Katarakt cerrahisi sonrası retina dekolmanına neden olan risk faktörlerinin değerlendirilmesi
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Tarih
2020
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Mebas Medikal Basın Yayın San. ve Tic. Ltd. Şti.
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Çalışmanın amacı katarakt cerrahisi geçirmiş hastalarda gelişen psödofakik retina dekolmanı risk faktörlerini değerlendirmektir.Gereç ve Yöntem: Çalışmamız retrospektif özellikte olup, çalışmaya 2010 ile 2018 yılları arasında katarakt cerrahisi uygulanan 212 hastanın 212 gözü dahil edilmiştir. Cerrahi sonrası retina dekolmanı gelişen 106 hasta retina dekolmanı grubuna dahil edildi. Retina dekolmanı grubundaki hastalarla aynı dönemde katarakt cerrahisi geçiren ve retina dekolmanı gelişmeyen 106 hasta, kontrol grubuna dahil edildi. Hastaların dosyaları taranarak cerrahi ve cerrahi sonrası komplikasyonlar, refraksiyon bozukluğu, aksiyel uzunluk ve hastalık öyküsü not edildi. Elde edilen veriler analiz edilerek risk faktörleri incelendi.Bulgular: Gruplar arasında ortalama yaş ve cinsiyet dağılımı açısından istatistiksel bir fark izlenmedi (p=0,213, p=0,192 sırasıyla).Psödofakik retina dekolmanı riskinin arka kapsül yırtığı olan gözlerde 5,5 kat, ön vitrektomi yapılan gözlerde 6,5 kat, künt travma hikayesi olan gözlerde 3,1 kat, diğer gözde retina dekolmanı hikayesi olan gözlerde 4,8 kat ve miyopik refraksiyon kusuru olan gözlerde 2,2kat daha fazla olduğu tespit edilmiştir (p<0,05). Aksiyel uzunluğun 26 mm’den büyük olmasının psödofakik retina dekolmanı riskini 4kat arttırdığı tespit edildi (p=0,013). Neodymium-doped yttrium aluminum garnet lazer kapsülotomi uygulamasının retina dekolmanı gelişimine bir etkisinin olmadığı gözlenmiştir (p=0,853).Sonuç: Miyopik refraksiyon kusuru, arka kapsül yırtığı, ön vitrektomi, künt travma ve diğer gözde retina dekolmanı hikayesi kataraktcerrahisi sonrası retina dekolmanı gelişim riskini arttırmaktadır. Bu faktörlerin bulunduğu hastalar cerrahi sonrasında retina dekolmanı gelişim açısından daha dikkatle izlenmelidir.
Objective: To determine the pseudophakic retinal detachment risk factors following cataract surgery. Material and Method: 212 eyes of 212 patients that underwent cataract surgery between 2010 and 2018 were included in this retrospective study. 106 patients with postoperative pseudophakic retinal detachment were included in the retinal detachment group. 106 patients that underwent cataract surgery at the same time with those in the retinal detachment group were included in the control group. Medical records of the patients were investigated and surgical and postsurgical complications, refraction errors, axial length and disease history were noted for each patient. Data of the patients were analyzed to reveal the risk factors. Results: No significant difference was observed between groups regarding age and gender (p=0.213, p= 0.192 respectively). Retinal detachment development risk was 5.5 fold higher with posterior capsule rupture, 6.5 fold higher with anterior vitrectomy, 3.1 fold higher with blunt ocular trauma history, 4.8 fold higher with retinal detachment history in contralateral eye and 2.2 fold higher with myopic refraction error respectively (p<0.05). Retinal detachment development risk was 4 fold higher in eyes with axial length higher than 26 mm (p=0.013). Performing neodymium-doped yttrium aluminum garnet laser capsulotomy after cataract surgery had no effect on pseudophakic retinal detachment development (p=0.853). Conclusion: Pseudophakic retinal detachment risk is higher in patients with myopic refraction error, posterior capsule rupture, anterior vitrectomy, blunt ocular trauma, and retinal detachment history in the contralateral eye. Patients with those risk factors should be screened frequently with great caution.
Objective: To determine the pseudophakic retinal detachment risk factors following cataract surgery. Material and Method: 212 eyes of 212 patients that underwent cataract surgery between 2010 and 2018 were included in this retrospective study. 106 patients with postoperative pseudophakic retinal detachment were included in the retinal detachment group. 106 patients that underwent cataract surgery at the same time with those in the retinal detachment group were included in the control group. Medical records of the patients were investigated and surgical and postsurgical complications, refraction errors, axial length and disease history were noted for each patient. Data of the patients were analyzed to reveal the risk factors. Results: No significant difference was observed between groups regarding age and gender (p=0.213, p= 0.192 respectively). Retinal detachment development risk was 5.5 fold higher with posterior capsule rupture, 6.5 fold higher with anterior vitrectomy, 3.1 fold higher with blunt ocular trauma history, 4.8 fold higher with retinal detachment history in contralateral eye and 2.2 fold higher with myopic refraction error respectively (p<0.05). Retinal detachment development risk was 4 fold higher in eyes with axial length higher than 26 mm (p=0.013). Performing neodymium-doped yttrium aluminum garnet laser capsulotomy after cataract surgery had no effect on pseudophakic retinal detachment development (p=0.853). Conclusion: Pseudophakic retinal detachment risk is higher in patients with myopic refraction error, posterior capsule rupture, anterior vitrectomy, blunt ocular trauma, and retinal detachment history in the contralateral eye. Patients with those risk factors should be screened frequently with great caution.
Açıklama
Anahtar Kelimeler
Fakoemülsifikasyon, Katarakt, Retina dekolmanı, Phacoemulsification, Cataract, Retinal detachment
Kaynak
MN Oftalmoloji
WoS Q Değeri
Scopus Q Değeri
Cilt
27
Sayı
1
Künye
CANKURTARAN V, ÖZATEŞ S, KHALEQI Z (2020). Katarakt Cerrahisi Sonrası Retina Dekolmanına Neden Olan Risk Faktörlerinin Değerlendirilmesi. MN Oftalmoloji, 27(1), 39 - 43.
