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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2014 / Cilt: 20 - Sayı: 4

Güneydoğu Anadolu Bölgesi'ndeki geriatrik hastalarda delici göz yaralanmalarında etiyoloji ve prognoz

Etiology and prognosis of penetrating eye injuries in geriatric patients in the Southeastern region of Anatolia Turkey

Harun YÜKSEL
Fatih Mehmet TÜRKÇÜ
YASİN ÇINAR
Abdullah Kürşat CİNGÜ
Alparslan ŞAHİN
Muhammed ŞAHİN
Zeynep ÖZKURT
Mehmet MURAT
İhsan ÇAÇA
Pages
253–257
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

The most important factor affecting the final VA measurement was the VA of the patient at admission.

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Objective & Hypothesis:BACKGROUND: The purpose of this study was to evaluate the etiologic and prognostic factors of open eye injuries in geriatric patients in the Southeastern region of Anatolia.METHODS: Forty-five geriatric patients who underwent surgery for an open eye injury in our clinic between the years of 2008 and 2012 were evaluated retrospectively.
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Key Findings & Data:Age, gender, cause and the mechanism of the trauma, visual acuity (VA), and the time between the trauma and the surgery were obtained from files and evaluated.RESULTS: The mean age of the patients was 70.4±8.2 years.
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Conclusion & Impact:The most important factor affecting the final VA measurement was the VA of the patient at admission.
🔬Design:Research Article
📍Scope:2008 Verileri
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: The purpose of this study was to evaluate the etiologic and prognostic factors of open eye injuries in geriatric patients in the Southeastern region of Anatolia.METHODS: Forty-five geriatric patients who underwent surgery for an open eye injury in our clinic between the years of 2008 and 2012 were evaluated retrospectively. Age, gender, cause and the mechanism of the trauma, visual acuity (VA), and the time between the trauma and the surgery were obtained from files and evaluated.RESULTS: The mean age of the patients was 70.4±8.2 years. Thirty-four of the cases were male and 11 were female. The most frequent mechanism of trauma was a wood strike, while the second most common one was injury with a knife. Corneoscleral penetration was the most frequently observed trauma. The mean VA of the patients was 2.26±0.65 at admission, and was 1.53±0.99 logarithm of the minimum angle of resolution at the final evaluation. The most frequent complications of trauma were iris prolapse and hyphema. There was a significant correlation between the first and final VA.CONCLUSION: Penetrating ocular injuries are seen less frequently among geriatric patients, and their prognosis may be worse due to less-efficient wound site healing and differences in scleral rigidity. The most important factor affecting the final VA measurement was the VA of the patient at admission.

Özet

AMAÇ: Güneydoğu Anadolu Bölgesi'nde yaşayan geriatrik hastalarda açık göz yaralanmasının etiyolojik faktörleri ve prognozu etkileyen faktörleri irdelemek. GEREÇ VE YÖNTEM: 2008-2012 yılları arasında kliniğimizde açık göz yaralanması nedeni ile ameliyat edilen ve takibi yapılan 65 yaş ve üstü 45 olgu geriye dönük olarak değerlendirildi. Dosya bilgilerinden olguların yaşı, cinsiyeti, travmanın oluş nedeni ve şekli, görme derecesi, travmanın oluş zamanı ile cerrahi arasında geçen süre değerlendirildi. BULGULAR: Hastaların ortalama yaşı 70.4±8.2 (65-90) yıl idi. Olguların %75.6'sı (n=34) erkek ve %24.4'ü (n=11) kadın idi. Travmanın oluş şekli en sık olarak odun çarpması ve ikinci sıklıkta bıçak değmesi olarak tespit edildi. Korneaskleral penetrasyon en sık olarak izlendi. Görme keskinlikleri müracaat anında 2.26±0.65 logMAR ölçüldü. Travmaya en sık eşlik eden komplikasyon iris prolapsusu ve hifema olarak izlendi. İlk görme keskinliği ile nihai görme keskinliği arasında korelasyon izlendi. TARTIŞMA: Geriatrik olgularda oküler penetran yaralanmalar daha az görülmekle beraber yara yeri iyileşmesi zorluğu ve değişen skleral rijidite nedeniyle daha kötü prognozlu olabileceği düşünüldü. Nihai görme keskinliğini etkileyen en önemli faktörün hastanın müracaat anındaki görme keskinliği olduğu görüldü.

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Cite This Article

YÜKSEL, H., TÜRKÇÜ, F. M., ÇINAR, Y., CİNGÜ, A. K., ŞAHİN, A., ŞAHİN, M., ÖZKURT, Z., MURAT, M., ÇAÇA, İ. (2014). Güneydoğu Anadolu Bölgesi'ndeki geriatrik hastalarda delici göz yaralanmalarında etiyoloji ve prognoz. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 20 - Sayı: 4, 253–257. https://ajindex.com/articles/323828

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