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Göz îçi îrrigasyon Solüsyonları ve Viskocerrahi Ajanları

Intraocular Irrigation Solutions and Viscoelastıc Agents

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2004

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Irrigation solutions and viscoelastic agents used in the ophthalmic intraocular procedures are essential for ideal surgical results. Corneal endothelium and other intraocular tissues are best protected when bathed with solutions similar to the chemical composition of aqueous humor. It is important to note that the ideal irrigation solution should contain bicarbonate buffer, glucose, glutathione and calcium. Osmolarity and pH of the irrigation solutions are also important. Viscoelastic agents protect corneal endothelium and epithelium from mechanical trauma, maintain and stabilize both the anterior chamber and capsular bag volumes. Both the irrigation solutions and viscoelastic agents must have lesser drawbacks, and ensure suitable surgical space for surgeon. In this study we have reviewed general properties, clinical uses, and complications of the irrigation solutions and the viscoelastic agents.
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Abstract (Original Language): 
îrrigasyon solüsyonları ve viskocerrahi ajanlarının göz içi cerrahisinde kullanımı ideal cerrahi sonucun alınması için gereklidir. îrrigasyon solüsyonları hümor aköze yapı olarak ne kadar benzer ise cerrahi o denli iyi sonuç vermektedir. Bunun için kabul edilebilir bir irrigasyon solüsyonunun yapısında bikarbonat tamponu, glukoz, glutatyon, kalsiyum içeriğinin bulunması gerekmektedir. Ayrıca pH ve ozmolaritenin de aköze yakın olması istenen bir durumdur. Viskocerrahi ajanları kornea endotelinin ve epitelinin mekanik travmaya karşı korunmasında, ön kamara hacminin idamesinde ve stabilizasyonunda, kapsül açıklığı ve gerginliğinde etkili olan cerrahi ajanlardır. Gerek irrigasyon solüsyonlarının gerekse viskocerrahi ajanlarının kullanım amacına uygun olarak yan etkileri ve toksik etkileri en az düzeyde olmalıdır. Cerraha uygun ameliyat ortamı sağlarken, hastaya zarar vermemelidir. Bu makalede irrigasyon solüsyonları ve viskocerrahi ajanların genel özellikleri, çeşnileri, yan etkileri, kullanım tercihleri irdelenmiş ve genel bir bakış sunulmuştur.
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  • Turkish

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