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Journals / Glokom Katarakt / 2015 / Cilt: 10 - Sayı: 2

Cerrahisi Phacoemulsification in Eyes with Cataract and Corneal Opacity

Kataraktı ve Beraberinde Kornea Opasitesi Olan Gözlerde Fakoemülsifikasyon

ERKAN ÇELİK
Emine DOĞAN
Sibel ALİŞAN
BURÇİN ÇAKIR
Elif Betül TÜRKOĞLU
MUSTAFA GÜRKAN ERDOĞAN
GÜRSOY ALAGÖZ
Pages
115–118
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Ambulatory and useful vision can be achieved by phacoemulsification surgery in eyes with cataract and corneal opacity

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: To evaluate the intraoperative difficulties and postoperative outcome following phacoemulsification surgery in eyes with cataract and corneal opacity.
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Key Findings & Data:Material and Methods: Records of 22 eyes of 22 patients who underwent phacoemulsification surgery for cataract and corneal opacity between January 2010-2013 were reviewed retrospectively.
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Conclusion & Impact:Conclusion: Ambulatory and useful vision can be achieved by phacoemulsification surgery in eyes with cataract and corneal opacity
🔬Design:Review & Systematic Survey
📍Scope:2010-2013 Verileri
⚙️Variables:Domain Parameters

Abstract

Purpose: To evaluate the intraoperative difficulties and postoperative outcome following phacoemulsification surgery in eyes with cataract and corneal opacity. Material and Methods: Records of 22 eyes of 22 patients who underwent phacoemulsification surgery for cataract and corneal opacity between January 2010-2013 were reviewed retrospectively. Age, gender, etiology of corneal opacities, preoperative and postoperative best corrected visual acuity, intraoperative and postoperative complications were evaluated. Results: The mean age of the patients (14 male, 8 female) was 81.3±5.6 (66-89) years. Mean follow-up time was 9 (5-12) months postoperatively. The corneal opacity was a result of healed keratitis in 12 (54.5%) eyes, trauma in 5 (22.7%) eyes, and pterygium surgery in 5 (22.7%) eyes. Trypan blue (0.1%) was used in 12 eyes during the surgery and capsulorhexis was completed succesfully in all eyes. Corneal edema in 17 (77.2%) eyes and transient intraocular pressure increase in 6 eyes (27.2%) were noted as postoperative complications. Pre- and postoperative mean best corrected visual acuities were 1.38±0.76 LogMAR and 0.74±0.58 LogMAR respectively. Visual acuity improved in 18 eyes (81.8%) and remained same in 4 eyes (18.2%). Conclusion: Ambulatory and useful vision can be achieved by phacoemulsification surgery in eyes with cataract and corneal opacity

Özet

Amaç: Kataraktı ve beraberinde kornea opasitesi olan gözlerde fakoemülsifikasyon (FE) cerrahisinin intraoperatif zorluklarını ve postoperatif sonuçlarını değerlendirmek. Gereç ve Yöntem: Ocak 2010-Ocak 2013 tarihleri arasında kataraktı ve beraberinde korneal opasitesi olan, kliniğimizde FE cerrahisi uygulanmış 22 olgunun 22 gözü geriye dönük olarak incelendi. Olgular yaş, cinsiyet, korneal opasite etyolojisi, preoperatif ve postoperatif en iyi düzeltilmiş görme keskinlikleri, cerrahi sırasında ve sonrasında oluşan komplikasyonlar açısından değerlendirildi. Bulgular: Olguların 8’sı (%36.3) kadın, 14’ü (%63.7) erkek olup yaş ortalaması 81.3±5.6 yıl (66-89) idi. Ameliyat sonrası ortalama takip süresi 9 (5-12) aydı. Kornea opasitesi 12 (%54.5) gözde keratite, 5 gözde (%22.7) travmaya, 5 gözde (%22.7) geçirilmiş pterjium cerrahisine ikincil olarak gelişmişti. Ameliyat sırasında 12 gözde kapsüloreksis öncesi %0.1’lik tripan mavisi kullanıldı ve tüm olgularda kapsüloreksis başarıyla tamamlandı. Ameliyat sonrası olguların 17’sinde (%77.2) kornea ödemi, 6’sında (%27.2) medikal tedaviye yanıt veren geçici göz içi basınç artışı gelişti. Olguların ameliyat öncesi görme keskinliği 3.10-0.70 LogMAR arasında iken, ameliyat sonrası en son kontrolde 1.51-0.30 LogMAR idi. Ortalama görme keskinliği düzeyleri ameliyat öncesi 1.38±0.76 LogMAR iken, en son kontrolde 0.74±0.58 LogMAR idi. Görme keskinliği cerrahi sonrası 4 gözde (%18.2) değişim göstermezken, 18 gözde (%81.8) artış gösterdi. Sonuç: Kataraktı ve beraberinde kornea opasitesi olan gözlerde sadece FE cerrahisi ile bile işlevsel görsel sonuçlar elde edilebilir.

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Cite This Article

ÇELİK, E., DOĞAN, E., ALİŞAN, S., ÇAKIR, B., TÜRKOĞLU, E. B., ERDOĞAN, M. G., ALAGÖZ, G. (2015). Cerrahisi Phacoemulsification in Eyes with Cataract and Corneal Opacity. Glokom Katarakt, Cilt: 10 - Sayı: 2, 115–118. https://ajindex.com/articles/204318

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