Behçet hastalığında arka segment bulguları
Küçük Resim Yok
Tarih
2001
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
AMAÇ: Behçet hastalığında arka segment tutulumunu incelemek. GEREÇ VE YÖNTEM: Behçet hastalığı tanısıyla izlenen 59 hastanın (40 erkek, 19 kadın) 114 gözü retrospektif olarak değerlendirildi. BULGULAR: Hastaların yaşları 18-51 (ort. 35.8 ± 7.8) arasındaydı. İncelenen 114 gözün 78'inde (%68) retina patolojisine rastlandı. Olguların 12'sinde tek taraflı, 31'inde ise iki taraflı retina bulguları saptandı. Retina patolojisi saptanan gözlerde makula ödemi (%29.5), vaskülit (%27), optik atrofi (%25.6) en sık gözlenen retina bulguları idi. Fundus floresein anjiyografisinde, damar geçirgenlik artışına ve makula ödemine bağlı hiperflöresans ve optik disklerde atrofiye bağlı erken hipofloresansı izleyen, geç hiperfloresansın en sık rastlanan anjiyografik patoloji olduğu görüldü. SONUÇ: Behçet hastalığının doğal seyrinde, gözün arka segment bulguları yüksek oranda saptanmaktadır. Gelişen görsel olumsuzlukları önlemek, tedaviyi zamanlamak ve yönlendirmek için bu bulguların tespiti ve değerlendirilmesi önemlidir.
PURPOSE: To evaluate the posterior segment involvement in Behçet's disease. MATERIAL AND METHODS: 114 eyes 59 patients (40 male, 19 female) with Behçet' s disease were evaluated retrospectively. One hundred and fourteen of. RESULTS: the ages of the patients ranged between 18- 51 (35.8±7.8) years. Retinal involvement was present in 78 of 114 eyes (68%). There was bilateral involvement in 31 and unilateral involvement in 12 patients. in the eyes involved, most frequently detected retinal pathologies were macular edema (29.5%), vasculitis (27%) and optic atrophy (25.6%). Hyperfluorescence due to vascular permeability and macular edema, early hypofluorescence and late hyperfluorescence (staining) due to the optic atrophy was the most common angiographic findings. Optic atrophy, macular scar formation, macular hole, macular edema and cystoid macular edema were the pathologies that mostly disturbed the best corrected visual acuity. CONCLUSION: Posterior segment involvement was established quite frequently during the natural course of Behçet's disease. We should diagnose and evaluate these pathologies in order to prevent visual handicaps and to determine precise timing and regimen of the treatment.
PURPOSE: To evaluate the posterior segment involvement in Behçet's disease. MATERIAL AND METHODS: 114 eyes 59 patients (40 male, 19 female) with Behçet' s disease were evaluated retrospectively. One hundred and fourteen of. RESULTS: the ages of the patients ranged between 18- 51 (35.8±7.8) years. Retinal involvement was present in 78 of 114 eyes (68%). There was bilateral involvement in 31 and unilateral involvement in 12 patients. in the eyes involved, most frequently detected retinal pathologies were macular edema (29.5%), vasculitis (27%) and optic atrophy (25.6%). Hyperfluorescence due to vascular permeability and macular edema, early hypofluorescence and late hyperfluorescence (staining) due to the optic atrophy was the most common angiographic findings. Optic atrophy, macular scar formation, macular hole, macular edema and cystoid macular edema were the pathologies that mostly disturbed the best corrected visual acuity. CONCLUSION: Posterior segment involvement was established quite frequently during the natural course of Behçet's disease. We should diagnose and evaluate these pathologies in order to prevent visual handicaps and to determine precise timing and regimen of the treatment.
Açıklama
Anahtar Kelimeler
Göz Hastalıkları
Kaynak
MN Oftalmoloji
WoS Q Değeri
Scopus Q Değeri
Cilt
8
Sayı
1
