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AKSİYEL UZUNLUĞUN FAKOEMÜLSİFİKASYON CERRAHİSİ SONRASI ÖN KAMARA PARAMETRELERİ VE GÖZ İÇİ BASINCI DEĞİŞİMLERİNE ETKİSİ

Yıl 2021, Cilt: 84 Sayı: 1, 92 - 97, 15.01.2021
https://doi.org/10.26650/IUITFD.2019.0091

Öz

Amaç: Fakoemülsifikasyon ve göz içi lensi (GİL) implantasyonu sonrası ön kamara(ÖK) parametreleri, santral kornea kalınlığı (SKK) ve göz içi basıncı (GİB) değişimlerini ve aksiyel uzunluğun(AU) bu parametrelerdeki değişimlere etkisini incelemektir. Gereç ve Yöntem: Çalışmada fakoemülsifikasyon cerrahisi geçiren 89 hastanın 106 gözü retrospektif olarak değerlendirildi. Olgular; AU ölçümleri 21(49 göz) olan iki gruba ayrıldı. AU ölçümleri IOLMaster 500 ile yapıldı. Tüm olgulara fakoemülsifikasyon cerrahisi öncesi ve postoperatif 3. ayda; Pentacam HR ile ÖK derinliği (ÖKD), ÖK hacmi (ÖKH), ÖK açısı (ÖKA) ve SKK ölçüldü. Goldman aplanasyon tonometresiyle GİB ölçümleri yapıldı. Verilerin analizinde T-test ve tek-yönlü varyans analizi kullanıldı. p≤0,05 anlamlı kabul edildi. Bulgular: Grupların postoperatif 3. aydaki ÖKD, ÖKA, ÖKH,GİB değişimlerinin anlamlı olduğu görüldü (p<0,001 hepsinde). SKK artışı anlamlı bulunmadı (p=0,24). ÖKD (p=0,044) ve ÖKA (p=0,006)’nın 21diğer gruba göre daha fazla arttığı; ÖKH (p=0,16), SKK (p=0,87) ve GİB (p=0,89) değişimleri açısından gruplar arasında anlamlı farklılık olmadığı saptandı. Sonuç: Fakoemülsifikasyon ve GİL implantasyonu normotansif gözlerde anlamlı olarak ÖKD, ÖKH ve ÖKA’da artmaya, GİB’de azalmaya neden olur. AU≤23 mm olan gözlerde cerrahi sonrası ÖKD ve ÖKA daha fazla artmaktadır.

