Yırtıklı retina dekolmanlarında maküler dekolman süresinin tedavi sonrası erken dönem görme keskinliğine etkisi
Küçük Resim Yok
Tarih
2009
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Yırtıklı retina dekolmanlı gözlerde, maküler dekolman süresinin pnömotik retinopeksi sonrası düzeltilmiş görme keskinliği üzerine etkisinin değerlendirilmesi. Gereç ve Yöntem: Kliniğimizde Mayıs 2006-Mayıs 2009 tarihleri arasında pnömotik retinopeksi uygulanmış ve tek seansta başarı sağlanmış maküler dekolman süresi 2 hafta ve altında olan yırtıklı retina dekolmanı olgularının dosya bilgileri geriye dönük olarak tarandı. Maküler dekolman sürelerine göre 47 göz 1-5 gün (21 göz), 6-10 gün (14 göz) ve 11-14 gün (12 göz) içinde tedavi edilenler olarak üç gruba ve ayrıca birinci hafta (26 göz) ve ikinci hafta (21 göz) tedavi edilenler olarak iki ayrı gruba ayrılarak incelendi ve cerrahiden 3 ay sonra düzeltilmiş görme keskinliği gruplar arasında karşılaştırıldı. Bulgular: Maküler dekolman süresine göre üç zaman dilimli olarak incelememizde üç grup arasında tedavi sonrası görme keskinliği açısından anlamlı fark bulundu (p0.001, Kruskal Wallis testi). Yine ikili zaman dilimli incelemede ilk hafta tedavi edilenlerde görme keskinliği (0.560.19), ikinci hafta tedavi edilenlere göre (0.320.13) anlamlı olarak yüksek bulundu (p0.001, Mann-Whitney testi). Sonuç: İki haftalık süreç 3 ve 2 zaman dilimine göre incelendiğinde maküler dekolman süresi uzadıkça, görme keskinliği azalmaktadır. Maküler dekolman süresi tedavi sonrası görme keskinliğini değerlendirmede göz önünde bulundurulması gereken önemli bir prognoz belirleyicidir.
Purpose: To evaluate the effect of the duration of macular detachment on best corrected visual acuity in eyes with rhegmatogenous retinal detachment treated with pneumatic retinopexy. Materials and Methods: The charts of patients with rhegmatogenous retinal detachment who had macular detachment within 2 weeks period and treated succesfully with pneumatic retinopexy between May 2006 and May 2009 in our clinic were reviewed retrospectively. 47 eyes were grouped according to their duration of macular detachment as eyes treated within 1-5 days (21 eyes), 6-10 days (14 eyes) and 11-14 days (12 eyes) and also grouped as eyes treated within first week (26 eyes) and second week (21 eyes) and the best corrected visual acuity 3 months after the operation was compared among the groups. Results: There was a significant difference between visual acuities of the 3 groups divided as 1-5, 6-10 and 11- 14 days according to duration of macular detachment (p<0.001, Kruskal Wallis test). The difference between visual acuities of eyes treated within first week (0.56±0.19) and second week (0.32±0.13) was also significant (p<0.001, Mann-Whitney test). Conclusion: Postoperative visual acuity decreases while the duration of macular detachment increases in eyes treated with pneumatic retinopexy assessed in 3 and 2 time periods. Duration of macular detachment is an important prognostic factor for the prediction of postoperative visual acuity.
Purpose: To evaluate the effect of the duration of macular detachment on best corrected visual acuity in eyes with rhegmatogenous retinal detachment treated with pneumatic retinopexy. Materials and Methods: The charts of patients with rhegmatogenous retinal detachment who had macular detachment within 2 weeks period and treated succesfully with pneumatic retinopexy between May 2006 and May 2009 in our clinic were reviewed retrospectively. 47 eyes were grouped according to their duration of macular detachment as eyes treated within 1-5 days (21 eyes), 6-10 days (14 eyes) and 11-14 days (12 eyes) and also grouped as eyes treated within first week (26 eyes) and second week (21 eyes) and the best corrected visual acuity 3 months after the operation was compared among the groups. Results: There was a significant difference between visual acuities of the 3 groups divided as 1-5, 6-10 and 11- 14 days according to duration of macular detachment (p<0.001, Kruskal Wallis test). The difference between visual acuities of eyes treated within first week (0.56±0.19) and second week (0.32±0.13) was also significant (p<0.001, Mann-Whitney test). Conclusion: Postoperative visual acuity decreases while the duration of macular detachment increases in eyes treated with pneumatic retinopexy assessed in 3 and 2 time periods. Duration of macular detachment is an important prognostic factor for the prediction of postoperative visual acuity.
Açıklama
Anahtar Kelimeler
Göz Hastalıkları
Kaynak
Retina-Vitreus
WoS Q Değeri
Scopus Q Değeri
Cilt
17
Sayı
3
