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Posttravmatik vitreoretinal cerrahi uygulamalarda görsel prognoz

Visual Prognosis Following Vitreoretinal Surgery In Posttraumatic Cases

Journal Name:

  • Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2005

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Purpose: In traumatic eyes, patients having vitreoretinal surgery with in the first 72 hours had better final visual acuity then the patients having later. In this study, we evaluated visual acuity before and after vitreoretinal surgery. Material and Methods: Thirty-four eyes of 33 patients having vitreoretinal surgery due to ocular trauma included in this study in our hospital from March 2000 to June 2004. Records of patients were reviewed for type of insult, visual acuity functional and anatomic success. Results: The interval between trauma and vitreoretinal surgery ranged from 24 hours to over 30 days. Blunt ocular trauma in 15 patients, perforating ocular trauma was observed in 3 patients, operated perforating ocular trauma was observed in 10 patients, closed perforating ocular trauma was observed in 6 patients. In 3 cases with perforating ocular trauma vitreoretinal surgery was applied with primary operation. The most common anterior segment involvements were traumatic cataract and lens subluxation. Conclusion: However results of the vitreoretinal surgery depend on serious of trauma and preoperative findings, patients have better functional and anatomic success.
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Abstract (Original Language): 
Amaç: Travmalı gözlerde, erken dönemde, özellikle ilk 72 saat içinde, vitreoretinal cerrahi uygulanan hastalarda görme keskinliği sonuçları daha iyi olarak bulunmuştur. Bu çalışmada, vitreoretinal cerrahi öncesi ve sonrası posttravmatik gözdeki görme keskinliği araştırılmıştır. Materyal ve Metod: Mart 2000 ve Haziran 2004 tarihleri arasında, göz travması ve buna bağlı gelişen göz patolojileri neticesi kliniğimizde vitreoretinal cerrahi uygulanan 33 hastanın 34 gözü çalışmaya dahil edildi. Dosyalar yaralanma özelliği, görme düzeyleri, fonksiyonel ve anatomik başarı yönünden incelendi. Bulgular: Hastaların yaralanma ile vitreoretinal cerrahi uygulanma süreleri ilk 24saat ile 30günden fazla olmak üzere değişmekteydi.Yaralanmaya yol açan travma ,vakaların 15'inde künt, 10'unda opere perforan, 6'ında kapalı perforan, 3'ünde ise perforan tipti. Perforan 3 vakada primer onarım ve vitreoretinal cerrahi aynı seansta yapıldı. Travmatik katarakt ve lens luksasyonu en dikkat çekici ön segment bulgularıydı. Sonuç: Elde edilen sonuçların travmanın ciddiyeti ve operasyon öncesi bulgular ile bağlantılı olduğu gözlense de vitreoretinal cerrahi uygulanan hastalarda anatomik ve fonksiyonel başarı sonuçları daha iyi bulunmuştur.
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  • 3
12-16
  • Turkish

REFERENCES

References: 

1. Hutton WL, Fuller DG. Factors influencing final visual results in severely injured eyes. Am J Ophthalmol 1984; 97: 715-2.
2. De Juan E, Sternberg P, and Michels RG. Penetrating ocular injuries: types of injuries and visual results. Ophthalmology 1983; 90: 1318-22.
3. Gilbert CM, Soong HK, Hirst LW. A two-year prospective study of penetrating ocular trauma at Wilmer Ophthalmological Institute. Arch Ophthalmol 1987; 19: 104-106.
4. Blomdahl S, Norell S. Perforating eye injury in the Stockholm population: an epidemiological study. Acta Ophthalmol 1984; 62: 378-90.
5. Barr CC. Prognostic factors in corneoscleral lacerations. ArchOphthalmol 1983; 101: 919-24.
6. Gregor Z, Ryan SJ. Complete and core vitrectomies in the treatment of experimental posterior penetrating eye injury in rhesus monkey. I Clinical features. Arch Ophthalmol 1983; 101: 441-5.
7. Gregor Z, Ryan SJ. Complete and core vitrectomies in the treatment of experimental posterior penetrating eye injury in rhesus monkey. II. Histological features. ArchOphthalmol 1983; 101:446-50.
8. De Juan E Jr, Sternberg P, Michels RG. Timing of vitrectomy after penetrating ocular injuries. Ophthalmology 1984; 91: 1072-4.
9. Ryan SJ, Allen AW. Pars plana vitrectomy in ocular trauma. Am J Ophthalmol 1979; 88: 483-91.
10. Coleman DJ. Early vitrectomy in the management of the severely traumatized eye. Am J Ophthalmol 1982; 93: 543-51.
11. Hermsen V. Vitrectomy in severe ocular trauma. Ophthalmologica 1984; 189: 86-92.
12. Snell AC. Perforating ocular injuries. Am J Ophthalmol 1945; 28: 263-81.
13. Brinton GS and et al. Surgical results in ocular trauma involving the posterior segment. Am J Ophthalmol 1982; 93: 271-8.
14. Haimann MH, Burton TC, Brown CK. Epidemiology ofretinal detachment. Arch Ophthalmol 1982; 100:
289-92.
15. Vastine DW, Peyman GA, Guth SB. Visual prognosis in bacterial endofthalmitis treated with intravitreal antibiotics. Ophthalmic Surg 1979; 10: 76-83.

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