Ümit EKŞİOĞLU, Evin ŞINGAR, Özgür BALTA, Hande HÜSNİYE TELEK, Firdevs ÖRNEK, Dicle HAZIROLAN, Ayşe BURCU, Mehmet YAKIN

ND-YAG LAZER KAPSÜLOTOMİ SONRASI GLOKOMLU VE SAĞLIKLI GÖZLERDE GÖZ İÇİ BASINCI VE MERKEZİ KORNEA KALINLIĞI DEĞİŞİKLİKLERİ

AMAÇ:Arka kapsül opasifikasyonu AKO nedeni ile neodymium yttrium-aluminium garnet lazer kapsülotomi uygulanan sağlıklı gözler ile glokomlu hastalarda, erken dönem göz içi basıncı GİB , merkezi kornea kalınlığı MKK değişikliklerini karşılaştırmak GEREÇ VE YÖNTEMLER: Retroprospektif olarak yapılan bu çalışmamıza, sağlıklı AKO olan 42 hasta ve glokom tanısıyla izlenen ve AKO nedeniyle Nd:YAG lazer arka kapsülotomi yapılan 27 hasta çalışmaya dahil edildi.. Tropikamid %1 damla ile pupilla dilatasyonu sağlanan hastalara işlemden 30 dakika önce bir damla %0,5 Aproklonidin HCl damlatıldı. İşlemden 1 saat önce ve işlemden 3 saat, 4 saat, 1 gün sonra GİB, MKK ölçümleri değerlendirildi. BULGULAR: Nd-YAG lazer kapsülotomi sonrası GİB değişimi iki grup arasında istatistiksel olarak anlamlı bulunmadı. GİB değişimi ile işlem esnasında uygulanan toplam lazer enerji miktarı arasındaki ilişki istatistiksel olarak anlamlı değildi. Nd:YAG lazer kapsülotomi sonrası, merkezi kornea kalınlığı MMK ’da iki grup arasında istatistiksel olarak anlamlı bir artış saptanmadı.

Anahtar Kelimeler:

Arka kapsül opasifikasyonu, Göz içi basıncı, Merkezi kornea kalınlığı, Nd:YAGlazer

İNTRAOCULER PRESSURE AND CENTRAL CORNEAL THİCKNESS İN GLAUCOMA PATİENTS AND HEALTY EYES AFTER ND-YAG LASER CAPSULOTOMY

OBJECTIVE: To evaluate early intraocular pressure IOP , central corneal thickness CCT changes in patients undergoing Nd: YAG laser capsulotomy who has devoloped posterior capsule opasification PCO after uncomplicated cataract surgery.MATERIAL AND METHODS: In this retroprospective study 42 patients healthy and 27 glaucoma patients were included. were included. Pupil dilatation was provided with 1% tropicamide drops. A drop of 0,5% aproclonidine was used 30 minute before the process. 1 hour before process and 3 hours, 4hours, 1 day after process IOP and CCT were evaluated .RESULT: IOP changes after Nd: YAG laser capsulotomy was not statistically significant. The relationship between IOP changes after Nd: YAG laser capsulotomy and the total amount of laser energy was not statistically significant. There was no statistically significant increase in CCT after Nd: YAG laser capsulotomy. CONCLUSION: Nd: YAG laser capsulotomy is reliable and effective method for the treatment of PCO

Keywords:

Posterior capsule opasification, Intraocular pressure, Central corneal thickness, Nd:YAG laser,

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