Şeffaf korneal insizyon ile yapılan fakoemülsifikasyon cerrahisinde erken görsel ve refraktif sonuçlar
Küçük Resim Yok
Tarih
2001
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
AMAÇ: Temporal ve üst nazal kadrandan şeffaf korneal insizyon ile yapılan fakoemülsifikasyon cerrahisinde oluşan astigmatizmayı değerlendirmek ve erken görsel sonuçları saptamak. GEREÇ VE YÖNTEM: Otuz hastanın 30 gözü çalışma kapsamına alındı. Onbeşi sağ, 15'i sol gözdü. Sağ gözlere temporal kadrandan, sol gözlere üst nazal kadrandan şeffaf korneal insizyon yapıldı. Tüm gözlere fakoemülsifikasyon ve katlanabilir göz içi lens implantasyonu uygulandı. Postoperatif 1. gün, 1. hafta ve 1. ayda düzeltilmiş ve düzeltilmemiş görme keskinlikleri (GK) ve keratometrik veriler değerlendirildi. BULGULAR: Temporal kadrandan insizyon yapılan grupta, cerrahiye bağlı oluşan astigmatizma 1. gün 0.29±0.35D, 1. hafta 0.26±0.44D, 1. ayda 0.12±0.43D idi. Üst nazal kadran insizyonlu grupta ise, bu değerler sırasıyla 0.86±0.46D, 0.53±0.57D ve 0.42±0.76D olarak bulundu. Düzeltilmemiş GK, 1. günde %43, 1. haftada %53 ve 1. ayda %66 oranında 0.5 ve üzerinde saptanırken; düzeltilmiş GK, 1. günde %73, 1 ayda %83 ve 1. ayda %93 oranında 0.5 ve üzerinde idi. SONUÇ: Şeffaf korneal insizyonla yapılan fakoemülsifikasyon cerrahisi, görsel sonuçlar açısından etkin, güvenli bir yöntemdir. Cerrahiye bağlı gelişen astigmatizma açısından, temporal ve üst nazal kadran insizyonlu gruplar arasında 1. hafta ve 1. ayda istatistiksel olarak anlamlı farklılık olmamakla beraber, temporal kadrandan insizyon yapılan grupta daha düşük astigmatik değişim elde edilmektedir.
PURPOSE: To evaluate astigmatism induced by temporal and superior nasal clear corneal incision in phacoemulsification procedure and to determine early visual results. MATERIAL AND METHODS: Thirty eyes of thirty patients were enrolled. Fifteen of 30 eyes were right and remaining were left eyes. All eyes underwent phacoemulsification procedure and foldable intraocular lens implantation. In right eyes temporal and in left eyes superior nasal clear corneal incision was performed. Uncorrected and corrected visual acuities (VA) and keratometric values were evaluated at 1st day, at 1 week and at 1 month postoperatively. RESULTS: In temporal incision group, surgically induced astigmatism was 0.29±0.35D at 1st day, 0.26±0.44D at 1 week, 0.12±0.43D at 1 month. In superior nasal incision group, these values were found 0.86±0.46D ,0.53±0.57D and 0.42+0.76D respectively. Uncorrected VA was determined 0.5 or better 43% at 1st day, 53% at 1 day and 66% at 1 month, while corrected VA was 0.5 or better 73% at 1st day, 83% at 1 week, 93% at 1 month. CONCLUSION: Phacoemulsification procedure with clear corneal incision is a safe and effective procedure for visual results. Regarding surgical induced astigmatism, however there is no statistically significant difference at 1 week and at 1 month between data of both groups, we obtain lower astigmatic changes with temporal incision than superior nasal incision.
PURPOSE: To evaluate astigmatism induced by temporal and superior nasal clear corneal incision in phacoemulsification procedure and to determine early visual results. MATERIAL AND METHODS: Thirty eyes of thirty patients were enrolled. Fifteen of 30 eyes were right and remaining were left eyes. All eyes underwent phacoemulsification procedure and foldable intraocular lens implantation. In right eyes temporal and in left eyes superior nasal clear corneal incision was performed. Uncorrected and corrected visual acuities (VA) and keratometric values were evaluated at 1st day, at 1 week and at 1 month postoperatively. RESULTS: In temporal incision group, surgically induced astigmatism was 0.29±0.35D at 1st day, 0.26±0.44D at 1 week, 0.12±0.43D at 1 month. In superior nasal incision group, these values were found 0.86±0.46D ,0.53±0.57D and 0.42+0.76D respectively. Uncorrected VA was determined 0.5 or better 43% at 1st day, 53% at 1 day and 66% at 1 month, while corrected VA was 0.5 or better 73% at 1st day, 83% at 1 week, 93% at 1 month. CONCLUSION: Phacoemulsification procedure with clear corneal incision is a safe and effective procedure for visual results. Regarding surgical induced astigmatism, however there is no statistically significant difference at 1 week and at 1 month between data of both groups, we obtain lower astigmatic changes with temporal incision than superior nasal incision.
Açıklama
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MN Oftalmoloji
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Cilt
8
Sayı
2
