Koroner Arter Bypass Cerrahisinin Santral Retina Duyarlılığı Üzerine Etkisi

Key Findings & Data:Gereç ve Yöntem: Koroner kalp hastalığı olan 20 hasta ve kontrol olarak tiroid hastalığı olan 13 hastanın sağ gözleri çalışmaya alındı.

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Conclusion & Impact:SWAP, SAP’ a göre erken ve saptanamayan değişiklikleri belirlemekte değerli olabilir.

🔬Design:Research Article

📍Scope:20 hasta

⚙️Variables:Domain Parameters

Abstract

Amaç: Koroner arter bypass cerrahisinin (KABC) santral retina duyarlığı üzerindeki etkisini değerlendirmek. Gereç ve Yöntem: Koroner kalp hastalığı olan 20 hasta ve kontrol olarak tiroid hastalığı olan 13 hastanın sağ gözleri çalışmaya alındı. Olgular, Kardiyo Vasküler Cerrahi, Genel Cerrahi ve Göz Hastalıkları Anabilim Dalı tarafından belirlendi. Standart aromatik perimet- rik (SAP) ve Kısa dalga boylu otomatize perimetri (SWAP) analizleri preoperatif ve postoperatif dönemde yapıldı. Görme alanı analizi, tam eşikli, Santral 24-2 programı ile (Humphrey Visual Field Analyzer 750i) gerçekleştirildi. Bulgular: SWAP testlerinin sonuçları KABC grubunda analiz edildiğinde postoperatif dönemde ortalama sapma (MD) preoperatif dönemde anlamlı olarak azaldı (p = 0,027), ancak SAP testlerinde anlamlı farklılık saptanmadı. Preoperatif ve postoperatif dönemde troid hastalığı sebebi ile cerrahi yapılan (TdS) grubunun PSD ve CPSD değerlerinde SWAP testleri (sırasıyla p = 0,012, p = 0,026) ile anlamlı farklılıklar mevcut iken, SAP testleri ile anlamlı değişiklik belirlenmedi. Sonuç: TdS’li hastalarda lokal olarak retina duyarlılığında azalma saptanmıştır. KABC ise hastalarda subklinik olarak yaygın retina duyarlılığında azalmaya neden olabilmektedir. SWAP, SAP’ a göre erken ve saptanamayan değişiklikleri belirlemekte değerli olabilir.

Özet

Purpose: To evaluate whether Coronary artery bypass surgery (CABS) has any effect on central retinal sensitivity. Materials and Methods: Right eyes of 20 patients with coronary heart disease and 13 patients with thyroid disease as control were recruited in this study. Subjects were determined to be candidate by Cardiothoracic Surgery, General Surgery and Ophthalmology Departments. Standard achromatic perimetric (SAP) and Short-wavelength automated perimetric (SWAP) analyses were performed at preoperative and postoperative terms. Visual fi eld analyses were performed using Humphrey Visual Field Analyzer 750i with full threshold, Central 24–2 program. Results: When the results of SWAP tests were analyzed in CPBS group, mean deviation (MD) at the postoperative term were more signifi cantly decrease than the preoperative term (p=0,027), but no signifi cant differences were not detected in SAP tests. There were signifi cant differences in PSD and CPSD values of TdS group at preoperative and postoperative term via SWAP tests (p=0,012, p= 0,026, respectively), but no signifi cant changes via SAP tests. Conclusion: Localized decrease of retinal sensitivity was detected in patients with TdS. CABS may lead loss of generalized retinal sensitivity in a subclinical manner and SWAP can be valuable to determine these early and undetectable changes over SAP.

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Cite This Article

AYDIN, E., DEMİR, H. D., KAYAOĞLU, H. A., NASARİ, E. (2018). Koroner Arter Bypass Cerrahisinin Santral Retina Duyarlılığı Üzerine Etkisi. Retina-Vitreus, Cilt: 27 - Sayı: 2, 128–132. https://ajindex.com/articles/304824

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