Fakoemülsifikasyon cerrahisinde kapsüloreksis yapılırken irrigasyon elciğinin ön kamara koruyucusu olarak kullanılması
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Tarih
2007
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Fakoemülsifikasyon cerrahisinde ön kamara koruyucu olarak irrigasyon elciği kullanarak devamlı sirküler kapsüloreksis yapmanın güvenli olup olmadığını araştırmak. Gereç ve Yöntem: Mart 2005-Mayıs 2006 tarihleri arasında ön kamara koruyucu yardımı ile kapsüloreksis yapılan 24 hastanın 28 kataraktlı gözü çalışmaya dahil edildi. Saat 2 ve 10 hizasından iki adet yan giriş yapıldı. Saat 2’den ön kamara koruyucu saat 10’dan 27 gauge kapsülotomi iğnesi ile girildi. Devamlı sirküler kapsüloreksis ve korneal tünel insizyon tamamlandıktan sonra ön kamara korucu çıkarıldı. Fakoemülsifikasyonla nükleus, irrigasyon aspirasyonla korteks temizliği yapıldı. İntraoküler lens implante edilerek operasyon sonlandırıldı. Bulgular: Hastalardan 15 tanesi erkek 9 tanesi kadındı. Hastaların yaş ortalaması 63.4±9.9 yıldı. Ön kamara koruyucu altında yapılan devamlı sirküler kapsüloreksislerden iki tanesi tamamlanamadı. Bu iki hastada can opener yöntemle kapsülotomi tamamlandı. Hiçbir hastada arka kapsül delinmesi ve vitre kaybı olmadı. Bu yöntemle bir adet viskoelastik madde ile iki hastanın katarakt ameliyatı tamamlanabildi. Sonuç: Fakoemülsifikasyon cerrahisinde devamlı sirküler kapsüloreksisin bu yöntemle yapılması ameliyatın maliyetini azaltmakta ve bu yöntemin etkili ve güvenli olduğuna karar verebilmek için daha fazla sayıda vakaya ihtiyaç vardır.
Purpose: To search for the efficacy of using irrigation hand piece as anterior chamber maintainer during continous circular capsulorhexis in phacoemulsification surgery. Materials and Methods: Twenty-eight eyes of 24 patients were operated for cataract between March 2005 and May 2006. Continous circular capsülorhexis (CCC) was performed under anterior chamber maintainer. Two side ports one at 2 o’clock and the other at 10 o’clock were prepared. Capsulorhexis was performed with a 27 gauge capsulorhexis needle entered to the anterior chamber through the side port at 10 o’clock while the anterior chamber volume and pressure was maintained with an anterior chamber maintainer entered to the anterior chamber through the side port at 2 o’clock. Upon completing the capsulorexis and corneal tunnel incission the anterior chamber maintainer was removed. Viscoelastic material was only used for the protection of the corneal endotelhium. Phacoemulsification surgery was completed with an intraocular lens implantaion after emulsification of nucleus and cleaning of all the lens materials. Results: 15 of the patients were men and 9 of them were women. The mean age of tye study group was 63.4±9.9 years. Two of the ccc could not be completed under the assistance of anterior chamber maintainer. We did not meet a posterior capsular tear in any of the cases. Conclusion: This technique seems to be a rather inexpensive and more cases are needed to assess safety and efficiency of this technique.
Purpose: To search for the efficacy of using irrigation hand piece as anterior chamber maintainer during continous circular capsulorhexis in phacoemulsification surgery. Materials and Methods: Twenty-eight eyes of 24 patients were operated for cataract between March 2005 and May 2006. Continous circular capsülorhexis (CCC) was performed under anterior chamber maintainer. Two side ports one at 2 o’clock and the other at 10 o’clock were prepared. Capsulorhexis was performed with a 27 gauge capsulorhexis needle entered to the anterior chamber through the side port at 10 o’clock while the anterior chamber volume and pressure was maintained with an anterior chamber maintainer entered to the anterior chamber through the side port at 2 o’clock. Upon completing the capsulorexis and corneal tunnel incission the anterior chamber maintainer was removed. Viscoelastic material was only used for the protection of the corneal endotelhium. Phacoemulsification surgery was completed with an intraocular lens implantaion after emulsification of nucleus and cleaning of all the lens materials. Results: 15 of the patients were men and 9 of them were women. The mean age of tye study group was 63.4±9.9 years. Two of the ccc could not be completed under the assistance of anterior chamber maintainer. We did not meet a posterior capsular tear in any of the cases. Conclusion: This technique seems to be a rather inexpensive and more cases are needed to assess safety and efficiency of this technique.
Açıklama
Anahtar Kelimeler
Göz Hastalıkları
Kaynak
Glokom Katarakt
WoS Q Değeri
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Cilt
2
Sayı
1
