Ön Persistan Fetal Vasküler Yapılı Gözlerde Konjenital Katarakt Cerrahisi Sonuçları*
Küçük Resim Yok
Tarih
2016
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Katarakt cerrahisi uyguladığımız 1 yaş altı Persistan Fetal Vasküler (PFV) yapılı gözlerin cerrahi sonuçlar ve komplikasyonlar açısından değerlendirilmesi.Gereç ve Yöntem: Kliniğimizde 2005-2015 yılları arasında PFV tanısı ile konjenital katarakt cerrahisi uygulanmış 10 hastanın 10 gözü çalışmaya dahil edildi. Hastalar cerrahi öncesi ve sonrası bulgular, cerrahi sonuçlar ile komplikasyonlar açısından retrospektif olarak değerlendirildi. Bulgular: Hastaların (5 erkek, 5 kız), cerrahiye alınma yaşı ortalama 5.25±3.88 ay, takip süresi ortalama 30.5±33.12 ay idi. Olguların tümüne ön PFV tanısı kondu. Olguların hepsine limbal yaklaşımlı lensektomi ve ön vitrektomi uygulandı. Takip süresi sonunda görmesi değerlendirilebilen 6 hastanın görmeleri; 1 gözde 0.5, 3 gözde 0.1, 2 gözde ise 0.05 düzeyinde ölçüldü. Son kontrolünde görmesini ifade edemeyen 4 olguda ışık ve obje takibi bulunmaktaydı. Hastalarda postoperatif dönemdeki erken komplikasyonlar arasında 4 gözde fibrinoid reaksiyon, posterior sineşi ve pupil düzensizliği, 1 gözde ön vitrede hemoraji, 1 gözde optik disk komşuluğunda subretinal hemoraji, 1 gözde yoğun lens epitel hücre proliferasyonu, 1 gözde kapsüler fimozis saptandı. Geç dönemde 7 gözde glokom gelişimi, 6 gözde şaşılık izlendi.Sonuç: PFV'li olgularda başarılı bir cerrahi ve sonrasında görme rehabilitasyonu ile faydalı görsel sonuçlar elde etmek mümkündür. Cerrahi sonrası geç dönemde glokom çok yüksek oranda karşımıza çıktığı için hastaların uzun süreli izlemi önemlidir.
Purpose: To evaluate the results and complications of congenital cataract surgery in eyes with persistent fetal vasculature (PFV) under 1 year old.Materials and Methods: Ten eyes of 10 patients with PFV who underwent congenital cataract surgery in our clinic, between the years 20052015, were included. Medical records of the patients in regards to pre and post-operative ocular findings, surgical results and complications were evaluated retrospectively.Results: the mean age of patients (5 girls, 5 boys) at the time of surgery was 5.25±3.88 months and the mean follow-up time was 30.5±33.12 months. All eyes were diagnosed as anterior type of PFV. All cases were underwent lensectomy and anterior vitrectomy through limbal approach. At the end of the follow-up, visual acuity could be determined in 6 eyes, best corrected visual acuities were 0.5 in 1, 0.1 in 3and 0.05 in 2 eyes. in remaining 4 patients who were unable to perform visual acuity testing, object perception and trackingwas observed. Early postoperative complications were anterior segment reaction in 4, hemorrhage in anterior vitreous in 1, subretinal hemorrhage near the optic disc in 1, extensive lens epithelial cell proliferation in 1 and capsular phimosis in 1 eyes. in the long term, glaucoma developed in 7 eyes and strabismus developed in 6 eyes.Conclusion: Reasonable visual outcomes with successful surgery and visual rehabilitation could be achieved in patients with PFV. Since glaucoma is reported as a common postoperative complication, long term follow-up of these patients is crucial.
Purpose: To evaluate the results and complications of congenital cataract surgery in eyes with persistent fetal vasculature (PFV) under 1 year old.Materials and Methods: Ten eyes of 10 patients with PFV who underwent congenital cataract surgery in our clinic, between the years 20052015, were included. Medical records of the patients in regards to pre and post-operative ocular findings, surgical results and complications were evaluated retrospectively.Results: the mean age of patients (5 girls, 5 boys) at the time of surgery was 5.25±3.88 months and the mean follow-up time was 30.5±33.12 months. All eyes were diagnosed as anterior type of PFV. All cases were underwent lensectomy and anterior vitrectomy through limbal approach. At the end of the follow-up, visual acuity could be determined in 6 eyes, best corrected visual acuities were 0.5 in 1, 0.1 in 3and 0.05 in 2 eyes. in remaining 4 patients who were unable to perform visual acuity testing, object perception and trackingwas observed. Early postoperative complications were anterior segment reaction in 4, hemorrhage in anterior vitreous in 1, subretinal hemorrhage near the optic disc in 1, extensive lens epithelial cell proliferation in 1 and capsular phimosis in 1 eyes. in the long term, glaucoma developed in 7 eyes and strabismus developed in 6 eyes.Conclusion: Reasonable visual outcomes with successful surgery and visual rehabilitation could be achieved in patients with PFV. Since glaucoma is reported as a common postoperative complication, long term follow-up of these patients is crucial.
Açıklama
Anahtar Kelimeler
Göz Hastalıkları
Kaynak
Glokom Katarakt
WoS Q Değeri
Scopus Q Değeri
Cilt
11
Sayı
4
