Tek Bir Cerrah Tarafından Gerçekleştirilen Katarakt Cerrahisi Sonuçlarının Retrospektif Analizi ve Literatür ile Karşılaştırılması

Öz

Amaç: Bu çalışmanın amacı, tek bir cerrah tarafından bir yıllık bir süre zarfında gerçekleştirilen katarakt cerrahisi sonuçlarını retrospektif olarak analiz etmek ve bu sonuçları mevcut literatürde bildirilenlerle karşılaştırmaktır. Çalışma, yaş, komorbiditeler ve cerrahi tekniğin postoperatif sonuçlar üzerindeki etkisini değerlendirmeyi amaçlamaktadır. Gereç ve Yöntemler: Bu retrospektif çalışma Mart 2023 ile Mart 2024 tarihleri arasında gerçekleştirilmiş olup, tek bir cerrah tarafından yapılan katarakt cerrahilerini değerlendirmektedir. Çalışmaya, senil, matür, travmatik veya konjenital katarakt gibi çeşitli nedenlerle katarakt cerrahisine ihtiyaç duyan, 18 yaş ve üzeri hastalar dahil edilmiştir. Preoperatif değerlendirmeler; kapsamlı sistemik sağlık taramaları, her iki gözün biyomikroskobik muayenesi ve göz içi basıncı ölçümlerini içermektedir. Cerrahiler, tüm vakalarda göz içi lens implantasyonu ile birlikte fakoemülsifikasyon tekniği kullanılarak gerçekleştirilmiştir. Postoperatif takipler, 1., 7., 30. ve 90. günlerde görme keskinliği, göz içi basıncı ve retinal muayene değerlendirmeleri ile yapılmıştır. Bulgular: Çalışmaya yaş ortalaması 68,0 ± 10,0 yıl olan toplam 812 hasta dahil edilmiş olup, bunların %59,2’si kadındır. Katarakt, sağ gözlerin %70,3’ünde ve sol gözlerin %82,0’sinde mevcuttu. Pseudofaki, sağ gözlerin %25,1’inde ve sol gözlerin %15,0’inde gözlenmiştir. Postoperatif komplikasyonlar hastaların %4,1’inde tespit edilmiş olup, yaş ile komplikasyon oranı arasında anlamlı bir ilişki saptanmıştır (p = 0,049). Ayrıca, cinsiyetler arasındaki komorbidite prevalansı farkı istatistiksel olarak anlamlı bulunmuştur (p < 0,001). Sonuç: Bu çalışma, tek bir cerrah tarafından gerçekleştirilen katarakt cerrahisinin genellikle olumlu sonuçlar verdiğini ve yaş ile komorbiditelerin cerrahi sonuçlar üzerinde önemli etkileri olduğunu göstermektedir. Bulgular mevcut literatürle uyumludur ve hasta seçimi ile cerrahi planlama süreçlerine değerli katkılar sağlamaktadır.

Anahtar Kelimeler

• Katarakt Cerrahisi
• Komorbiditeler
• Sonuçlar
• Fakoemülsifikasyon

Retrospective analysis of one-year cataract surgery outcomes by a single surgeon and comparison with literatüre

Abstract

Aim: The objective of this study was to retrospectively analyze the outcomes of cataract surgery performed by a single surgeon over a one-year period and compare these outcomes with those reported in the existing literature. This study aimed to assess the impact of factors such as age, comorbidities, and surgical technique on the postoperative results. Material and Methods: This retrospective study was conducted between March 2023 and March 2024, evaluating cataract surgeries performed by a single surgeon. Patients included in the study were aged 18 years and older and required cataract surgery due to various causes such as senile, mature, traumatic, or congenital cataracts. Preoperative evaluations included comprehensive systemic health screenings, biomicroscopic examination of both eyes, and measurement of intraocular pressure. Surgeries were performed using the phacoemulsification technique with intraocular lens implantation in all cases. Postoperative follow-ups were conducted on days 1, 7, 30, and 90 to assess the visual acuity, intraocular pressure, and fundus examination. Results: The study included 812 patients (mean age, 68.0 ± 10.0 years; 59.2% were female. Cataracts were present in 70.3% of the right eye and 82.0% of the left eye. Pseudophakia was observed in 25.1% and 15.0% of the right and left eyes, respectively. Postoperative complications were noted in 4.1% of patients, with a significant association between age and complication rate (p = 0.049). Sex differences in comorbidity prevalence were also statistically significant (p < 0.001). Conclusion: This study demonstrated that cataract surgery performed by a single surgeon generally yields positive outcomes, with significant influences of age and comorbidities on surgical results. These findings are consistent with the existing literature and provide valuable insights into patient selection and surgical planning in cataract surgery.

Keywords

• Cataract Surgery
• comorbidities
• outcomes
• phacoemulsification

Kaynakça

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