Primer Göz İçi Lens İmplantasyonu Yapılan Pediatrik Gelişimsel Katarakt Cerrahisinde Uzun Dönem Sonuçlarımız
Küçük Resim Yok
Tarih
2018
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmanın amacı primer göz içi lens (GİL) implantasyonu yapılan pediatrik gelişimsel katarakt cerrahisinin sonuçlarını değerlendirmektir.Gereç ve Yöntem: Primer GİL implantasyonu ile katarakt cerrahisi geçiren 2-16 yaş arasındaki hastalar retrospektif olarak değerlendirildi. Cerrahi yaşı, ameliyat öncesi ve sonrası en iyi düzeltilmiş görme keskinliği, postoperatif oküler komplikasyonlar ve ek oküler patolojiler incelendi. Cerrahi sonrası ortalama refraktif değişiklikler ve miyopik kayma derecesi yaş gruplarına göre analiz edildi, tek taraflı olgularda cerrahi uygulanan gözler, sağlam gözler ile refraktif değişim açısından karşılaştırıldı. Bulgular: Çalışmaya 65 hastanın 101 gözü dahil edildi. Ortalama cerrahi yaşı 76±40 ay ve ortalama takip süresi 44±30 ay idi. Görme keskinliği değerlendirilebilen 78 gözün 66'sında (%84,6) >=2 sıra iyileşme izlendi. Ortalama miyopik kayma, 2-5 yaş ve 8-16 yaş grupları arasında istatistiksel olarak anlamlı bulundu. Öte yandan yıllık miyopik değişim aynı yaş grupları arasında anlamlı olarak saptanmadı. Tek taraflı olgularda, cerrahi geçiren gözlerdeki ortalama miyopik değişim, sağlam gözlere oranla daha fazla olsa da istatistiksel olarak anlamlı fark izlenmedi. Postoperatif en sık görülen komplikasyon görme ekseni opasitesi idi. Sonuç: Primer GİL implantasyonu yapılan pediatrik katarakt cerrahisi sonrasında iyi görsel sonuçlar elde edilmektedir. Postoperatif en sık görülen komplikasyon, optik eksen opasiteleridir. Genel olarak, ameliyat sonrası miyopik kayma kaçınılmaz olup, daha küçük yaş gruplarında daha belirgindir.
Objectives: The aim of this study was to evaluate the outcomes of pediatric developmental cataract surgery with primary intraocular lens (IOL) implantation.Materials and Methods: Patients between 2 and 16 years old who underwent cataract surgery with primary IOL implantation were retrospectively evaluated. Age at time of surgery, pre- and postoperative best corrected visual acuities, postoperative ocular complications, and any accompanying ocular pathologies were obtained from the patients' charts. Mean refractive changes and degree of myopic shift were analyzed according to the age groups. Operated eyes were also compared with the fellow eyes in unilateral cases.Results: A total of 101 eyes of 65 patients were included. The average age at time of surgery was 76±40 months and the average follow-up period was 44±30 months. Among the 78 eyes that could be assessed for visual acuity improvement, 66 (84.6%) of them showed >=2 lines of improvement. The difference in the mean refractive change between the 2-5 years old and 8-16 years old age groups was found to be statistically significant. However, the mean refractive change per year was not found to be significant between the same age groups. In unilateral cases, the operated eyes showed a greater myopic change than the fellow eyes, with no statistically significant difference. The most common postoperative complication was visual axis opacity. Conclusion: Good visual outcomes can be achieved following pediatric cataract surgery with primary IOL implantation. Optic axis opacities were the most common postoperative complications. Overall, refractive changes following surgery are inevitable, and more prominent in younger age groups.
Objectives: The aim of this study was to evaluate the outcomes of pediatric developmental cataract surgery with primary intraocular lens (IOL) implantation.Materials and Methods: Patients between 2 and 16 years old who underwent cataract surgery with primary IOL implantation were retrospectively evaluated. Age at time of surgery, pre- and postoperative best corrected visual acuities, postoperative ocular complications, and any accompanying ocular pathologies were obtained from the patients' charts. Mean refractive changes and degree of myopic shift were analyzed according to the age groups. Operated eyes were also compared with the fellow eyes in unilateral cases.Results: A total of 101 eyes of 65 patients were included. The average age at time of surgery was 76±40 months and the average follow-up period was 44±30 months. Among the 78 eyes that could be assessed for visual acuity improvement, 66 (84.6%) of them showed >=2 lines of improvement. The difference in the mean refractive change between the 2-5 years old and 8-16 years old age groups was found to be statistically significant. However, the mean refractive change per year was not found to be significant between the same age groups. In unilateral cases, the operated eyes showed a greater myopic change than the fellow eyes, with no statistically significant difference. The most common postoperative complication was visual axis opacity. Conclusion: Good visual outcomes can be achieved following pediatric cataract surgery with primary IOL implantation. Optic axis opacities were the most common postoperative complications. Overall, refractive changes following surgery are inevitable, and more prominent in younger age groups.
Açıklama
Anahtar Kelimeler
Göz Hastalıkları
Kaynak
Türk Oftalmoloji Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
48
Sayı
1
