Diabetik retinopati tedavisinde panretinal fotokoagülasyon sonuçları
Küçük Resim Yok
Tarih
1999
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Şubat 1995-Aralık 1997 tarihleri arasında tedavisi yapılan ve takip edilen 115 diabetik retinopatili olgunun 220 gözü retrospektif olarak incelendi. Panretinal fotokoagülasyon (PRF) yapılan hastalar yüksek risk özellikleri taşıyan gözler (Grup I), poliferasyon gösteren fakat yüksek risk özellikleri taşımayan gözler (Grup II) ve ciddi nonproliferatif diabetik retinopatili gözler (Grup III) olarak üç gruba ayrıldı. Gruplar arasında PRF sonrası görme değişimleri istatistiksel olarak anlamlı değildi (f 3.43, p0.05). Üç grupta genel olarak %21-34 oranında görme keskinliğinde artma, % 34-38 oranında azalma, %27-40 oranında değişmeme saptandı. Yüksek risk özellikleri taşıyan proliferatif diabetik retinopatide, disk neovaskülarizasyonu hastaların %51'inde kayboldu, % 26'sında geriledi. %23'ünde değişmedi veya ilerledi. PRF sonrası iki sıra veya daha fazla sıra görme kaybı oluşturan nedenlerin en önemlilerinin maküla ödemi ve vitreus içi hemorajisi olduğu görüldü.
Records of 220 eyes of 115 patients with diabetic retinopathy, who were treated and followed between February 1995-December 1997, were examined retrospectively. The patients treated with panretinal photocoagulation (PRP) were divided into three groups: Group I: eyes with high risk characteristics, Group II: eyes with proliferation but without high risk characteristics and Group III: eyes with severe nonproliferative diabetic retinopathy. The difference in visual acuity changes after PRP between the groups was not statistically significant (f3.43, p>0.05). Overall 21-34% of the patients experienced increase in vision, 34-38% experienced decrease in vision and 27-40% had no change in vision. In high risk proliferative diabetic retinopathy, disk neovascularization disappeared in 51% of the patients, regressed in 26%, and progressed or did not change in 23%. The most important problems causing two or more lines of visual loss after PRP were macular edema and vitreal hemorrhage.
Records of 220 eyes of 115 patients with diabetic retinopathy, who were treated and followed between February 1995-December 1997, were examined retrospectively. The patients treated with panretinal photocoagulation (PRP) were divided into three groups: Group I: eyes with high risk characteristics, Group II: eyes with proliferation but without high risk characteristics and Group III: eyes with severe nonproliferative diabetic retinopathy. The difference in visual acuity changes after PRP between the groups was not statistically significant (f3.43, p>0.05). Overall 21-34% of the patients experienced increase in vision, 34-38% experienced decrease in vision and 27-40% had no change in vision. In high risk proliferative diabetic retinopathy, disk neovascularization disappeared in 51% of the patients, regressed in 26%, and progressed or did not change in 23%. The most important problems causing two or more lines of visual loss after PRP were macular edema and vitreal hemorrhage.
Açıklama
Anahtar Kelimeler
Göz Hastalıkları
Kaynak
Türkiye Klinikleri Oftalmoloji Dergisi
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Cilt
8
Sayı
1
