Çocukluk çağındaki katarakt cerrahileri sonrası şaşılık ve nistagmus
Küçük Resim Yok
Tarih
2012
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Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Çocukluk çağı katarakt olgularındaki şaşılık sıklığı ile katarakta eşlik eden şaşılık ve nistagmus varlığının katarakt ameliyatı sonrası görme keskinliği üzerine etkisini araştırmak. Gereç ve Yön tem: Katarakt tanısıyla ameliyat edilen 15 yaş ve altındaki 45 hastanın 74 gözü çalışmaya dahil edildi. Hastaların ameliyat sonrası takip süresi ortalama 1,572,25 yıldı (3 ay-9 yıl). Hastaların 29’unda (%64) her iki gözde, 16’sında (%36) ise tek gözde katarakt mevcuttu. Hastaların ameliyat öncesi ve sonrası görme keskinlikleri ile şaşılık ve nistagmus varlığı kaydedildi. Sonuçlar: Hastaların 17’sinde (%38) şaşılık mevcuttu, bunların 9’unda (%53) ezotropya (ET), 8’inde (%47) ise ekzotropya (XT) mevcuttu. Toplam olguların 14’ünde (%19) de nistagmus saptandı. Tüm hastaların yaş ortalaması 5,84,4 yıl iken, şaşılığı olanlarda 4,63,0 yıl, nistagmusu olanlarda da 5,13,7 yıl olarak bulundu. Tüm olguların 26’sında görme kooperasyon eksikliği nedeniyle ölçülemedi, kalan 48 gözün 15’inde (%31) görme keskinliği 0,3 logMAR ve üzerinde, 12’sinde (%25) ise 1,0 logMAR ve altındaydı. Şaşılığı olan 17 olgunun 28 gözü irdelendiğinde, 10 gözde görme keskinliği ölçülemedi; kalan 18 olgunun 7’sinde (%39 0,3) logMAR ve üzeri, 5’inde (%28) ise 1,0 logMAR ve altında görme elde edildi. Nistagmus saptanan 14 olgunun görme keskinliği ölçülebilen 8’inde görme ortalaması (1,250,45 logMAR), hem şaşılığı olmayan olgulardan (0,440,59 logMAR) hem de şaşılığı olanlardan (0,660,56 logMAR) anlamlı şekilde düşük bulundu (sırasıyla p0,019 ve p0,015). Tartışma: Çocukluk çağı kataraktlarında, şaşılık genel nüfusa göre belirgin şekilde daha sık görülmekle birlikte varlığının katarakt ameliyatı sonrası görme keskinliği üzerine olumsuz bir etkisi gösterilememiş ve görme prognozunu sınırlayan en önemli problemin nistagmus olduğu sonucuna varılmıştır. (Turk J Ophthalmol 2012; 42: 111-5)
Pur po se: To evaluate the incidence of strabismus in pediatric cataracts and the effects of strabismus and nystagmus accompanied by cataract on postoperative visual acuity. Ma te ri als and Met hod: Seventy-four eyes of 45 patients under 15 years old who had undergone cataract operation were included in this study. The mean postoperative follow-up period was 1.57±2.25 years (ranged between 3 months and 9 years). Twenty-nine of the patients (64%) had bilateral and 16 of the patients (36%) had unilateral cataract. Preoperative and postoperative visual acuities, as well as the presence of nystagmus and strabismus were recorded. Re sults: Seventeen of the patients (38%) had strabismus: 9 of them (53%) had esotropia (ET), and 8 of them had (47%) exotropia (XT). Fourteen (19%) of the total number of cases had nystagmus. The mean age was 5.8±4.4 years for the total group of patients, 4.6±3.0 years for patients with strabismus and 5.1±3.7 years for patients with nystagmus. Visual acuity measurements were not possible in 26 uncooperative patients. The visual acuity was 0.3 logMAR and over in 15 (31%) and 1.0 logMAR and under in 12 (25%) of the remaining of 48 eyes. Of a total of 28 eyes with strabismus, we were unable to measure visual acuity in 10 patients, and the visual acuities were 0.3 logMAR and over in 7 (39%) and 1.0 logMAR and under in 5 (28%) of the rest of the 18 patients. The mean visual acuity was significantly lower in the 8 of 14 patients with nystagmus whose visual acuity could be measured (1.25±0.45 logMAR) than in both the patients without strabismus (0.44±0.59 logMAR) and the patients with strabismus (0.66±0.56 logMAR) (p0.019 and p0.015, respectively). Dis cus si on: Although strabismus is seen more often in childhood cataracts compared to general population, the presence of strabismus has no negative effect on visual acuity after cataract surgery, while nystagmus is the main factor limiting the visual outcome. (Turk J Ophthalmol 2012; 42: 111-5)
Pur po se: To evaluate the incidence of strabismus in pediatric cataracts and the effects of strabismus and nystagmus accompanied by cataract on postoperative visual acuity. Ma te ri als and Met hod: Seventy-four eyes of 45 patients under 15 years old who had undergone cataract operation were included in this study. The mean postoperative follow-up period was 1.57±2.25 years (ranged between 3 months and 9 years). Twenty-nine of the patients (64%) had bilateral and 16 of the patients (36%) had unilateral cataract. Preoperative and postoperative visual acuities, as well as the presence of nystagmus and strabismus were recorded. Re sults: Seventeen of the patients (38%) had strabismus: 9 of them (53%) had esotropia (ET), and 8 of them had (47%) exotropia (XT). Fourteen (19%) of the total number of cases had nystagmus. The mean age was 5.8±4.4 years for the total group of patients, 4.6±3.0 years for patients with strabismus and 5.1±3.7 years for patients with nystagmus. Visual acuity measurements were not possible in 26 uncooperative patients. The visual acuity was 0.3 logMAR and over in 15 (31%) and 1.0 logMAR and under in 12 (25%) of the remaining of 48 eyes. Of a total of 28 eyes with strabismus, we were unable to measure visual acuity in 10 patients, and the visual acuities were 0.3 logMAR and over in 7 (39%) and 1.0 logMAR and under in 5 (28%) of the rest of the 18 patients. The mean visual acuity was significantly lower in the 8 of 14 patients with nystagmus whose visual acuity could be measured (1.25±0.45 logMAR) than in both the patients without strabismus (0.44±0.59 logMAR) and the patients with strabismus (0.66±0.56 logMAR) (p0.019 and p0.015, respectively). Dis cus si on: Although strabismus is seen more often in childhood cataracts compared to general population, the presence of strabismus has no negative effect on visual acuity after cataract surgery, while nystagmus is the main factor limiting the visual outcome. (Turk J Ophthalmol 2012; 42: 111-5)
Açıklama
Anahtar Kelimeler
Göz Hastalıkları
Kaynak
Türk Oftalmoloji Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
42
Sayı
2