Kaynakça

  • 1. Ucakhan OO, Ozkan M, Kanpolat A. Anterior chamber parameters measured by the Pentacam CES after uneventful phacoemulsification in normotensive eyes. Acta Ophthalmol 2009;87(5):544-8.
  • 2. Kurimoto Y, Park M, Sakaue H, Kondo T. Changes in the anterior chamber configuration after small-incision cataract surgery with posterior chamber intraocular lens implantation. Am J Ophthalmol 1997;124(6):775-80.
  • 3. Altan C, Bayraktar S, Altan T, Eren H, Yilmaz OF. Anterior chamber depth, iridocorneal angle width,and intraocular pressure changes after uneventful phacoemulsification in eyes without glaucoma and with open iridocorneal angles. J Cataract Refract Surg 2004;30:832-8.
  • 4. Doganay S, Firat PB, Emre S and Yologlu S. Evaluation of anterior segment parameter changes using the Pentacam after uneventful phacoemulsification. Acta Ophthalmol 2010:88:601-6.
  • 5. Shingleton BJ, Gamell LS, O’Donoghue MW, Baylus SL & King R. Longterm changes in intraocular pressure after clearcorneal phacoemulsification: normal patients versus glaucoma suspect and glaucoma patients. J Cataract Refract Surg 1999;25:885-90.
  • 6. Engren A-L, Behndig A. Anterior chamber depth, intraocular lens position, and refractive outcomes after cataract surgery. J Cataract Refract Surg 2013;39:572-7.
  • 7. Holladay JT. Standardizing constants for ultrasonic biometry, keratometry, andintraocular lens power calculations. J Cataract Refract Surg 1997;23:1356-70.
  • 8. Hoffer KJ, Savini G. Anterior chamber depth studies. J Cataract Refract Surg 2015;41:1898-904.
  • 9. Chylack LT, Wolfe JK, Singer DM, Leske MC, Bullimore MA, Bailey IL, Friend J, McCarthy D, Wu SY. The Lens Opacities Classification System III. The Longitudinal Study of Cataract Study Group. Arch Ophthalmol 1993;111(6):8316.
  • 10. Rabsilber TM, Khoramnia R & Auffarth GU. Anterior chamber measurements using Pentacam rotating Scheimpflug camera. J Cataract Refract Surg 2006;32:456-9.
  • 11. Dooley I, Charalampidou S, Malik A, Loughman J, Molloy L and Beatty S. Changes in intraocular pressure and anterior segment morphometry after uneventful phacoemulsification cataract surgery. Eye 2010;24:519-27.
  • 12. Elgin U, Sen E, Simsek T, Tekin K, Yılmazbas P. Early Postoperative Effects of Cataract Surgery on Anterior Segment Parameters in Primary Open-Angle Glaucoma and Pseudoexfoliation Glaucoma. Turk J Ophthalmol 2016;46:95-8.
  • 13. Kashigawi K, Kashigawi F, Tsukahara S. Effects of SmallIncision Phacoemulsification and Intraocular Lens Implantation on Anterior Chamber Depth and Intraocular Pressure. J Glaucoma 2006;15:103-9.
  • 14. Liu X-Q, Zhu H-Y, Su J, Hao X-J. Effects of phacoemulsification on intraocular pressure and anterior chamber depth. Exp Ther Med 2013;5:507-10.
  • 15. Şimşek A, Bilgin B, Çapkın M, Bilak S, Güler M, Reyhan AH. Evaluation of Anterior Segment Parameter Changes Using the Sirius after Uneventful Phacoemulsification. Korean J Ophthalmol 2016;30(4):251-7.
  • 16. Yagcı R, Guler E, Uzun F, Güragac BF, Acer S, Hepsen IF. Assessment of Anterior Chamber Parameters After Cataract Surgery by Galilei Dual Scheimpflug Analyzer. Eye & Contact Lens 2015;41:40-3.
  • 17. Yang HS, Lee J, Choi S. Ocular Biometric Parameters Associated With Intraocular Pressure Reduction After Cataract Surgery in Normal Eyes. Am J Ophthalmol 2013;156:89-94.
  • 18. Zhao Q, Li N-Y, Zhong X-W. Determination of anterior segment changes with Pentacam after phacoemulsification in eyes with primary angle-closure glaucoma. Clin Exp Ophthalmol 2012;40(8):786-91.
  • 19. Issa SA, Pacheco J, Mahmood U, Nolan J, Beatty S. A novel index for predicting intraocular pressure reduction following cataract surgery. Br J Ophthalmol 2005;89(5):5436.
  • 20. Meyer MA, Savitt ML, Kopitas E. The effect of phacoemulsification on aqueous outflow facility. Ophthalmology 1997;104:1221-7.
  • 21. Fraser SG, Wormald RP. Hospital episode statistics and changing trends in glaucoma surgery. Eye 2008;22(1):3-7.
  • 22. Cekic O, Batman C, Totan Y, et al. Changes in anterior chamber depth and intraocular pressure after phacoemulsification and posterior chamber intraocular lens implantation. Ophthalmic Surg Lasers 1998;29:639-42.
  • 23. Cho YK. Early intraocular pressure and anterior chamber depth changes after phacoemulsification and intraocular lens implantation in nonglaucomatous eyes. J Cataract Refract Surg 2008;34:1104-9.
  • 24. Reuschel A, Bogatsch H, Barth T, Wiedemann R. Comparison of endothelial changes and power settings between torsional and longitudinal phacoemulsification. J Cataract Refract Surg 2010;36(11):1855-61.
  • 25. Gungor SG, Akman A, Asena L, Aksoy M, Sezenöz AS. Changes in Anterior Chamber Depth after Phacoemulsification in Pseudoexfoliative Eyes and their Effect on Accuracy of Intraocular Lens Power Calculation. Turk J Ophthalmol 2016;46:255-8.
  • 26. Kucumen RB, Yenerel NM, Gorgun E, Kulacoglu DN, Dinc UA, Alimgil ML. Anterior segment optical coherence tomography measurement of anterior chamber depth and angle changes after phacoemulsification and intraocular lens implantation. J Cataract Refract Surg 2008;34:1694-8.
  • 27. Muzyka-Wozniack M and Ogar A. Anterior chamber depth and iris and les position before and after phacoemulsfication in eyes with long or short axial length J. Cataract Refract Surg 2016;42:563-8.

