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Kapalı göz travmalarında ultrasonik biyomikroskopi bulguları

Ultrasound biomicroscopic findings of blunt eye traumas

Journal Name:

  • Gülhane Tıp Dergisi

Publication Year:

  • 2011

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Abstract (2. Language): 
The purpose of this study was to evaluate the utility of ultrasound biomicroscopy in imaging eyes with blunt eye trauma. A retrospective review of 23 patients referred to the Department of Ophthalmology of Gulhane Military Medical Faculty, between August 2009 and April 2010 was performed. All patients underwent detailed ophthalmic and ultrasound biomicroscopic examination. Twenty three eyes of 23 patients were included in the study. Mean age was 32.18±9.66 (range: 20-63) years. The mean intraocular pressure in the affected eye was 20.36±3.54 mmHg. Etiological factors were as follows; playing accident (45.45%), work accident (36.36%), assault (9.09%) and traffic accident (9.09%). The most common findings detected on ultrasound biomicroscopy were hyphema (8 eyes, 34.7%), angle recession (8 eyes, 34.7%), zonular deficiency (4 eyes, 17.3%), iridodialysis (4 eyes, 17.3%), crystalline lens subluxation (2 eyes, 8.6%), peripheral anterior synechiae (2 eyes, 8.6%) and intraocular lens dislocation (1 eye, 4.3%). Of the 23 patients, 4 (17.3%) underwent one of the ophthalmic surgeries including cataract surgery, filtration surgery, iris repair and intraocular lens reposition. We conclude that besides its benefits in surgical planning, ultrasound biomicroscopy may have a special role in detecting anterior segment pathologies, which may not be identified on clinical examination.
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Abstract (Original Language): 
Bu çalışmanın amacı, kapalı göz travmalarında ultrasonik biyomikroskopi bulgularının değerlendirilmesidir. Kliniğimizde kapalı göz travması nedeni ile Ağustos 2009 ile Nisan 2010 arasında takip edilen 23 hastanın kayıtları retrospektif olarak incelendi. Tüm olgulara detaylı oftalmolojik muayene ve ultrasonografik biyomikroskopi uygulandı. Yirmi üç olgunun 23 gözü de- ğerlendirildi. Olguların ortalama yaşı 32.18±9.66 (sınır: 20 ile 63 arası) yıl idi. Etkilenen gözde ortalama göz içi basıncı 20.36±3.54 mmHg idi. Kapalı göz travmalarının etiyolojik incelemesinde %45.45 spor aktiviteleri, %36.36 iş yeri kazaları, %9.09 darp ve %9.09 trafik kazaları olarak saptandı. En sık ultrason biyomikroskopik bulgular sırası ile 8 gözde (%34.7) hifema, 8 gözde (%34.7) açı resesyonu, 4 gözde (%17.3) zonül hasarı, 4 gözde (%17.3) iridodiyaliz, 2 gözde (%8.6) kristalin lens subluksasyonu, 2 gözde (%8.6) periferal anteriyor sineşi ve 1 gözde (%4.3) göz içi lens dislokasyonu idi. Dört hastaya katarakt cerrahisi, filtran cerrahi, iris tamiri ve göz içi lens repozisyonunu içeren göz cerrahisi prosedürlerinden birisi uygulandı. Sonuç olarak cerrahi planlamadaki faydaları yanında ultrasonografik biyomikroskopi, klinik muayenede tespit edilemeyebilen ön segment bulgularının saptanmasında önemli bir yere sahip olabilir.
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  • English

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