Tip II diabetes mellitusta rubeozis iridis ve neovasküler glokom

Evaluation of rubeosis iridis and neovascular glaucoma in type II diabetes mellitus

Özet

2318 Tip II diabetes mellituslu olgunun 4636 gözü muayene edildi (Dr. Atmaca) gözünün 4619 gözde (17 göz ftizik veya enüklee) rubeozis iridis ve neovasküler glokom.tanımlayıcı tipte bir a-naliz ile değerlendirildi ve ışık koagülasyonunun etkileri prospektif olarak incelendi. 4619 gözün 490 'ında rubeozis iridis mevcuttu. Rubeozis iridis, 281 gözde pupil kenarında, 209 gözde ise yaygındı. 490 gözün 116'sında aynı zamanda neovasküler glokom mevcuttu. Rubeozis iridis ve/veya neovasküler glokom saptanan ve en az 1 yıl izlenen 64 olgunun 100 gözünde prognoz değerlendirildi. İlk muayenede rubeozis iridisli 100 gözün sadece 17'sinde neovasküler glokom mevcuttu. Bir yıllık izlem süresinde 12 gözde daha neovasküler glokom gelişti. Tüm bu gözlerde ışık koagülasyonunun rubeozis iridis ve neovasküler glokom seyrine etkisi incelendi. İstatistik¬sel olarak anlamlı olmasa da, ışık koagülasyonu uygulanan gözlerde rubeozisin kaybolma hızı yüksek, neovasküler glokom oranı daha düşük bulundu. Ancak neovasküler glokom geliştikten sonra uygulanan panretinal ışık koagülasyonunun etkisinin sınırlı olduğu sonucuna varıldı.

Abstract

Evaluation Of Rubeosis İridis And Neovascular Glaucoma In Type II Diabetes Mellitus We examined 2318 patients with Tıp II diabetes mellitus. Rubeozis iridis and neovascular glaucoma were evaluated in 4619 eyes with a descriptive type analysis and the efficacay of photocoagulation was investigated with a prospective study. Rubeosis was on the pupillary margin in 281 eyes, while it was diffuse in 209 eyes. Neovascular glaucoma was present in 116 of the 490 eyes with rubeosis on the first examination. Prognosis was evaluated in 100 eyes of 64 patients who had rubeosis iridis and/or neovascular glaucoma and who could be followed at least 1 year. Neovascular glaucoma was present in 17 of the 100 eyes with rubeosis iridis at initial examination. During one-year follow-up period, neovascular glaucoma developed in 12 eyes also. The efficacy of panretinal photocoagulation was evaluated in all of these eyes. The disappearance rate of rubeosis iridis was greater and the development of neovascular glaucoma was less in the treated eyes although it was not statistically significant. It was concluded that, the effect of panretinal photocoagulation was limited after neovascular glaucoma had developed.