EFFECT OF AXIAL LENGTH ON ANTERIOR CHAMBER PARAMETERS AND INTRAOCULAR PRESSURE CHANGES AFTER PHACOEMULSIFICATION SURGERY

Yıl 2021, Cilt: 84 Sayı: 1, 92 - 97, 15.01.2021
https://doi.org/10.26650/IUITFD.2019.0091

Öz

Objective: To investigate the changes in anterior chamber (AC) parameters, central corneal thickness (CCT) and intraocular pressure (IOP) after phacoemulsification and intraocular lens
(IOL) implantation, and the effect of axial length (AL) on these parameters. Material and Method: In the study, 106 eyes of 89 patients who underwent phacoemulsification surgery were evaluated retrospectively. Patients were divided into two groups with AL measurements of 21(49 eyes). AL measurements were made with IOLMaster 500. All
patients were assesed preoperatively and postoperatively on the 3rd month. Pentacam HR was used to measure the depth of AC (ACD), volume of AC (ACV), angle of AC (ACA) and CCT. IOP
measurements were performed with a Goldman applanation tonometer. T-test and one-way analysis of variance were used for data analysis. p≤0.05 was considered significant. ≤23>Results: ACD, ACA, ACV and IOP changes were significant in the postoperative 3rd month (p<0.001 in all). The increase in CCT was not significant (p=0.24). ACD (p=0.044) and ACA (p=0.006)
increased significantly in the group with 21to the other group. There was no significant difference between the groups in terms of ACV (p=0.16), CCT (p=0.87) and IOP (p=0.89) changes. ≤23>Conclusion: Phacoemulsification and IOL implantation in normotensive eyes significantly increase ACD, ACV and ACA, and decrease IOP. In eyes with AU≤23 mm, ACD and ACA increased significantly after surgery.
≤23>

