Katarakt cerrahisinde superior ve lateral yaklaşımların astigmatizma yönünden prospektif karşılaştırılması
Küçük Resim Yok
Dosyalar
Tarih
1997
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
MN Oftalmoloji
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Öz: Bu çalışmanın amacı planlı ekstrakapsuler katarakt ekstraksiyonu (PEKKE) cerrahisindeki standard superior insizyonal yaklaşım ile lateral insizyonal yaklaşımları postoperatif astigmatizma yönünden karşılaştırmaktır. Otuzüç hastanın 35 gözü çalışma kapsamına alındı. Hastalar uygu¬lanan insizyon yönüne göre 2 gruba ayrıldı. Grup l'deki 15 göze superior yaklaşımlı Grup 2'deki 20 göze ise lateral (temporal-oblik) yaklaşımlı PEKKE cerrahisi ve arka kamara göz içi lensi (AKGİL) implantasyonu yapıldı. Ortalama 8 aylık takip süresinde hastalar astigmatik değişiklikler yönünden incelendi. Buna göre lateral grupta cerrahiye bağlı ortaya çıkan astigmatizma farklılığında iki grup arasında istatistiksel olarak anlamlı bir fark tespit edileme¬miştir (U= 145.5, p>0.05). Astigmat eksenlerinin değişiminde ise la¬teral yaklaşımın kurala aykırı astigmatizmin önlenmesinde başanh olduğu görülmüştür. Bu çalışmada yüksek dioptride kurala aykın astigmatizmi olan hastalarda ve superior yaklaşım güçlüğü olan astigmatizm dışı durumlarda lateral yaklaşımlı PEKKE cerrahisinin faydalı olabileceği tespit edilmiştir.
Abstract: Prospective Comparison of Superior and Lateral Approach in Terms of Astigmatism in Cataract Extraction The purpose of this study was to compare standard superior inclsional approach and lateral approach in terms of postoperative induced astigmatism.. Thirty-five eyes of 33 patients were included in the study. Th» patients were divided into two groups according to performed incisional technique. In groupl, consis¬ted of 15 patients in which superior incision was made, in group 2 was composed of 20 patients in which lateral (temporal-oblique) incision was made. All eyes had undergone uniform planned eztracapsular ca¬taract extraction with measured during the mean 8 months follow-up. No statistically significant diffe¬rence was found between two groups in surgically in¬duced astigmatism change after cataract surgery (U=145.5, p>0.05). It was detected that temporally placed cataract surgery can be useful in patients with high diopters of against-the-rule astigmatism and some situations in which is not. easy to perform the superior approach.
Abstract: Prospective Comparison of Superior and Lateral Approach in Terms of Astigmatism in Cataract Extraction The purpose of this study was to compare standard superior inclsional approach and lateral approach in terms of postoperative induced astigmatism.. Thirty-five eyes of 33 patients were included in the study. Th» patients were divided into two groups according to performed incisional technique. In groupl, consis¬ted of 15 patients in which superior incision was made, in group 2 was composed of 20 patients in which lateral (temporal-oblique) incision was made. All eyes had undergone uniform planned eztracapsular ca¬taract extraction with measured during the mean 8 months follow-up. No statistically significant diffe¬rence was found between two groups in surgically in¬duced astigmatism change after cataract surgery (U=145.5, p>0.05). It was detected that temporally placed cataract surgery can be useful in patients with high diopters of against-the-rule astigmatism and some situations in which is not. easy to perform the superior approach.
Açıklama
Yıl: 1997Cilt: 4Sayı: 1ISSN: 1300-4786Sayfa Aralığı: 44 - 47Metin Dili:Türkçe
Anahtar Kelimeler
Kaynak
MN Oftalmoloji
WoS Q Değeri
Scopus Q Değeri
Cilt
4
Sayı
1
Künye
ER H,BAYRAMLAR H,HEPŞEN İ. F,GÜNDÜZ A (1997). Katarakt cerrahisinde superior ve lateral yaklaşımların astigmatizma yönünden prospektif karşılaştırılması. MN Oftalmoloji, 4(1), 44 - 47.
