirildi.Bulgular: Ortalama yaş 70 yıl olan 50 – 87 yaş arası 40 hastanın 15'i erkek, 25'i kadın 65 üst kapak ameliyatı değerlendirildi. Skatrisyel entropiyonun nedeni trahomdu. Hastalar ameliyat sonrası ortalama 6 ay kadar izlendi. Hastaların gözünün %89,2'sinde ameliyat sonrası semptomatik iyileşme not edildi. Hastalar 53 gözün %81,5 ameliyatından mumnundu. Cerrah 54 gözün %83 ameliyatından memnundu. Ameliyat sonrası 6. aydaki kontrol muayenesinde 5 gözde %9,2 rekürrens görüldü.Sonuçlar: Anterior lameller kısaltma ile birlikte anterior lameller repozisyon trahomatöz skatrisyel üst kapak entropiyonunda etkili olduğu görülmektedir

Anahtar Kelimeler

Anterior lameller repozisyon, Entropiyon, Anterior lameller kısaltma

Surgical results from trahomatöz cicatricial entropion patients who underwent anterior lamellar repositioning

Öz

Background: To evaluate the outcomes of anterior lamellar repositioning and anterior lamellar shortening surgery for treatment of minimal and moderate trachomatous entropion.Materials and Methods: Sixty five eyes of 40 patients with cicatricial entropion that included upper lid trachoma were evaluated. Patient and surgeon satisfaction were evaluated on follow-up examinations performed on the 1 st and 7th day, 1st and 6th months. In a retrospective study, the technique and results were evaluated.Results: 65 upper eyelid operations were performed on 40 patients 15 male, 25 female , with a mean age of 70±12.1 years range 50–87 . The aetiology of the cicatricial entropion included trachoma. Patients were followed postoperatively for an average of 6 months. 89.2 % of patients' eyes noted symptomatic improvement. Postoperatively, patients were satisfied in 53 eyes 81.5 % operation. Ophthalmic surgeon was satisfied in 54 eyes 83 % operation. Recurrence was seen in 5 eyes 9.2 % operation on follow-up examinations performed on the 6th months Conclusion: Anterior lamellar repositioning with anterior lamella shortening appears to be effective in managing trachomatous cicatricial entropion of the upper lid

Anahtar Kelimeler

Anterior lamellar repositioning, entropion, anterior lamellar shortening

Kaynakça

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