Kaynakça

  • 1. Ucakhan OO, Ozkan M, Kanpolat A. Anterior chamber parameters measured by the Pentacam CES after uneventful phacoemulsification in normotensive eyes. Acta Ophthalmol 2009;87(5):544-8.
  • 2. Kurimoto Y, Park M, Sakaue H, Kondo T. Changes in the anterior chamber configuration after small-incision cataract surgery with posterior chamber intraocular lens implantation. Am J Ophthalmol 1997;124(6):775-80.
  • 3. Altan C, Bayraktar S, Altan T, Eren H, Yilmaz OF. Anterior chamber depth, iridocorneal angle width,and intraocular pressure changes after uneventful phacoemulsification in eyes without glaucoma and with open iridocorneal angles. J Cataract Refract Surg 2004;30:832-8.
  • 4. Doganay S, Firat PB, Emre S and Yologlu S. Evaluation of anterior segment parameter changes using the Pentacam after uneventful phacoemulsification. Acta Ophthalmol 2010:88:601-6.
  • 5. Shingleton BJ, Gamell LS, O’Donoghue MW, Baylus SL & King R. Longterm changes in intraocular pressure after clearcorneal phacoemulsification: normal patients versus glaucoma suspect and glaucoma patients. J Cataract Refract Surg 1999;25:885-90.
  • 6. Engren A-L, Behndig A. Anterior chamber depth, intraocular lens position, and refractive outcomes after cataract surgery. J Cataract Refract Surg 2013;39:572-7.
  • 7. Holladay JT. Standardizing constants for ultrasonic biometry, keratometry, andintraocular lens power calculations. J Cataract Refract Surg 1997;23:1356-70.
  • 8. Hoffer KJ, Savini G. Anterior chamber depth studies. J Cataract Refract Surg 2015;41:1898-904.
  • 9. Chylack LT, Wolfe JK, Singer DM, Leske MC, Bullimore MA, Bailey IL, Friend J, McCarthy D, Wu SY. The Lens Opacities Classification System III. The Longitudinal Study of Cataract Study Group. Arch Ophthalmol 1993;111(6):8316.
  • 10. Rabsilber TM, Khoramnia R & Auffarth GU. Anterior chamber measurements using Pentacam rotating Scheimpflug camera. J Cataract Refract Surg 2006;32:456-9.
  • 11. Dooley I, Charalampidou S, Malik A, Loughman J, Molloy L and Beatty S. Changes in intraocular pressure and anterior segment morphometry after uneventful phacoemulsification cataract surgery. Eye 2010;24:519-27.
  • 12. Elgin U, Sen E, Simsek T, Tekin K, Yılmazbas P. Early Postoperative Effects of Cataract Surgery on Anterior Segment Parameters in Primary Open-Angle Glaucoma and Pseudoexfoliation Glaucoma. Turk J Ophthalmol 2016;46:95-8.
  • 13. Kashigawi K, Kashigawi F, Tsukahara S. Effects of SmallIncision Phacoemulsification and Intraocular Lens Implantation on Anterior Chamber Depth and Intraocular Pressure. J Glaucoma 2006;15:103-9.
  • 14. Liu X-Q, Zhu H-Y, Su J, Hao X-J. Effects of phacoemulsification on intraocular pressure and anterior chamber depth. Exp Ther Med 2013;5:507-10.
  • 15. Şimşek A, Bilgin B, Çapkın M, Bilak S, Güler M, Reyhan AH. Evaluation of Anterior Segment Parameter Changes Using the Sirius after Uneventful Phacoemulsification. Korean J Ophthalmol 2016;30(4):251-7.
  • 16. Yagcı R, Guler E, Uzun F, Güragac BF, Acer S, Hepsen IF. Assessment of Anterior Chamber Parameters After Cataract Surgery by Galilei Dual Scheimpflug Analyzer. Eye & Contact Lens 2015;41:40-3.
  • 17. Yang HS, Lee J, Choi S. Ocular Biometric Parameters Associated With Intraocular Pressure Reduction After Cataract Surgery in Normal Eyes. Am J Ophthalmol 2013;156:89-94.
  • 18. Zhao Q, Li N-Y, Zhong X-W. Determination of anterior segment changes with Pentacam after phacoemulsification in eyes with primary angle-closure glaucoma. Clin Exp Ophthalmol 2012;40(8):786-91.
  • 19. Issa SA, Pacheco J, Mahmood U, Nolan J, Beatty S. A novel index for predicting intraocular pressure reduction following cataract surgery. Br J Ophthalmol 2005;89(5):5436.
  • 20. Meyer MA, Savitt ML, Kopitas E. The effect of phacoemulsification on aqueous outflow facility. Ophthalmology 1997;104:1221-7.
  • 21. Fraser SG, Wormald RP. Hospital episode statistics and changing trends in glaucoma surgery. Eye 2008;22(1):3-7.
  • 22. Cekic O, Batman C, Totan Y, et al. Changes in anterior chamber depth and intraocular pressure after phacoemulsification and posterior chamber intraocular lens implantation. Ophthalmic Surg Lasers 1998;29:639-42.
  • 23. Cho YK. Early intraocular pressure and anterior chamber depth changes after phacoemulsification and intraocular lens implantation in nonglaucomatous eyes. J Cataract Refract Surg 2008;34:1104-9.
  • 24. Reuschel A, Bogatsch H, Barth T, Wiedemann R. Comparison of endothelial changes and power settings between torsional and longitudinal phacoemulsification. J Cataract Refract Surg 2010;36(11):1855-61.
  • 25. Gungor SG, Akman A, Asena L, Aksoy M, Sezenöz AS. Changes in Anterior Chamber Depth after Phacoemulsification in Pseudoexfoliative Eyes and their Effect on Accuracy of Intraocular Lens Power Calculation. Turk J Ophthalmol 2016;46:255-8.
  • 26. Kucumen RB, Yenerel NM, Gorgun E, Kulacoglu DN, Dinc UA, Alimgil ML. Anterior segment optical coherence tomography measurement of anterior chamber depth and angle changes after phacoemulsification and intraocular lens implantation. J Cataract Refract Surg 2008;34:1694-8.
  • 27. Muzyka-Wozniack M and Ogar A. Anterior chamber depth and iris and les position before and after phacoemulsfication in eyes with long or short axial length J. Cataract Refract Surg 2016;42:563-8.
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm ARAŞTIRMA
Yazarlar

Kemal Turgay Özbilen Bu kişi benim 0000-0002-0234-3803

Emre Altınkurt Bu kişi benim 0000-0001-7967-825X

Yayımlanma Tarihi 15 Ocak 2021
Gönderilme Tarihi 2 Ocak 2020
Yayımlandığı Sayı Yıl 2021 Cilt: 84 Sayı: 1

Kaynak Göster

APA Özbilen, K. T., & Altınkurt, E. (2021). AKSİYEL UZUNLUĞUN FAKOEMÜLSİFİKASYON CERRAHİSİ SONRASI ÖN KAMARA PARAMETRELERİ VE GÖZ İÇİ BASINCI DEĞİŞİMLERİNE ETKİSİ. Journal of Istanbul Faculty of Medicine, 84(1), 92-97. https://doi.org/10.26650/IUITFD.2019.0091
AMA Özbilen KT, Altınkurt E. AKSİYEL UZUNLUĞUN FAKOEMÜLSİFİKASYON CERRAHİSİ SONRASI ÖN KAMARA PARAMETRELERİ VE GÖZ İÇİ BASINCI DEĞİŞİMLERİNE ETKİSİ. İst Tıp Fak Derg. Ocak 2021;84(1):92-97. doi:10.26650/IUITFD.2019.0091
Chicago Özbilen, Kemal Turgay, ve Emre Altınkurt. “AKSİYEL UZUNLUĞUN FAKOEMÜLSİFİKASYON CERRAHİSİ SONRASI ÖN KAMARA PARAMETRELERİ VE GÖZ İÇİ BASINCI DEĞİŞİMLERİNE ETKİSİ”. Journal of Istanbul Faculty of Medicine 84, sy. 1 (Ocak 2021): 92-97. https://doi.org/10.26650/IUITFD.2019.0091.
EndNote Özbilen KT, Altınkurt E (01 Ocak 2021) AKSİYEL UZUNLUĞUN FAKOEMÜLSİFİKASYON CERRAHİSİ SONRASI ÖN KAMARA PARAMETRELERİ VE GÖZ İÇİ BASINCI DEĞİŞİMLERİNE ETKİSİ. Journal of Istanbul Faculty of Medicine 84 1 92–97.
IEEE K. T. Özbilen ve E. Altınkurt, “AKSİYEL UZUNLUĞUN FAKOEMÜLSİFİKASYON CERRAHİSİ SONRASI ÖN KAMARA PARAMETRELERİ VE GÖZ İÇİ BASINCI DEĞİŞİMLERİNE ETKİSİ”, İst Tıp Fak Derg, c. 84, sy. 1, ss. 92–97, 2021, doi: 10.26650/IUITFD.2019.0091.
ISNAD Özbilen, Kemal Turgay - Altınkurt, Emre. “AKSİYEL UZUNLUĞUN FAKOEMÜLSİFİKASYON CERRAHİSİ SONRASI ÖN KAMARA PARAMETRELERİ VE GÖZ İÇİ BASINCI DEĞİŞİMLERİNE ETKİSİ”. Journal of Istanbul Faculty of Medicine 84/1 (Ocak 2021), 92-97. https://doi.org/10.26650/IUITFD.2019.0091.
JAMA Özbilen KT, Altınkurt E. AKSİYEL UZUNLUĞUN FAKOEMÜLSİFİKASYON CERRAHİSİ SONRASI ÖN KAMARA PARAMETRELERİ VE GÖZ İÇİ BASINCI DEĞİŞİMLERİNE ETKİSİ. İst Tıp Fak Derg. 2021;84:92–97.
MLA Özbilen, Kemal Turgay ve Emre Altınkurt. “AKSİYEL UZUNLUĞUN FAKOEMÜLSİFİKASYON CERRAHİSİ SONRASI ÖN KAMARA PARAMETRELERİ VE GÖZ İÇİ BASINCI DEĞİŞİMLERİNE ETKİSİ”. Journal of Istanbul Faculty of Medicine, c. 84, sy. 1, 2021, ss. 92-97, doi:10.26650/IUITFD.2019.0091.
Vancouver Özbilen KT, Altınkurt E. AKSİYEL UZUNLUĞUN FAKOEMÜLSİFİKASYON CERRAHİSİ SONRASI ÖN KAMARA PARAMETRELERİ VE GÖZ İÇİ BASINCI DEĞİŞİMLERİNE ETKİSİ. İst Tıp Fak Derg. 2021;84(1):92-7.

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